Accident Report Detail

Accident Summary Nr: 201155686 - Employee injured from fall off of roof

Accident Summary Nr: 201155686 -- Report ID: 0950633 -- Event Date: 11/15/2001
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
125969816	01/09/2002	1761	0	Jerry'S Roofing, Inc.

Abstract: At approximately 3:45 p.m. on November 15, 2001, Employee #1 was installing plywood upon the roof of a building when he lost his balance and fell. He fell approximately 17.8 ft, hitting the edge of an empty pool and descending another 10 ft into the pool. The force of his impact upon ground caused multiple injuries. These injuries included head trauma and a dislocated elbow. He was transported to a medical center and was hospitalized for six days.

Keywords: INSTALLING, ROOF, WOOD PANEL, DISLOCATED, FALL, FALL PROTECTION, ELBOW, 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	2	17

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	125969816			Hospitalized injury	Other	Roofers	Distance of Fall: feet Worker Height Above Ground/Floor: 18 feet Cause: Roofing Fatality Cause: Fall from roof

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