Accident Report Detail

Accident Summary Nr: 200082329 - Employee Is Injured in Fall from Roof

Accident Summary Nr: 200082329 -- Report ID: 0112000 -- Event Date: 10/11/2005
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
308274521	10/12/2005	1751	238130	East Side Builders, Llc

Abstract: On October 11, 2005, Employee #1 was applying small piece of plywood sheeting to a window dormer roof. He was injured, when he slipped and fell approximately 20 ft to the ground. He was hospitalized for unspecified fractures.

Keywords: FRACTURE, ROOF, CARPENTER, LADDER, SLIP, FALL, FALL PROTECTION

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		$5,000,000 to $20,000,000	3	11

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	308274521			Hospitalized injury	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 20 feet Cause: Exterior carpentry Fatality Cause: Fall from roof

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