Accident Report Detail

Accident Summary Nr: 201261419 - Employee Falls from Platform

Accident Summary Nr: 201261419 -- Report ID: 0524200 -- Event Date: 01/21/2003
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
306231150	02/14/2003	1711	238220	American Vintage Home Inc.

Abstract: On January 21, 2003, Employee #1 was working on a platform supported by ceiling joists. He fell eight feet and fractured his pelvis. After 24 days of rehabilitation, he later died from a pulmonary embolism.

Keywords: PLATFORM, FRACTURE, PELVIS, FALL

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		Under $50,000	2		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	306231150			Fatality	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 8 feet Cause: Installing equipment (HVAC and other) Fatality Cause: Fall, other

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