Accident Report Detail

Accident Summary Nr: 201486677 - Employee is injured in fall from scaffold

Accident Summary Nr: 201486677 -- Report ID: 0950622 -- Event Date: 06/05/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
125757070	06/25/2004	1521	236118	Sunrise Builders

Abstract: On June 5, 2004, Employee #1 was on a scaffold, without fall protection, color-coating stucco above a doorway of a home. He fell and was hospitalized for a fractured pelvis, dislocated elbow, and fractured foot. The scaffold was removed after incident and the height of the fall was not determined conclusively. The employer contends fall was 8 to 10 ft, but Employee #1 indicated it was 20 ft.

Keywords: FRACTURE, CONSTRUCTION, DISLOCATED, PELVIS, FALL, FALL PROTECTION, ELBOW, FOOT, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		Alteration or rehabilitation		Under $50,000	3

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	125757070			Hospitalized injury	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 20 feet Cause: Exterior masonry Fatality Cause: Fall from/with scaffold

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