Accident Report Detail

Accident Summary Nr: 201177854 - Employee Falls Off Scaffolding

Accident Summary Nr: 201177854 -- Report ID: 0950621 -- Event Date: 06/01/2005
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
300883774	06/08/2005	1742	238310	Central Valley Drywall, Inc

Abstract: On June 1, 2005, Employee #1 was unscrewing sheetrock while standing on a 4 ft high by 2 in. wide by 5ft long Terry Scaffold. Employee #1 stepped off the scaffolding and fell to the ground. Employee #1 broke his collarbone, separated his shoulder, and suffered head trauma. Employee #1 was hospitalized and treated for his injuries. Employee was seriously injured due to the forces generated from the fall.

Keywords: HEAD, SHOULDER, COLLARBONE, FALL, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition		$1,000,000 to $5,000,000	2	30

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	300883774			Hospitalized injury	Fracture	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: 4 feet Cause: Interior tile work (ceramic, vinyl, acoustic) Fatality Cause: Fall from/with scaffold

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