Accident Report Detail

Accident Summary Nr: 201488970 - Employee Is Injured in Fall from Scaffold

Accident Summary Nr: 201488970 -- Report ID: 0950622 -- Event Date: 08/29/2006
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
125759928	09/22/2006	1751	238130	Kbi Norcal Dba Selectbuild

Abstract: On August 29, 2006, Employee #1 was working on a partially dismantled bracket scaffold. He was injured when he fell 20 ft. He was hospitalized for unspecified back injuries.

Keywords: FRACTURE, DISMANTLING, BACK, FALL, FALL PROTECTION, SCAFFOLD

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

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	125759928			Hospitalized injury	Fracture	Carpenters	Distance of Fall: feet Worker Height Above Ground/Floor: 20 feet Cause: Exterior carpentry Fatality Cause: Fall from roof

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