Accident Report Detail

Accident Summary Nr: 82135.015 - Worker falls from scaffold and is killed

Accident Summary Nr: 82135.015 -- Report ID: 0134000 -- Event Date: 01/07/2016
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1116722.015	01/08/2016		423330	Paramount Development, Inc

Abstract: At 11:00 a.m. on January 7, 2016, a worker and a coworker were working from a pump-jack scaffold to install shingles at a residential site. After returning from a restroom break, the worker proceeded to install three additional rows of shingles. However, the worker suffered a seizure and fell from the scaffold to the ground. The worker suffered a head injury and other body trauma, which resulted in his death.

Keywords: Fall, Head, Roofer, Scaffold, Struck Against

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		$50,000 to $250,000	2	21	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Construction
1	1116722.015	52	M	Fatality		Distance of Fall: 17 feet Worker Height Above Ground/Floor: 17 feet Cause: Roofing Fatality Cause:

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