Accident Report Detail

Accident Summary Nr: 200921492 - Employee falls from roof and dies

Accident Summary Nr: 200921492 -- Report ID: 0355117 -- Event Date: 05/06/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
307172916	05/06/2004	1761	238160	Liberty Home Improvements, L.L.C.

Abstract: On May 6, 2004, an employee was working on a 10-in-12-pitch roof when he slipped on sawdust. He fell a total of 25 ft onto a paved driveway and was killed.

Keywords: SAWDUST, ROOF, SLIP, FALL

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	25	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	307172916			Fatality	Other	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 25 feet Cause: Roofing Fatality Cause: Fall from roof

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