Accident Report Detail

Accident Summary Nr: 201621737 - Two Employees Are Injured in Fall From Elevation

Accident Summary Nr: 201621737 -- Report ID: 1054116 -- Event Date: 09/14/2004
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
307330993	09/16/2004	4225	531130	Carl W Lebengood & Roland J Theiss

Abstract: Employees #1 and #2 were installing siding to the exterior of a building. They were using two tubular welded scaffolds with an extension ladder on top of each scaffold. They were at the top of the ladders at a height of approximately 18 feet when one of the scaffolds tipped over. Both employees fell from their ladders, landing on the ground. Employees #1 and #2 sustained multiple fractures and were hospitalized.

Keywords: FRACTURE, EXTENSION LADDER, INSTALLING, BUILDING, FALL, TUBULAR SCAFFOLD

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation
1	307330993			Hospitalized injury	Fracture	Occupation not reported
2	307330993			Hospitalized injury	Fracture	Occupation not reported

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