Accident Report Detail

Accident Summary Nr: 200690410 - Employee killed in fall from ladder jack scaffold

Accident Summary Nr: 200690410 -- Report ID: 0112600 -- Event Date: 03/28/2001
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
304040132	03/28/2001	1761	0	Gagne Roofing

Abstract: Employee #1 was working on a ladder jack scaffold, approximately 20 feet high, when one of the ladders slipped, knocking him off the scaffold to the ground. Employee #1 suffered fatal injuries in the fall.

Keywords: LADDER, SLIP, LADDER JACK SCAFFOLD, FALL, CONTUSION

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		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	304040132			Fatality	Bruise/Contus/Abras	Occupation not reported

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