Accident Report Detail

Accident Summary Nr: 99001.015 - Employee falls from scaffold and suffers concussion

Accident Summary Nr: 99001.015 -- Report ID: 0626700 -- Event Date: 08/19/2017
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1263806.015	08/24/2017		238130	Luis Carbajal

Abstract: At 2:00 p.m. on August 19, 2017, an employee was helping a crew install a ceiling joist for main living room area. The employee tried to jump away from the scaffold when the ceiling joist fell and the employee fell backward, falling off of the scaffold. The employee struck the back of his head on the concrete and was killed from a concussion.

Keywords: Concrete Slab, Concussion, Fall, Head, Scaffold, Scaffolding, 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		$500,000 to $1,000,000	0	18	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1263806.015	31	M	Fatality		Construction trades, n.e.c.	Distance of Fall: feet Worker Height Above Ground/Floor: feet Cause: Installing interior walls, ceilings, doors Fatality Cause:

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