Accident Report Detail

Accident Summary Nr: 201173580 - Employee is injured in fall from scaffold

Accident Summary Nr: 201173580 -- Report ID: 0950621 -- Event Date: 06/09/2003
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
120349980	06/19/2003	1741	238140	John Jackson Masonry

Abstract: At about 8:53 a.m. on June 9, 2003, Employee #1, a mason with John Jackson Masonry, was on a metal scaffold erecting a concrete block wall at a water treatment plant addition in South Lake Tahoe, CA. When a platform plank (which was not long enough and not secured) became dislodged from its support bracket, he fell to the ground and sustained bruises.

Keywords: PLANKING, UNSECURED, PLANK, FALL, CONCRETE BLOCK, CONCRETE, CONTUSION, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Sewer/water treatment plant		New project or new addition		$1,000,000 to $5,000,000	2	19

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	120349980			Non Hospitalized injury	Bruise/Contus/Abras	Brickmasons and stonemasons	Distance of Fall: feet Worker Height Above Ground/Floor: 14 feet Cause: Exterior masonry Fatality Cause: Fall from/with scaffold

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