Accident Report Detail

Accident Summary Nr: 172318.015 - Employee falls from ladder jack scaffold and is killed

Accident Summary Nr: 172318.015 -- Report ID: 0552651 -- Event Date: 09/16/2024
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1790967.015	11/29/2024		238160	Ultimate Exteriors, Inc.

Abstract: At 11:33 a.m. on September 16, 2024, an employee was engaged in roofing-related activities from a ladder jack scaffold. The employee fell from the scaffold and sustained multiple blunt force trauma injuries. The employee landed on the decking below the scaffold and died from injuries sustained in the fall.

Keywords: Blunt force, Blunt force trauma, Fall, Fall From Elevation, Fall Protection, Ladder

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		Other			2		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1790967.015	66	M	Fatality		Roofers	Distance of Fall: 18 feet Worker Height Above Ground/Floor: 18 feet Cause: Roofing Fatality Cause:

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