Accident Report Detail

Accident Summary Nr: 130459.015 - Employee falls from roof and fractures back and skull

Accident Summary Nr: 130459.015 -- Report ID: 0552651 -- Event Date: 10/06/2020
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1496396.015	10/12/2020		236220	Mam Contracting Incorporated

Abstract: At 9:00 a.m. on October 6, 2020, Employee #1 was working for a commercial general contractor. Employee #1 was placing plywood sheeting on a roof deck. Employee #1 slipped and fell 22 feet to the concrete floor. Employee #1 sustained fractures to the skull and back. Employee #1 was hospitalized.

Keywords: Back, Decking, Elevated, Elevated Work Plat, Elevated Work Platform, Fall, Fall From Elevation, Fracture, Lumbar Fracture, Lumbar Injury, Plywood, Roof, Skull

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		New project or new addition			2

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1496396.015	61	M	Hospitalized injury		Carpenters	Distance of Fall: 22 feet Worker Height Above Ground/Floor: 22 feet Cause: Installation Of Decking-Initial Laying Deck (Incl Fatality Cause:

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