Accident Report Detail

Accident Summary Nr: 141812.015 - Employee is killed in fall from elevation

Accident Summary Nr: 141812.015 -- Report ID: 0215000 -- Event Date: 11/13/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1568016.015	12/13/2021		238350	Old Forge Supply Corporation

Abstract: At 8:30 a.m. on November 13, 2021, Employee #1 was working on disassembling a cabinet for remodeling of the wood shop. Employee #1 fell 8 feet from the cabinet. Employee suffered blunt trauma to his head and died.

Keywords: Blunt force trauma, Fall, Head, Remodel, Wood

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Commercial building		Alteration or rehabilitation				20	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Construction
1	1568016.015	45	M	Fatality		Distance of Fall: 8 feet Worker Height Above Ground/Floor: 8 feet Cause: Temporary work (buildings, facilities) Fatality Cause:

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