Accident Report Detail

Accident Summary Nr: 200542173 - Employee Falls from Scaffold, Later Dies from Head Trauma

Accident Summary Nr: 200542173 -- Report ID: 0317500 -- Event Date: 08/04/2011
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
315561134	08/04/2011	1751	238350	Jnj Holdings Llc

Abstract: On August 4, 2011, Employee #1 was working from a scaffold and at a height of 18 ft. The scaffold platform plank extended beyond the support. As he stepped onto the extended portion, the plank became unstable and cantilevered. He was ejected him from the scaffolding, falling and striking a concrete surface. Employee #1 was transported to a medical center, where he died eight days later due to head trauma sustained in the fall.

Keywords: HEAD, PLANK, FALL, SCAFFOLD, UNSTABLE POSITION

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		Alteration or rehabilitation		Under $50,000	3	25	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	315561134			Fatality	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 20 feet Cause: Roofing Fatality Cause: Fall from/with scaffold

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