Accident Report Detail

Accident Summary Nr: 200451466 - Employee killed in fall when mobile scaffold tips sideways

Accident Summary Nr: 200451466 -- Report ID: 0418600 -- Event Date: 09/12/2003
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
306905720	09/12/2003	1542	236220	Pemberton Inc.

Abstract: On September 12, 2003, Employee #1, of Pemberton, Inc., was on a mobile scaffold when it tipped sideways. He fell approximately 25 ft to the ground and was killed.

Keywords: MOBILE SCAFFOLD, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION, OVERTURN, SCAFFOLD, UNSTABLE POSITION

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Other building		New project or new addition		$1,000,000 to $5,000,000	2	25	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	306905720			Fatality	Concussion	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 25 feet Cause: Interior carpentry Fatality Cause: Fall from/with scaffold

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