Accident Report Detail

Accident Summary Nr: 201487113 - Employee Is Injured in Fall from Roof

Accident Summary Nr: 201487113 -- Report ID: 0950622 -- Event Date: 11/18/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
125758086	12/02/2004	1761	238160	Petersen-Dean Roofing Systems, Inc.

Abstract: On November 18, 2004, an employee was working on a first floor shed roof of a new residential home under construction after having just returned to the roof after taking a break. While donning his tool belt, the employee lost his balance and fell 13 ft to the ground, sustaining a T-12 fracture in his back. No surgery was performed during his 4 days in the hospital.

Keywords: FRACTURE, ROOF, SPINE, BACK, ROOFER, FALL, LOST BALANCE, WORK SURFACE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		$5,000,000 to $20,000,000	2

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	125758086			Hospitalized injury	Fracture	Roofers	Distance of Fall: feet Worker Height Above Ground/Floor: 13 feet Cause: Roofing Fatality Cause: Fall from roof

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