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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 201621737 - Two Employees Are Injured In Fall From Elevation

Accident: 201621737 -- Report ID: 1054116 -- Event Date: 09/14/2004
InspectionOpen DateSICEstablishment Name
30733099309/16/20044225Carl W Lebengood & Roland J Theiss
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 # Inspection Age Sex Degree Nature Occupation
1 307330993 Hospitalized injury Fracture Occupation not reported
2 307330993 Hospitalized injury Fracture Occupation not reported

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