Accident Report Detail

Accident Summary Nr: 201142478 - Employee injured in fall from roof

Accident Summary Nr: 201142478 -- Report ID: 0950631 -- Event Date: 03/13/2002
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
300854619	03/21/2002	5211	0	Pacific Supply Co

Abstract: At approximately 11:00 a.m. on March 13, 2002, Employee #1 was a part of a three-man team delivering roofing material. The team, including Employee #1, was driving a truck equipped with a material handling conveyor to the delivery site. A coworker, the truck driver, backed the truck into the driveway of the house and elevated the conveyor to rest its top end on the ridge of the roof. Before the conveyor was stable, Employee #1 started to walk up the belt of it to get to the roof. When Employee #1 neared the roof, the conveyor shifted and he fell 14 ft to he ground. Employee #1 suffered a back injury and was taken to UCI Medical Center for treatment, where he was hospitalized.

Keywords: DELIVERY WORK, ROOF, BACK, TRUCK, CONVEYOR, FALL

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	300854619			Hospitalized injury	Other	Laborers, except construction

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