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Accident Summary Nr: 202614517 - Employee Suffers Electric Shock and Falls from Ladder

Accident Summary Nr: 202614517 -- Report ID: 1054112 -- Event Date: 08/13/2012
Inspection NrDate OpenedSICNAICSEstablishment Name
31642947108/15/20121751238350Jacks Overhead Door Inc

Abstract: On August 13, 2012, Employee #1, with Jacks Overhead Door Inc., was standing approximately 15 feet up on a fiberglass extension ladder attempting to service the control unit for an automatic overhead door. As he tried to adjust a positioning interlock switch inside of the control unit, Employee #1 sustained a serious electrical shock and fell from the ladder. He was taken to the hospital.

Keywords: EXTENSION LADDER, CARPENTER, INTERLOCK, ELECTRIC SHOCK, FALL, DOOR MACHINE, MACHINE--MISC
Accident Details
End Use Project Type Project Cost Stories Non-building Height Fatality
Commercial building Maintenance or repair Under $50,000 1

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation Construction
1 316429471 Hospitalized injury Electric Shock Occupation not reported Distance of Fall: feet
Worker Height Above Ground/Floor: feet
Cause: Interior plumbing, ducting, electrical work
Fatality Cause: Electrocution by touching exposed wire/source

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