OSHA Accident Investigation · Summary #14490023

WORK RULES,INATTENTION,ROOF,CONSTRUCTION,FALL,FALL PROTECTION

1985-12-05T00:00:00

Event: WORK RULES,INATTENTION,ROOF,CONSTRUCTION,FALL,FALL PROTECTION
Linked inspection: No inspection record linked to this accident's victims.
Summary number: 14490023
Report ID: 215800

Event description

CONSTRUCTION EMPLOYEE KILLED IN FALL FROM ROOF

Investigation abstract

ON DECEMBER 5, 1985, EMPLOYEE #1 WAS ASSIGNED THE TASK OF FINDING A SUITABLE LOC ROOF DECK. EMPLOYEE #1 FELL FROM THE ROOF EDGE ONTO THE EDGE OF A DUMP TRUCK BO X, THEN CAME TO REST IN THE BOTTOM OF THE DUMP TRUCK BOX. EMPLOYEE #1 SUSTAINED MASSIVE INTERNAL INJURIES, INCLUDING A LACERATED LIVER, PUNCTURED LUNG AND NINE BROKEN RIBS. THE INJURIES WERE FATAL. THE MAIN REASON FOR THE ACCIDENT WAS THAT THE EMPLOYER HAD NOT ADEQUATELY INFORMED HIS EMPLOYEES OF THE HAZARD CAUSED BY T HE INSTALLATION OF THE FELT ROOFING. ALSO, THERE WAS NO FALL PROTECTION (SUCH AS A MOTION STOPPING SAFETY SYSTEM OR WARNING LINE SYSTEM) OF ANY KIND PROVIDED. ATION FOR THE INSTALLATION OF A WELLWHEEL (MANUAL HOIST) ON A LOW-PITCHED ROOF. THE HOIST WAS TO BE USED TO HAUL PLYWOOD FROM THE GROUND TO THE ROOF. SIMULTANEO USLY, OTHER EMPLOYEES WERE INSTALLING 45 POUND FELT ROOFING AND SEALING THE JOIN TS WITH TAR. THE EDGE OF THE LOW-PITCHED ROOF ROOF WAS APPROXMIATELY 42 FEET ABO VE THE GROUND. THE ROOF WAS ABOUT 60 FEET WIDE AND 80 FEET LONG. EMPLOYEE #1 WAL KED DIRECTLY FROM THE ROOF HATCH, LOCATED APPROXIMATELY IN THE CENTER OF THE ROO F, TO THE EAST PERIMETER OF THE ROOF. EMPLOYEE #1'S LAST STEP AT THE ROOF EDGE W AS ONTO THE 45 POUND FELT ROOFING THAT EXTENDED 6 TO 8 INCHES BEYOND THE PLYWOOD

Victims (2)

#1 Fatality Age 28 M

Nature of injury
21

Part of body
19

Event type
5

Source
43

Occupation code
999

Human factor
20

Environmental factor
18

Hazardous substance
8880

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

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.