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Accident Summary Nr: 201067170 - Employee Falls From Scaffolding

Accident Summary Nr: 201067170 -- Report ID: 0950632 -- Event Date: 05/12/2003
Inspection NrDate OpenedSICNAICSEstablishment Name
30079429405/16/20031623237110Denboer 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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