Accident Report Detail

Accident Summary Nr: 201636610 - Employee Fractures Back in Fall from Roof

Accident Summary Nr: 201636610 -- Report ID: 1054112 -- Event Date: 04/05/2007
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
310687512	04/12/2007	1521	236118	John Forsgren

Abstract: On April 5, 2007, Employee #1, a roofer, was preparing the surface for a new roof. He was working 14 feet up from the eave of a 4/12 pitched roof, when he fell. He fractured his back and was hospitalized for his injuries.

Keywords: FRACTURE, ROOF, CONSTRUCTION, BACK, ROOFER, FALL, FALL PROTECTION, WORK SURFACE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		Alteration or rehabilitation		Under $50,000	1

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	310687512			Hospitalized injury	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 14 feet Cause: Roofing Fatality Cause: Fall from roof

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