Accident Report Detail

Accident Summary Nr: 202654075 - Employee Falls from Roof, Sustains Fractures

Accident Summary Nr: 202654075 -- Report ID: 0950612 -- Event Date: 12/18/2012
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
316805175	01/08/2013	1761	238160	Roof Serve

Abstract: On December 18, 2012, Employee #1, the sole owner of Roof Serve, was stepping off of an extension ladder onto a roof of a single family residence, when his tennis shoe slipped on the wet roof. This caused Employee #1 to fall 12 feet. Employee #1 was hospitalized with fractures.

Keywords: FRACTURE, EXTENSION LADDER, ROOF, SHEET METAL, FALL, SLIPPERY SURFACE, SAFETY SHOE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		Maintenance or repair		Under $50,000	1	12

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	316805175			Hospitalized injury	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 12 feet Cause: Roofing Fatality Cause: Fall from roof

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