Accident Report Detail
Accident Summary Nr: 306022674 - Employee Is Injured in Fall from Roof
| Inspection Nr | Date Opened | SIC | NAICS | Establishment Name |
|---|---|---|---|---|
| 306022674 | 10/04/2004 | 1761 | 238160 | Ezequiel Martinez Roofing |
Abstract: On October 3, 2004, Employee #1 was performing roofing work on a convenience store approximately 10 ft above the ground. He had used a 15-ft metal extension ladder to access the roof. Employee #1 fell and sustained a fractured left elbow. He was hospitalized for treatment. Employee #1 was not protected from falling off of the roof by a guardrail system, safety net, or a personal fall protection system.
| End Use | Project Type | Project Cost | Stories | Non-building Height | Fatality | ||
|---|---|---|---|---|---|---|---|
| Commercial building | New project or new addition | $50,000 to $250,000 | 1 | 10 | |||
| Employee # | Inspection Nr | Age | Sex | Degree of Injury | Nature of Injury | Occupation | Construction |
|---|---|---|---|---|---|---|---|
| 1 | 306022674 | Hospitalized injury | Other | Occupation not reported | Distance of Fall: feet Worker Height Above Ground/Floor: 10 feet Cause: Roofing Fatality Cause: Fall from roof |
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