Accident Report Detail

Accident Summary Nr: 202075859 - Employee killed after falling from ladder jack scaffold

Accident Summary Nr: 202075859 -- Report ID: 0453730 -- Event Date: 03/23/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
307844951	07/07/2004	1761	238170	Dennis Hart Dba Dennis R. Hart Construction

Abstract: On Friday, March 19, 2004, an employee fell approximately 11 feet from the platform on a ladder jack scaffold. He died on March 23, 2004, from his injuries.

Keywords: LADDER JACK SCAFFOLD, FALL, WORK PLATFORM

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition		$50,000 to $250,000	2	11	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	307844951			Fatality	Other	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 11 feet Cause: Exterior carpentry Fatality Cause: Fall from/with scaffold

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