Accident Report Detail

Accident Summary Nr: 201485224 - Employee Falls from Scaffold

Accident Summary Nr: 201485224 -- Report ID: 0950622 -- Event Date: 12/19/2002
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
125817544	01/09/2003	1522	238910	Golden State Construction

Abstract: On December 19, 2002, Employee #1 was working on the second story of a home, on a scaffold. He fell 16 feet and broke his left pelvis, left forearm, and nose. He was hospitalized for four days.

Keywords: FRACTURE, FOREARM, NOSE, PELVIS, FALL, 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	2	16

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	125817544			Hospitalized injury	Fracture	Carpenters	Distance of Fall: feet Worker Height Above Ground/Floor: 16 feet Cause: Exterior carpentry Fatality Cause: Fall from/with platform catwalk (attached to struc

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