Accident Report Detail

Accident Summary Nr: 202674388 - Small Business Owner Is Injured in Fall from Scaffold

Accident Summary Nr: 202674388 -- Report ID: 0352410 -- Event Date: 07/14/2012
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
316608488	07/14/2012	1751	238130	Jose M Amaya

Abstract: On July 14, 2012, the owner of a small construction company was installing a window at a residential building. He was working from a carpenter's bracket scaffold system. He fell 20 feet 7 inches to a wooden deck below. He sustained a concussion and broken teeth. He was not hospitalized.

Keywords: HEAD, INSTALLING, MOUTH, CONSTRUCTION, FALL, FALL PROTECTION, CONCUSSION, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		$250,000 to $500,000	2	21

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	316608488			Non Hospitalized injury	Concussion	Carpenters	Distance of Fall: feet Worker Height Above Ground/Floor: 21 feet Cause: Installing windows and doors, glazing Fatality Cause: Fall from/with ladder

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