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Accident Report Detail

Accident Summary Nr: 93136.015 - Employee falls from scaffold with multiple injuries and late

Accident Summary Nr: 93136.015 -- Report ID: 0524200 -- Event Date: 02/12/2017
Inspection NrDate OpenedSICNAICSEstablishment Name
1210520.01502/14/2017238320Rogelio Gomez Dba Rogelio Gomez

Abstract: At 6:45 p.m. on February 12, 2017, an employee, a 38 year old, male painter, was painting the ceiling of an existing commercial building, and then fell 11.5 foot high mobile frame scaffold to the ground. As a result, the employee sustained multiple injuries and then died, on February 13, 2017.

Keywords: Building, Ceiling, Fall, Fall Protection, Guard, Guardrail, Lost Balance, Mobile Scaffold, Paint, Scaffold
Accident Details
End Use Project Type Project Cost Stories Non-building Height Fatality
Commercial building Alteration or rehabilitation Under $50,000 1 20 X

Employee Details
Employee # Inspection Nr Age Sex Degree of Injury Nature of Injury Occupation Construction
1 1210520.015 38 M Fatality Painters, construction and maintenance Distance of Fall: 12 feet
Worker Height Above Ground/Floor: 12 feet
Cause: Interior painting and decorating
Fatality Cause:

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