Accident Report Detail

Accident Summary Nr: 200083400 - Employee Is Injured in Fall from Scaffold

Accident Summary Nr: 200083400 -- Report ID: 0112000 -- Event Date: 04/07/2008
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
311756647	04/29/2008	1761	238170	Professional Home Improvements

Abstract: On April 7, 2008, an employee was installing soffits while on a pump jack scaffold and fell approximately 13 feet to the ground. No endrails or midrails were in use. The employee was hospitalized and treated for concussion.

Keywords: HEAD, PUMP JACK SCAFFOLD, FALL, CONCUSSION, WORK SURFACE

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition		$250,000 to $500,000	2	30

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	311756647			Hospitalized injury	Concussion	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 13 feet Cause: Exterior cladding Fatality Cause: Fall from/with scaffold

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