Accident Report Detail

Accident Summary Nr: 201311099 - Fall From Scaffold Kills Employee

Accident Summary Nr: 201311099 -- Report ID: 0213400 -- Event Date: 10/01/2003
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
306737057	10/03/2003	1521	236118	Mauricio Somarribas

Abstract: At approximately 5:09 p.m. on October 1, 2003, Employee #1 was installing vinyl siding from a makeshift scaffold fashioned from scrap lumber. Employee #1 fell approximately 10 ft 6 in. from a 2-in.by 6-in. plank that was straddled across an outside porch. Employee #1 was transported to the hospital where he succumbed to his injuries and was listed as brain dead on October 2, 2003. Employee #1 was placed on life support and readied for organ donation.

Keywords: UNSTABLE SURFACE, FALL, FALL PROTECTION, EQUIPMENT APPROVAL, UNGUARDED, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		Maintenance or repair		Under $50,000	1	10	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	306737057			Fatality	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 11 feet Cause: Exterior carpentry Fatality Cause: Fall from/with scaffold

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