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Accident Report Detail
Accident Summary Nr: 202615092 - Employee Is Struck by Wood, Falls Off Ladder and Is Injured
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 317074201 | 09/12/2013 | 1542 | 236220 | Pavilion Properties Llc |
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
| 317074219 | 09/12/2013 | 1521 | 236118 | Fred Feodor Kasachev |
Abstract: On August 30, 2013, Employee #1 was working from a 16 ft extension ladder. As he worked, a large piece of lumber struck him and knocked him off the ladder. He fell onto a concrete surface, sustaining unspecified injuries. Employee #1 was transported to a medical center, where he received treatment and was then hospitalized.
Keywords:
EXTENSION LADDER, LADDER, FALL, STRUCK BY, FALLING OBJECT
| End Use | Project Type | Project Cost | Stories | Non-building Height | Fatality | ||
|---|---|---|---|---|---|---|---|
| Other building | New project or new addition | $1,000,000 to $5,000,000 | 12 | ||||
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation | Construction |
|---|---|---|---|---|---|---|---|
| 1 | 317074201 | Occupation not reported | Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Fatality Cause: |
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| 2 | 317074219 | Hospitalized injury | Fracture | Construction laborers | Distance of Fall: feet Worker Height Above Ground/Floor: 12 feet Cause: Plastering Fatality Cause: Fall from/with ladder |