Accident Report Detail
Accident Summary Nr: 170731152 - Employee injures head in fall from ladder
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 126131424 | 07/02/1998 | 1751 | 0 | Sure Forming Systems Inc. |
Abstract: At approximately 10:30 a.m. on June 26, 1998, Employee #1, of Sure Forming Systems, Inc., was on an extension ladder installing rods in the top panels of a wall at a construction site in Claremont, CA. He was descending when he fell between 16 and 18 ft to the ground, suffering a head injury that required hospitalization for a week. Employee #1 later stated that he did not remember why he fell, but that there were no tools or materials on the ladder and that the ladder itself did not fall to the ground.
| End Use | Project Type | Project Cost | Stories | Non-building Height | Fatality | ||
|---|---|---|---|---|---|---|---|
| Other building | New project or new addition | Under $50,000 | 2 | 38 | |||
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation | Construction |
|---|---|---|---|---|---|---|---|
| 1 | 126131424 | Hospitalized injury | Concussion | Carpenters | Distance of Fall: feet Worker Height Above Ground/Floor: 18 feet Cause: Exterior carpentry Fatality Cause: Fall from/with ladder |
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