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Tile setter dies after falling approximately 30 feet while at work at a commercial office building in California.

Public Health Institute
Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, FACE 94CA017, 1995 Mar; :1-3
On September 16, 1994, a 29-year-old white, non-Hispanic male tile setter (the decedent) died after falling approximately 30 feet while replacing tiles and brick veneer on a four-story open air parking structure damaged during the 1994 Northridge earthquake. The decedent and a co-worker had been making repairs above two outside elevator doors. The decedent apparently was standing on an unstable, portable, wooden step-ladder adjacent to a 43 inch, 16 foot long pedestrian guardrail. The decedent fell from the ladder through the opening above the guardrail to a second story concrete landing. No one witnessed the decedent fall. An office employee saw the victim after the fall occurred and informed the decedent's co-worker that his partner had fallen. The co-worker ran to the decedent and remained with him until paramedics arrived. The decedent was transported by the paramedics to a local hospital where he underwent emergency treatment. He was pronounced dead at 12:10 a.m. on September 16, 1994. The CA/FACE investigator concluded that in order to prevent similar future occurrences employers should: 1. implement and maintain a written Illness and Injury Prevention Program (IIPP). 2. require the use of scaffolds when employees are doing work in locations which cannot be safely accessed with a ladder or when safety belts and lanyards are not appropriate. 3. require that all equipment such as ladders be inspected on a regular basis so that employees are not at risk when using them.
Region-9; Accident-analysis; Accident-prevention; Accidents; Injuries; Injury-prevention; Traumatic-injuries; Work-operations; Work-analysis; Work-areas; Work-performance; Work-practices; Safety-education; Safety-equipment; Safety-measures; Safety-monitoring; Training; Safety-programs; Occupational-health-programs; Occupational-safety-programs; Ladders; Step-ladders; Scaffolds; Personal-protection; Personal-protective-equipment; Protective-equipment; Protective-measures; Maintenance-workers
Publication Date
Document Type
Field Studies; Fatality Assessment and Control Evaluation
Funding Type
Cooperative Agreement
Fiscal Year
NTIS Accession No.
NTIS Price
Identifying No.
FACE-94CA017; Cooperative-Agreement-Number-U60-CCU-907284
SIC Code
Source Name
National Institute for Occupational Safety and Health
Performing Organization
Public Health Institute
Page last reviewed: September 2, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division