Accident Report Detail
Accident Summary Nr: 96302.015 - Employee is injured in fall from roof
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 1239342.015 | 03/31/2017 | 1761 | 238160 | 317716392 - Pacific West Roofing Llc |
Abstract: At approximately 4:00 p.m. on March 30, 2017, an employee was finishing up installing PVC membrane on a roof. The employee had his harness on; however, was not connected to the roof anchor. The employee slipped and fell approximately 16-18 feet to the ground. The employee suffered a shoulder injury, fractured vertebrae and a broken pelvis for which he was hospitalized.
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation | Construction |
|---|---|---|---|---|---|---|---|
| 1 | 1239342.015 | 39 | M | Hospitalized injury | Occupation not reported | Distance of Fall: 20 feet Worker Height Above Ground/Floor: 20 feet Cause: Roofing Fatality Cause: |
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