Accident Report Detail

Accident Summary Nr: 201507373 - Employee Sustains Laceration and Fractures in Fall

Accident Summary Nr: 201507373 -- Report ID: 0950614 -- Event Date: 01/26/2007
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
310057575	02/08/2007	7363	561320	Labor Ready Southwest, Inc.

Abstract: On January 26, 2007, Employee #1 was an employee of a staffing agency. He had been dispatched to work for a secondary employer, where he was taping wet cement at joints on concrete bunkers. He fell from an elevated edge at a height of more than 10 feet above grade, sustaining a head laceration, a fracture of the fifth rib on his left side, and multiple fractures of the right leg. He was taken to Eden Medical Center in Castro Valley, CA, for medical treatment at 11:00 a.m. on January 26, 2007, and discharged at 12:00 p.m. on February 9, 2007.

Keywords: CONCRETE FORM WORK, FRACTURE, HEAD, CEMENTING, LACERATION, RIB, FALL, LEG

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	310057575			Hospitalized injury	Fracture	Occupation not reported

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