Accident Report Detail

Accident Summary Nr: 68210.015 - Employee falls to ground inside basket cage and is killed.

Accident Summary Nr: 68210.015 -- Report ID: 0627700 -- Event Date: 09/19/2014
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
996445.015	09/19/2014		236115	Champion Homes Inc. Llc

Abstract: At approximately 1:45 p.m. on September 19, 2014, an employee was riding all terrain forklift to rooftop with materials to install all weather tiles for flooring on rooftop patio. The forklift tipped over and the employee fell to the ground inside the basket cage used to lift both materials and personnel with tools and equipment. The employee received lacerated arm puncture from fall and was killed.

Keywords: Fall, Personnel Cage, Platform, Powered Industrial Vehicle, Roll-Over, Roof, Struck By, Suspended Load

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		Other			2	30	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Occupation	Construction
1	996445.015	45	M	Non Hospitalized injury	Managers, properties and real estate	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Temporary work (buildings, facilities) Fatality Cause:
2	996445.015	56	M	Fatality	Construction trades, n.e.c.	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Temporary work (buildings, facilities) Fatality Cause:
3	996445.015	54	M	Fatality	Construction trades, n.e.c.	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Temporary work (buildings, facilities) Fatality Cause:
4	996445.015	21	M	Hospitalized injury		Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Temporary work (buildings, facilities) Fatality Cause:

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