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

OSHA Accident Investigation · Summary #221495039

DUKE PACIFIC INC

Event
Anchor, Blunt force, Blunt force trauma, Concrete Floor, Construction, Fall, Fall From Elevation, Fall Protection, Harness, Installing, PPE, PPE Hazard Assessment, Roof Panel, Roofer, Tie-Off
NAICS
236210
Inspection type
Federal Agency
Activity number
#346206899
Employer profile
DUKE PACIFIC INC
Summary number
221495039
Report ID
0950635
Project type
A
Construction end-use
C

Event description

Employee is killed in fall while installing panelized roof

Investigation abstract

At 8:45 a.m. on September 8, 2022, an employee, Coworker #1 and Coworker #2 were to be tied off at all times. Therefore, Coworker #1 asked the employee if he could borrow his 75-foot lifeline, to ensure he was tied-off at all times. The employee agreed and removed his lifeline and was no longer tied off. Coworker #1 removed his 13-foot lifeline and swapped it with the longer lifeline. The employee, while no longer being tied off, was standing on a set panel and waited for the next panel to be set in place by Coworker #3, the Forklift Operator, using the Gradall Forklift. The employee began the process of nailing down the new panel, beginning from the wall and working his way to the opposite end. As the employee got to the middle of the panel to continue to nail it down, the panel he was standing on suddenly collapsed and fell approximately 40 feet to working together on setting the roof panels for a roofing contractor on a the ground below, along with the employee, who was not tied off. The employee struck the concrete surface below and was pronounced dead at the scene by paramedics. concrete tilt-up warehouse. They were working on top of the roof structure and were located approximately 40 feet above ground. The employee and both coworkers were all wearing personal fall protection harnesses and were tied off at the time. The employee had a 75-foot-long self-retracting lifeline while Coworker #1 and Coworker #2 had a 13-foot-long self-retracting lifeline. Because the anchor points and clips were set every 5 panels instead of every other panel, it did not allow for Coworker #1 to have enough length on his self-retracting lifeline

Victim

  1. #1 Fatality Age 47 M

    Event type
    5
    Occupation code
    783
    Fall distance
    42

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.