Accident Report Detail

Accident Summary Nr: 201067170 - Employee Falls From Scaffolding

Accident Summary Nr: 201067170 -- Report ID: 0950632 -- Event Date: 05/12/2003
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
300794294	05/16/2003	1623	237110	Denboer Engineering

Abstract: At approximately 4:00 p.m. on May 12, 2003, Employee #1 was injured when he fell from scaffolding at a jobsite. The structure is a large rectangular concrete vault, 23.5 high. On the day of the accident, Employee #1 was dismantling scaffolding on the northwest corner of the structure, when fell off the scaffolding, approximately 20 ft. Employee #1 may have hit some lower planking while falling. Employee #1 was hospitalized and treated for injuries to his head and collarbone.

Keywords: HEAD, COLLARBONE, CONSTRUCTION, PLANK, FALL, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Sewer/water treatment plant		New project or new addition		$500,000 to $1,000,000	1	23

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	300794294			Hospitalized injury	Concussion	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: 20 feet Cause: Interior masonry Fatality Cause: Fall from/with scaffold

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