Accident Report Detail

Accident Summary Nr: 201522018 - Employee is Killed in fall from scaffold

Accident Summary Nr: 201522018 -- Report ID: 0111500 -- Event Date: 07/09/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
307316513	07/09/2004	1751	238130	Zs Carpentry

Abstract: On July 09, 2004, Employee #1 was engaged in residential construction activities from an outrigger scaffold. He fell 21 feet 2 inches when one of the wood outriggers failed. Subsequently, Employee #1 sustained severe head injuries and died.

Keywords: OUTRIGGER, 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	21	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	307316513			Fatality	Concussion	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 21 feet Cause: Exterior carpentry Fatality Cause: Fall from/with scaffold

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