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Accident: 200083129 - Employee Injured In Fall While Dismantling Scaffold

Accident: 200083129 -- Report ID: 0112000 -- Event Date: 08/31/2007
InspectionOpen DateSICEstablishment Name
31018670508/31/20071522Paul Ciccone Dba Pc Properties
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
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Multi-family dwelling Maintenance or repair Under $50,000 2 35
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 310186705 Hospitalized injury Fracture Occupation not reported FallDist:
FallHt:25
Cause: Roofing
FatCause: Fall from/with scaffold

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