Accident Report Detail

Accident Summary Nr: 201166295 - Employee Is Injured in Fall from Elevation

Accident Summary Nr: 201166295 -- Report ID: 0950641 -- Event Date: 07/07/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
126196278	10/01/2004	1521	236115	Carlson Construction

Abstract: At approximately 3:00 p.m. on July 7, 2004, Employee #1 was working on the second level of a rolling scaffold, elevated approximately 11 ft from the ground. Employee #1 was assisting three coworkers lift, and bolt into place, a wooden structural beam. A manually-operated winch lift manufactured by Genie, was used to elevate the beam. The wire rope on the lift failed, causing the beam to fall to the ground. Employee #1 lost his balance and fell approximately 11 ft to the ground. Employee #1 suffered a fractured skull and jaw and was hospitalized for seven days

Keywords: BEAM, FRACTURE, MOBILE SCAFFOLD, WIRE ROPE, EQUIPMENT FAILURE, SKULL, MANUAL MAT HANDLING, FALL, FACE, LOST BALANCE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition		$250,000 to $500,000	2	34

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	126196278			Hospitalized injury	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 11 feet Cause: Installing interior walls, ceilings, doors Fatality Cause: Fall from/with scaffold

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