Accident Report Detail

Accident Summary Nr: 202076360 - Employee Killed in Fall from Scaffold

Accident Summary Nr: 202076360 -- Report ID: 0453730 -- Event Date: 12/28/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
308366707	12/28/2004	1761	238170	H & S Trimwork, Inc.

Abstract: On December 28, 2004, Employees #1 and a coworker were working from a pump jack scaffold installing 700-square-ft of siding on the back side (rear) exterior of a two-story single family home. The scaffolding had been erected on December 27, 2004, on the job site by the employees and consisted of Qual-craft pump jacks and steel triangular bracing at the top. The poles were constructed of 2-in. by 4-in. boards spliced together without mending plates added at the splice. The pole broke at the 14-ft level where two 2-in. by 4-in. boards were spliced together. The employees were working when one of the scaffold poles broke. Employee #1 and the coworker both fell 16 ft to the ground. Employee #1 received a fractured spine and pelvis and a broken wrist and was hospitalized. The coworker refused treatment and stated that he did not receive injury.

Keywords: FRACTURE, SPINE, CONSTRUCTION, PUMP JACK SCAFFOLD, EQUIPMENT FAILURE, PELVIS, FALL, SCAFFOLD, WRIST

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		Under $50,000	2	35

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	308366707			Hospitalized injury	Other	Construction trades, n.e.c.	Distance of Fall: feet Worker Height Above Ground/Floor: 16 feet Cause: Exterior cladding Fatality Cause: Fall from/with scaffold

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