Accident Report Detail

Accident Summary Nr: 200083129 - Employee injured in fall while dismantling scaffold

Accident Summary Nr: 200083129 -- Report ID: 0112000 -- Event Date: 08/31/2007
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
310186705	08/31/2007	1522	236118	Paul Ciccone Dba Pc Properties

Abstract: On August 31, 2007, Employee #1 was dismantling a pump jack scaffold when he fell approximately 25 ft to the ground. He sustained injuries that required hospitalization.

Keywords: DISMANTLING, WORK RULES, CONSTRUCTION, PUMP JACK SCAFFOLD, FALL, FALL PROTECTION, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		Maintenance or repair		Under $50,000	2	35

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	310186705			Hospitalized injury	Fracture	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 25 feet Cause: Roofing Fatality Cause: Fall from/with scaffold

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