Accident Report Detail

Accident Summary Nr: 201116803 - Employee is killed when crushed under mobile home

Accident Summary Nr: 201116803 -- Report ID: 0950643 -- Event Date: 03/08/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
126064658	03/08/2004	5271	453930	Kay Homes

Abstract: On March 8, 2004, Employees #1 and #2 were working underneath a mobile home preparing it for transport. The home fell off a 20-ton jack and jack stands/piers, landing on both employees, and killing Employee #1. Employee #2 was hospitalized at Henry Mayo Hospital for bruises and contusions. The investigation was unable to establish an employer-employee relationship between the mobile home dealer and the two employees.

Keywords: MOBILE HOME, CRUSHED, ABRASION, STRUCK BY, JACK, CONTUSION

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		Other		Under $50,000	1		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	126064658			Fatality	Asphyxia	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Temporary work (buildings, facilities) Fatality Cause: Collapse of structure
2	126064658			Hospitalized injury	Bruise/Contus/Abras	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Temporary work (buildings, facilities) Fatality Cause: Collapse of structure

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