Accident Report Detail

Accident Summary Nr: 200773182 - Employee Injured After Fall From Scaffold

Accident Summary Nr: 200773182 -- Report ID: 0134000 -- Event Date: 04/29/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
306100983	04/29/2004	1761	238160	Girard Construction

Abstract: On April 29, 2004, an employee doing maintenance and repairs on a roofing project fell eight feet from a ladder jack scaffold. One of the ladders slid sideways causing the scaffold to collapse. The employee suffered multiple sprains.

Keywords: repair, roof, collapse, unsecured, ladder, fall, jack, sprain, 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	3	8

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree	Nature of Injury	Occupation	Construction
1	306100983			Non Hospitalized injury	Strain/Sprain	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 8 feet Cause: Roofing Fatality Cause: Fall from/with scaffold

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DEPARTMENT OF LABOR

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