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Occupational Safety and Health Administration OSHA

Accident Report Detail

Accident: 202014288 - Employee Is Killed In Fall From Pump Jack Scaffold

Accident: 202014288 -- Report ID: 0216000 -- Event Date: 02/09/2006
InspectionOpen DateSICEstablishment Name
30959162602/13/20061761New Blue Shield Construction, Inc
On February 9, 2006, Employee #1 was killed in fall from a 20-ft high pump jack scaffold. He did not use a fall protection.
Keywords: head, construction, pump jack scaffold, fall protection
End Use Proj Type Proj Cost Stories NonBldgHt Fatality
Multi-family dwelling New project or new addition $500,000 to $1,000,000 2 20 X
Employee # Inspection Age Sex Degree Nature Occupation Construction
1 309591626 Fatality Other Occupation not reported FallDist:
Cause: Roofing
FatCause: Fall from/with scaffold

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