Accident Report Detail

Accident Summary Nr: 201058872 - Employee Falls from Second Story and Later Dies

Accident Summary Nr: 201058872 -- Report ID: 0950642 -- Event Date: 07/19/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
307162081	08/02/2004	1742	238310	Ultimate Construction

Abstract: At approximately 11:00 a.m. on July 19, 2004, Employee #1 was assigned to work with a carpenter to frame an exterior wall on the east side of the building. At the time of the accident, Employee #1 was passing a 2-in. by 4-in. boards to the carpenter working outside of the second unit from the south wall on the east side of the building. Suddenly, it appears that Employee #1 may have had a dizzy spell and leaned against a figure-four scaffold. Unable to support the weight of the employee, the scaffold gave way, and Employee #1 fell approximately 20 ft to the concrete floor. Employee #1 was hospitalized and died at 8:04 a.m. on July 31, 2004 of his injuries.

Keywords: FRACTURE, HEAD, EQUIPMENT FAILURE, DIZZINESS, FALL, CONCRETE, SCAFFOLD

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Multi-family dwelling		New project or new addition		$500,000 to $1,000,000	3	20	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	307162081			Fatality	Fracture	Construction laborers	Distance of Fall: feet Worker Height Above Ground/Floor: 20 feet Cause: Exterior carpentry Fatality Cause: Fall from/with platform catwalk (attached to struc

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