Accident Report Detail

Accident Summary Nr: 69747.015 - Employee falls from scaffold and is killed

Accident Summary Nr: 69747.015 -- Report ID: 0524200 -- Event Date: 12/30/2014
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1015985.015	12/31/2014		238140	Caliseum Ii Inc.

Abstract: At approximately 2:00 p.m. on December 30, 2014, Employee #1 was working alone laying bricks from a tubular welded frame scaffold. He fell from the scaffold, approximately 27 feet, and died.

Keywords: Fall, Masonry Wall, Scaffold

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition			3	30	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1015985.015	43	M	Fatality		Construction trades, n.e.c.	Distance of Fall: 27 feet Worker Height Above Ground/Floor: 27 feet Cause: Exterior masonry Fatality Cause:

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