Accident Report Detail

Accident Summary Nr: 201124401 - Employee is injured in fall from roof

Accident Summary Nr: 201124401 -- Report ID: 0950613 -- Event Date: 06/09/2003
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
300839602	06/12/2003	1761	238160	Cal-Pac Roofing

Abstract: On June 9, 2003, Employee #1 was on a roof carrying a sheet of plywood for a re-roofing job. After a sudden gust of wind blew the plywood away, he lost his balance, fell 10 ft to the ground, and suffered a head laceration.

Keywords: HEAD, HIGH WIND, ROOF, ROOF DECKING, LACERATION, FALL, LOST BALANCE

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

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300839602			Non Hospitalized injury	Cut/Laceration	Roofers

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