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Accident Summary Nr: 201521283 - Two Employees receive Fractures in 16 ft Fall from Scaffold

Accident Summary Nr: 201521283 -- Report ID: 0111500 -- Event Date: 06/08/2001
Inspection NrDate OpenedSICNAICSEstablishment Name
12322879306/08/200115420Premier Building & Development Inc

Abstract: Employee #1 and Employee #2 were working on a residential construction project and fell 16 feet to the ground from a carpenter's bracket-type scaffold when it collapsed under their weight. Both employees received fractures; Employee #1 was hospitalized.

Keywords: FRACTURE, ROOF, LIFELINE, SCAFFOLD COLLAPSE, LADDER JACK SCAFFOLD, FALL, FALL PROTECTION, SCAFFOLD RIGGING, SCAFFOLD
Accident Details
End Use Project Type Project Cost Stories Non-building Height Fatality
Single family or duplex dwelling New project or new addition $50,000 to $250,000 2

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation Construction
1 123228793 Non Hospitalized injury Fracture Occupation not reported Distance of Fall: feet
Worker Height Above Ground/Floor: 16 feet
Cause: Roofing
Fatality Cause: Fall from/with scaffold
2 123228793 Hospitalized injury Fracture Occupation not reported Distance of Fall: feet
Worker Height Above Ground/Floor: 16 feet
Cause: Roofing
Fatality Cause: Fall from/with scaffold

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