Accident Report Detail

Accident Summary Nr: 201632593 - Employee Fall from Scaffolding

Accident Summary Nr: 201632593 -- Report ID: 1054111 -- Event Date: 10/27/2001
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
305177743	03/01/2002	1751	0	Kevin Jaquith

Abstract: At approximately 11:00 a.m. on or about October 27, 2001, Employee #1 was working from a ladder jack scaffold at approximately 14 ft above ground installing siding. Employee #1 leaned forward and fell from the scaffold onto the corner of a concrete stairway. Employee #1 fractured his head, back, pelvis and ribs. Employee was hospitalized.

Keywords: FRACTURE, HEAD, STAIR, BACK, LADDER JACK SCAFFOLD, PELVIS, RIB, FALL, CONCRETE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		Alteration or rehabilitation		$50,000 to $250,000	3	14

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	305177743			Hospitalized injury	Fracture	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: 14 feet Cause: Exterior carpentry Fatality Cause: Fall from/with scaffold

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