Accident Report Detail

Accident Summary Nr: 201062692 - Employee falls from scaffolding

Accident Summary Nr: 201062692 -- Report ID: 0950632 -- Event Date: 08/06/1999
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
120277512	09/16/1999	1742	0	Sam Coutts Plastering Inc

Abstract: At approximately 9:15 a.m. on August 6, 1999, Employee #1, a plasterer, was spraying cement on a stucco job standing on scaffolding. He was using a cement pumper with a 1.5-in. hose routed over the top railing on the third tier of the scaffolding. The hose caught against the frame and the top rail. He lifted and jerked the hose which disconnected the latch on the top rail of the scaffold from the frame. He fell 20 ft with the hose striking the top rail of the second tier with his head and landed on the asphalt on his left hip and shoulder. He sustained a concussion, dislocated left shoulder and hip and long term memory loss. He was hospitalized.

Keywords: HEAD, SHOULDER, STRUCK AGAINST, FALL, CONCUSSION, HIP, SCAFFOLD, SCAFFOLDING

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

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	120277512			Hospitalized injury	Concussion	Plasterers	Distance of Fall: feet Worker Height Above Ground/Floor: 20 feet Cause: Plastering Fatality Cause: Fall from/with scaffold

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