Accident Report Detail

Accident Summary Nr: 54730.015 - Employee Falls From Scaffold And Is Killed

Accident Summary Nr: 54730.015 -- Report ID: 0112600 -- Event Date: 11/14/2013
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
948751.015	11/14/2013		238160	Fairview Contractors, Inc.

Abstract: At approximately 10:30 a.m. on November 14, 2013, Employee #1 was transitioning from a scaffold to a roof. He was working without any fall protection. As he moved from the scaffolding, he lost his balance and fell approximately 17 ft, striking a concrete surface with this head. Employee #1 suffered traumatic head injuries and was killed.

Keywords: Fall, Scaffold

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		Alteration or rehabilitation		$250,000 to $500,000	2	20	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	948751.015	51	M	Fatality		Roofers	Distance of Fall: 17 feet Worker Height Above Ground/Floor: 20 feet Cause: Roofing Fatality Cause:

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