Accident Report Detail
Accident Summary Nr: 201042165 - Employee is injured in fall from step ladder
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 308209972 | 10/08/2004 | 3999 | 339999 | Ultimate Staffing Services |
Abstract: On September 27, 2004, an employee was standing on top of a rolling step ladder. He was displaced and fell approximately 13 ft. He was hospitalized and treated for a concussion.
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation |
|---|---|---|---|---|---|---|
| 1 | 308209972 | Hospitalized injury | Concussion | Supervisors; handlers,equip-cleaners,laborers nec |
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