Accident Report Detail

Accident Summary Nr: 200830818 - Employee falls from scaffold and dies

Accident Summary Nr: 200830818 -- Report ID: 0215600 -- Event Date: 04/24/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
303536742	04/30/2004	1741	238140	Jerrick Contracting Co., Inc.

Abstract: On April 24, 2004, an employee was performing brick pointing, while on a tubular welded frame scaffold 15 ft above ground. He fell and died on April 30, 2004.

Keywords: FALL, CONCUSSION, TUBULAR SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		Maintenance or repair		Under $50,000	2		X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	303536742			Fatality	Concussion	Occupation not reported	Distance of Fall: feet Worker Height Above Ground/Floor: 15 feet Cause: Waterproofing Fatality Cause: Fall from/with scaffold

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