Accident Report Detail

Accident Summary Nr: 200541860 - Employee Is Killed in Fall from Ladder Jack Scaffold

Accident Summary Nr: 200541860 -- Report ID: 0317500 -- Event Date: 08/14/2009
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
312634249	08/14/2009	1521	236118	John Molina Contracting

Abstract: At approximately 7:15 a.m. on August 14, 2009, Employee #1 was working from the top of a ladder jack scaffold. He fell approximately 18 ft to the ground and was killed.

Keywords: LADDER, CONSTRUCTION, ABRASION, FALL, CONTUSION, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		Alteration or rehabilitation		Under $50,000	2	18	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	312634249			Fatality	Bruise/Contus/Abras	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 18 feet Cause: Roofing Fatality Cause: Fall from/with scaffold

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