Accident Report Detail

Accident Summary Nr: 200231439 - Employee sustains head fracture in floor opening fall

Accident Summary Nr: 200231439 -- Report ID: 1032500 -- Event Date: 11/19/2003
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
306435793	11/20/2003	1542	236220	Jacobsen Construction Company, Inc.

Abstract: On November 19, 2003, Employee #1, a construction laborer with Jacobsen Construction Company, Inc., Rexburg , ID, was removing blanketing that covered a previously identified floor opening, when he fell through a second floor opening over 15 ft to concrete, sustaining a head fracture.

Keywords: FRACTURE, HEAD, INSTALLING, POURING, CONSTRUCTION, FALL, FLOOR OPENING, TIE-OFF

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition		$1,000,000 to $5,000,000	2

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	306435793			Hospitalized injury	Fracture	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: 15 feet Cause: Pouring or installing floor decks Fatality Cause: Fall through opening (other than roof)

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