Accident Report Detail

Accident Summary Nr: 201614138 - Employee Is Injured in Fall from Balcony

Accident Summary Nr: 201614138 -- Report ID: 1054113 -- Event Date: 04/27/2009
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
312716632	04/30/2009	1521	236115	Vaclav Ruzicka
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
312716533	04/29/2009	5033	423330	Dallwig Brothers Building Supply Inc
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
312716657	04/30/2009	1742	238170	V A & Sons Construction Corporation
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
312716673	04/30/2009	1522	236116	I Cam Construction Inc

Abstract: At approximately 3:30 p.m. on April 27, 2009, Employee #1 was stapling a sheet of Tyvek onto the wall of a third floor deck balcony. After stapling the Tyvek, he stepped back, and leaned against a guardrail. The top guardrail, at a height of 42 inches, gave way, sending him to the ground, approximately 20 feet below. He sustained multiple, unspecified fractures and was not hospitalized for his injuries.

Keywords: DECKING, GUARDRAIL, FALL, FALL PROTECTION, UNSECURED, WORK PLATFORM, FRACTURE, CONSTRUCTION

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition		$250,000 to $500,000	3

Employee Details
Employee #	Inspection Nr	Degree of Injury	Nature of Injury	Occupation	Construction
1	312716632			Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Fatality Cause:
2	312716533			Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Fatality Cause:
3	312716657	Non Hospitalized injury	Fracture	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: 20 feet Cause: Exterior cladding Fatality Cause: Fall from/with structure (other than roof)
4	312716673			Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Fatality Cause:

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