Accident Report Detail

Accident Summary Nr: 146349.015 - Employee falls from scaffold and is killed

Accident Summary Nr: 146349.015 -- Report ID: 0214500 -- Event Date: 12/13/2021
Inspection Nr	Date Opened	SIC	NAICS	Establishment Name
1568911.015	12/13/2021		236115	Jd Phoenix Inc

Abstract: At 12:00 p.m. on December 13, 2021, an employee stood on an A-frame ladder at the top of a mobile scaffold to paint ceiling beams. At some point, the employee fell approximately ten feet and was killed by brain damage from head trauma.

Keywords: Beam, Blunt force trauma, Brain, Ceiling, Fall, Fall From Elevation, Head, Ladder, Mobile Scaffold, Painter

Accident Details
End Use		Project Type		Project Cost	Stories	Non-building Height	Fatality
Single family or duplex dwelling		New project or new addition				10	X

Employee Details
Employee #	Inspection Nr	Age	Sex	Degree of Injury	Nature of Injury	Occupation	Construction
1	1568911.015	63	M	Fatality		Painters, construction and maintenance	Distance of Fall: 10 feet Worker Height Above Ground/Floor: 10 feet Cause: Interior painting and decorating Fatality Cause:

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