Accident Report Detail

Accident Summary Nr: 200410983 - Employee Falls from Scaffold and Is Killed

Accident Summary Nr: 200410983 -- Report ID: 0317300 -- Event Date: 01/21/2005
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
305947806	01/25/2005	1761	238170	Carlos Velasquez

Abstract: Employee #1 was installing siding from a pump-jack scaffold. Employee #1 fell through the space (14 in.) between the scaffold plank and the house, falling 25 ft to ground level. Employee #1 was killed.

Keywords: FRACTURE, HEAD, INSTALLING, CONSTRUCTION, PUMP JACK SCAFFOLD, FALL, METAL SIDING, WORK SURFACE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		$250,000 to $500,000	2	27	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	305947806			Fatality	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 25 feet Cause: Installing metal siding Fatality Cause: Fall from/with scaffold

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