Accident Report Detail

Accident Summary Nr: 201691086 - Slip And Fall From Roof Injures Employee

Accident Summary Nr: 201691086 -- Report ID: 0950662 -- Event Date: 08/11/2003
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
301278081	08/14/2003	1761	238160	Pacific Coast Roofing And Construction

Abstract: At approximately 2:00 p.m. on August 11, 2003, Employee #1 was roofing a two-story home. Employee #1 stepped toward the edge of the roof to place a tile, slipped and lost his balance and slipped. Employee #1 fell 19 ft to the ground. Employee #1 sustained a broken left wrist, bruised ribs, and sprained left hip. Employee #1 was hospitalized.

Keywords: FRACTURE, ROOF, SLIP, RIB, ROOFER, FALL, SLIPPERY SURFACE, LOST BALANCE, CONTUSION, WRIST

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		$5,000,000 to $20,000,000	2	19

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	301278081			Hospitalized injury	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 19 feet Cause: Roofing Fatality Cause: Fall from roof

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