Accident Report Detail

Accident Summary Nr: 99734.015 - Employee falls 23 feet from roof, and later dies

Accident Summary Nr: 99734.015 -- Report ID: 0316400 -- Event Date: 09/28/2017
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1269529.015	10/10/2017		236115	Capstone Builders Llc

Abstract: At 11:30 a.m. on September 28, 2017, Employee #1 was applying synthetic paper to a roof in preparation of the installation of a metal roof. The roof measured approximately 23 feet eave to ground and there was no fall protection system in place. As Employee #1 walked backwards, unrolling the paper toward the edge of the roof, he stepped off the rake edge and fell to the ground below. The employee sustained multiple injuries, including a broken collar bone and pelvis, and had to have a chest tube inserted. Employee #1 was hospitalized, and died on October 9, 2017 due to the injuries sustained.

Keywords: Chest, Collarbone, Fall, Fall Protection, Fracture, Pelvis, Roof

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		Alteration or rehabilitation				23	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Construction
1	1269529.015	42	M	Fatality		Distance of Fall: 23 feet Worker Height Above Ground/Floor: 23 feet Cause: Roofing Fatality Cause:

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