Accident Report Detail

Accident Summary Nr: 201521796 - Employee injured in fall from roof

Accident Summary Nr: 201521796 -- Report ID: 0111500 -- Event Date: 08/14/2003
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
123153074	08/19/2003	1761	238160	Landmark Exteriors, Inc.

Abstract: On August 14, 2003, Employee #1 carried a roll of roofing material onto a residential roof. As he lifted the roll, it hit the eave of a dormer. He lost his balance, struck a ladder jack scaffold, then a lower roof level, and then fell to the ground (a total fall of about 20 ft). Employee #1 was hospitalized for a fractured right shoulder and pelvis.

Keywords: FRACTURE, ROOF, SHOULDER, STRUCK AGAINST, PELVIS, FALL, LOST BALANCE, SLOPE, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		Maintenance or repair		Under $50,000	2

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	123153074			Hospitalized injury	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 21 feet Cause: Roofing Fatality Cause: Fall from roof

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