Accident Report Detail

Accident Summary Nr: 200773810 - Employee injured in Fall From Roof

Accident Summary Nr: 200773810 -- Report ID: 0134000 -- Event Date: 10/29/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
308254697	10/29/2004	1761	238160	Gouveia Construction

Abstract: On October 29, 2004, Employee #1 was installing shingles near the ridge of a home when he stepped on a shingle, the shingle tore away, and he fell down the roof and off of the eave to the ground. He sustained injuries and was hospitalized. No fall protection was being utilized.

Keywords: INSTALLING, ROOF, WORK RULES, CONSTRUCTION, FALL, FALL PROTECTION

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		Alteration or rehabilitation		$50,000 to $250,000	2	14

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	308254697			Hospitalized injury	Other	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 14 feet Cause: Roofing Fatality Cause: Fall from roof

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