Accident Report Detail

Accident Summary Nr: 200772739 - Three Employees Injured When Ladder Jack System Collapsed

Accident Summary Nr: 200772739 -- Report ID: 0134000 -- Event Date: 02/13/2003
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
306094566	02/13/2003	1761	238160	Pettis Construction

Abstract: Three employees were performing roofing-related activities 20 ft above grade. Two employees were working from a ladder jack system that collapsed due to a ladder base kicking out after being hit by roof debris. As the scaffold collapsed one employee working below the scaffold working level was struck by the falling scaffold components and fell 10 ft to the ground. None of the three employees were using fall protection. One employee was hospitalized for a fracture and the two others were treated for bruises, contusions and abrasions but were not hospitalized. The original narrative did not specify which employee was hospitalized.

Keywords: FRACTURE, COLLAPSE, LADDER JACK SCAFFOLD, ABRASION, FALL PROTECTION, STRUCK BY, FALLING OBJECT, UNGUARDED, 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	2	20

Employee Details
Employee #	Inspection Nr	Degree of Injury	Nature of Injury	Occupation	Construction
1	306094566	Non Hospitalized injury	Bruise/Contus/Abras	Roofers	Distance of Fall: feet Worker Height Above Ground/Floor: 20 feet Cause: Roofing Fatality Cause: Fall from/with scaffold
2	306094566	Hospitalized injury	Fracture	Roofers	Distance of Fall: feet Worker Height Above Ground/Floor: 10 feet Cause: Roofing Fatality Cause: Fall from roof
3	306094566	Non Hospitalized injury	Bruise/Contus/Abras	Roofers	Distance of Fall: feet Worker Height Above Ground/Floor: 20 feet Cause: Roofing Fatality Cause: Fall from/with scaffold

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