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Accident Summary Nr: 157343.015 - Employee dies after fall from roof

Accident Summary Nr: 157343.015 -- Report ID: 0521700 -- Event Date: 06/14/2023
Inspection NrDate OpenedSICNAICSEstablishment Name
1677962.01506/20/2023238350Cca Midwest, Inc.

Abstract: At 3:00 p.m. on June 14, 2023, Employee #1, who was a carpenter foreman, went on a roof that was above a garage to perform an unknown task. As Employee #1 was on the roof, the employee lost his balance, and fell approximately ten (10') feet eight (8") inches, and landed on his head. On June 21, 2023, Employee #1 was taken off life-support and died from the injuries related to the fall. Employee #1 sustained severe head trauma.

Keywords: Blunt force trauma, Carpenter, Fall, Fall From Elevation, Head, Lost Balance, Roof
Accident Details
End Use Project Type Project Cost Stories Non-building Height Fatality
Single family or duplex dwelling New project or new addition   2 X

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation Construction
1 1677962.015 31 M Fatality Carpenters Distance of Fall: 10 feet
Worker Height Above Ground/Floor: 10 feet
Cause: Roofing
Fatality Cause:

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