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Accident Summary Nr: 200461978 - Employee Sustains Head Concussion and Is Killed in Fall

Accident Summary Nr: 200461978 -- Report ID: 0111400 -- Event Date: 12/19/2005
Inspection NrDate OpenedSICNAICSEstablishment Name
30956359112/19/20051521236118Sunrise Construction Incorporated

Abstract: On December 19, 2005, Employee #1 was working as a roofer. He was on a ladder jack scaffold at a height of 16 feet, 4 inches replacing trim board. He lost his balance and fell head first onto a concrete patio. He sustained a concussion to his head, and he was killed. He had not been provided fall protection.

Keywords: HEAD, PPE, LADDER, ROOFER, FALL, FALL PROTECTION, CONCUSSION, LOST BALANCE, SCAFFOLD
Accident Details
End Use Project Type Project Cost Stories Non-building Height Fatality
Single family or duplex dwelling Maintenance or repair Under $50,000 2 X

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation
1 309563591 Fatality Concussion Roofers

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