Accident Report Detail

Accident Summary Nr: 200774255 - Employee Receives Injuries in Fall from Scaffold

Accident Summary Nr: 200774255 -- Report ID: 0134000 -- Event Date: 12/14/2005
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
309468486	12/14/2005	1521	236115	Covenant, Llc

Abstract: On December 14, 2005, Employee #1 was installing shingles on a roof from a carpenter bracket scaffold, when he lost his balance. He fell from the scaffold platform, striking a chain link fence adjacent to a garage. From the impact of the fall, he sustained contusions and abrasions upon his back. He was taken to a medical center. At the hospital, he received medical treatment for his injuries suffered in the fall and was hospitalized.

Keywords: INSTALLING, ROOF, BACK, ABRASION, FALL, FALL PROTECTION, CONCUSSION, LOST BALANCE, ROOF PANEL

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		$50,000 to $250,000	2	20

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	309468486			Hospitalized injury	Bruise/Contus/Abras	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 21 feet Cause: Roofing Fatality Cause: Fall from/with scaffold

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