Accident Report Detail

Accident Summary Nr: 201106937 - Employee Dies after Shoulder Surgery

Accident Summary Nr: 201106937 -- Report ID: 0950624 -- Event Date: 05/06/2005
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
300820578	11/23/2005	1711	238220	Cal Air Inc

Abstract: On May 6, 2005, Employee #1 filed a workman's compensation claim for an injury three months after the job ended. The claims carrier accepted the claim, and he had shoulder surgery for the claimed injury. Employee #1 went home after surgery, but was found dead two days later. The autopsy report stated that it was a non-work related death complicated by other factors.

Keywords: SHOULDER, CONSTRUCTION, CARDIAC ARREST

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition		$5,000,000 to $20,000,000	1		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	300820578			Fatality	Other	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Temporary work (buildings, facilities) Fatality Cause: Other

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