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Accident Summary Nr: 200355782 - Employee Sustains Injuries in Scaffold Collapse

Accident Summary Nr: 200355782 -- Report ID: 0453710 -- Event Date: 12/14/2006
Inspection NrDate OpenedSICNAICSEstablishment Name
31050254712/14/20061741238140Derek Lockrem Dba Masonry Specialties

Abstract: Employee #1 was disassembling a scaffold when it collapsed, causing him to fall approximately 27.5 ft to the ground. Employee #1 sustained bruises and abrasions and was hospitalized.

Keywords: SCAFFOLD COLLAPSE, ABRASION, FALL, CONTUSION, SCAFFOLD
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 1 30

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation Construction
1 310502547 Hospitalized injury Bruise/Contus/Abras Occupation not reported Distance of Fall: feet
Worker Height Above Ground/Floor: 27 feet
Cause: Exterior masonry
Fatality Cause: Fall from/with scaffold

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