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Accident Report Detail

Accident Summary Nr: 201480670 - EMPLOYEE INJURED IN FALL FROM SCAFFOLD

Accident Summary Nr: 201480670 -- Report ID: 0950622 -- Event Date: 08/06/1997
Inspection NrDate OpenedSICNAICSEstablishment Name
11976548501/22/199817420Alza Corporation Aka Johnson & Johnson Services, I

Abstract: At approximately 10:00 a.m. on August 6, 1997, Employee #1 was working at a single dwelling development site. Employee #1 was on a scaffold, stapling lathe on the two-story house. Employee #1 felt the scaffold give way just before he fell approximately 11 ft to the ground. Employee #1 fell between the inside of the scaffold and the wall of the house, landing inside a wet concrete pad that had been poured. Apparently the concrete crew had modified a scaffold leg to set the forms and did not replace the leg or leg-bolt in the proper position. Employee #1 was hospitalized with multiple fractures of his vertebrae.

Keywords: CONCRETE FORM WORK, FRACTURE, CONSTRUCTION, SCAFFOLD COLLAPSE, FALL, VERTEBRA, CONCRETE, SCAFFOLD
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

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation Construction
1 119765485 Hospitalized injury Fracture Drywall installers Distance of Fall: feet
Worker Height Above Ground/Floor: 8 feet
Cause: Temporary work (buildings, facilities)
Fatality Cause: Fall from/with scaffold

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