Accident Report Detail

Accident Summary Nr: 200462422 - Employee Falls from Scaffold, Later Dies

Accident Summary Nr: 200462422 -- Report ID: 0111400 -- Event Date: 09/30/2009
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
313795072	09/30/2009	1542	236220	Beta Works, Llc

Abstract: On September 30, 2009, a foreman was working from a pump jack scaffold, when he fell 19 feet, 6 inches to the asphalt pavement. Employee #1 sustained severe head injuries and died from those injuries seven days later (October 7, 2009). The scaffold was missing the mid rails and an end rail, and no other form of fall protection was utilized.

Keywords: HEAD, GUARDRAIL, CONSTRUCTION, PUMP JACK SCAFFOLD, FALL, FALL PROTECTION, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		Alteration or rehabilitation		$50,000 to $250,000	3	20	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	313795072			Fatality	Concussion	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 20 feet Cause: Exterior carpentry Fatality Cause: Fall from/with scaffold

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