OSHA Accident Investigation · Summary #14453625
UNSECURED,SLIP,ROOF PANEL,ROOF,FALL
Event description
FELL 29 FEET TO CONCRETE SURFACE
Investigation abstract
ON THE MORNING OF OCTOBER 31, 1985, EMPLOYEE #1 AND THREE OTHER EMPLOYEES WERE L OYEES CROSSED OVER THE ROOF PEAK. EMPLOYEE #1 FOLLOWED. AS EMPLOYEE #1 PLACED HI S RIGHT FOOT ON THE PANEL EAST OF THE PEAK, THEN BROUGHT HIS LEFT FOOT OVER, THE PANEL SHIFTED. THE WEST END LEFT THE PURLIN WHICH WAS BEARING THE PANEL'S WEIGH T. EMPLOYEE #1'S WEIGHT BENT THE PANEL, ALLOWING HIM TO FALL 29 FEET TO THE GROU ND. EMPLOYEE #1 SUSTAINED HEAD INJURIES AND DIED 2 DAYS LATER. AYING 18" X 17' X 35' 9" ROOF PANELS ALONG THE NORTH END OF THE STRUCTURAL STEEL BUILDING. THE CREW HAD LAID A DOUBLE ROW OF PANELS, EAST TO WEST, ADJACENT TO T HE NORTH END AND WERE USING THEM FOR A WALKWAY. THE PANELS WERE LAID ACROSS STEE L PURLINS AND OVERLAPPED ABOUT 4 FEET. THE PANELS WERE NOT SECURED TO THE PURLIN S. SHORTLY BEFORE 11 AM IT BEGAN TO RAIN AND THE EMPLOYEES WENT DOWN TO THE GROU ND. THE EMPLOYER REPRESENTATIVE TOLD THE MEN THEY COULD GO HOME, BUT HE HAD TO G O UP AND LAY PANELS OVER SOME EXPOSED INSULATION. THE CREW DECIDED TO GO UP AND DO THIS WORK. THE CREW WENT UP ON THE WEST SIDE AND PROCEEDED EASTWARD. TWO EMPL
Victims (4)
-
#1 Fatality Age 22 M
- Nature of injury
- 12
- Part of body
- 13
- Event type
- 5
- Source
- 5
- Occupation code
- 869
- Human factor
- 1
- Environmental factor
- 13
- Task assigned
- 1
-
#981 Degree 0 Age 0
- Nature of injury
- 0
- Part of body
- 0
- Event type
- 0
- Source
- 0
- Occupation code
- 0
- Human factor
- 0
- Environmental factor
- 0
- Task assigned
- 0
-
#982 Degree 0 Age 0
- Nature of injury
- 0
- Part of body
- 0
- Event type
- 0
- Source
- 0
- Occupation code
- 0
- Human factor
- 0
- Environmental factor
- 0
- Task assigned
- 0
-
#983 Degree 0 Age 0
- Nature of injury
- 0
- Part of body
- 0
- Event type
- 0
- Source
- 0
- Occupation code
- 0
- Human factor
- 0
- Environmental factor
- 0
- Task assigned
- 0
Codes shown verbatim from OSHA's accident-investigation database. A human-readable decoder is coming in a future release once the accident_lookup2 dictionary is loaded.