105,313Records 71,083Employers 85,290Hospitalizations 27,770Amputations 2015-01-01 2025-10-31
Safety Incidents OSHA Severe Injury Reports · 2015–2025

OSHA Accident Investigation · Summary #821637

HEAD,INSTALLING,ROOF,WORK RULES,SLIP,CONSTRUCTION,FALL,FALL PROTECTION,ROOF OPENING

Event
HEAD,INSTALLING,ROOF,WORK RULES,SLIP,CONSTRUCTION,FALL,FALL PROTECTION,ROOF OPENING
Linked inspection
No inspection record linked to this accident's victims.
Summary number
821637
Report ID
352440

Event description

Employee killed in fall from elevation

Investigation abstract

Employee #1 was standing near a 31 in. roof opening. He was one of a crew that w #1, had received training but no ppe was used. Causal factors related to the ac cident include misjudgment of a hazardous condition and lack of ppe, such as a c atch platform/scaffold beneath the roof opening. as installing approximately 32 in. wide by 96 in. long by 2 in. thick roof panel s weighing approximately 100 lb. The panels were placed into bulb tee slots at r ight angles to bar joists. The bar joists were 5 ft apart of the tees, which wer e 30 1/2 in. apart. The rooftop was approximately 22 ft above a 6 in. thick pour ed concrete deck. The equipment was Permadeck panels of wood fibers/Portland cem ent banded under pressure. Employee #1's right foot was on a previously installe d panel and his left foot was on a steel purlin. He slipped and fell to his deat h, sustaining head, neck, and shoulder injuries. All workers, including Employee

Victim

  1. #1 Fatality Age 41 M

    Nature of injury
    21
    Part of body
    19
    Event type
    5
    Source
    42
    Occupation code
    595
    Human factor
    1
    Environmental factor
    13
    Task assigned
    1

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