Fatality Assessment and Control Evaluation Project

F.A.C.E.
INVESTIGATION REPORT
Fatality Assessment and Control
Evaluation Project
FACE #97-NJ-062-01
Painter Killed After Falling From A Stepladder
While Painting an Outdoor Stairway
New Jersey Department of Health and Senior Services
Occupational Disease and Injury Services
P.O. Box 360
Trenton, New Jersey 08625-0360
(609) 984-1863

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TO: Division of Safety Research
National Institute for Occupational Safety and Health
Morgantown, West Virginia 26505
FROM: Fatality Assessment and Control Evaluation (FACE) Project
New Jersey Department of Health and Senior Services (NJDHSS)
SUBJECT: Face Investigation #97-NJ-062-01
Painter Dies After Falling From a Stepladder While Painting an Outdoor Stairway
DATE: February 25, 1998
SUMMARY
On August 12, 1997, a 45-year-old commercial painter was killed after falling from a step ladder
as he was painting an outdoor stairway. The incident occurred at a commuter train station as the
victim and two co-workers were painting a metal and concrete stairway leading to the station
platform. The victim was painting some overhead pipes from an eight-foot step ladder that had
been set up on a landing of the staircase. It is not known what caused him to fall. His co-worker
reported that the victim suddenly fell on him as he was working on the lower landing. He tried
but was unable to catch the victim, who was fatally injured when he struck his head on the
concrete landing. NJ FACE investigators concluded that, to prevent similar incidents in the
future, these safety guidelines should be followed:
! Employers must stress to all employees the importance of exercising caution when working
from ladders.
! Contractors should become familiar with available resources on safety standards and safe
work practices.
INTRODUCTION
On August 14, 1997, NJ FACE staff were alerted by a newspaper article to a fatal work-related
fall that occurred on August 12. A FACE investigator conducted a visit to the incident site the
same day, briefly interviewing a train station employee and photographing the incident scene. The
victim’s employer was not on-site and was later interviewed by telephone on August 28, 1997.
Additional information on the incident was obtained from the OSHA investigation file, the police
report, and the county medical examiner’s report.
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The victim’s employer was a small commercial painting company that had been in business for 11
years and employed five workers. The company usually worked on apartment buildings no more
than two stories high and avoided large jobs such as bridge painting. Safety and health training
was limited to a verbal program that did not address fall hazards. However, additional safety
training was provided by the railroad company, including training on respiratory protection, fall
protection, and lock-out/tag-out.
The victim was a commercial painter who had worked for the company for two months. A
Pakistani national, the victim had 12 years of experience painting in Pakistan and six years
painting in the United States. The victim was hired by the company on a relative’s
recommendation and was described by the employer as a great painter who was “on the ball.”
INVESTIGATION
The incident occurred at a commuter train station located in an urban area. The railroad company
had contracted with a number of small painting companies to paint the stairs and platforms at its
train stations. Each station painting contract was awarded to a different painting company.
The day of the incident was clear with temperatures in the 80's. A crew of two painters and a
supervisor arrived at the station at 9:30 a.m. and were instructed to paint the outdoor stairwell
leading to the northbound train platform. A railroad company employee was also on-site to
ensure that the painters did not block the right-of-ways. The 25-foot high stairway was
constructed of structural steel and concrete and was open except for a small roof above the top
landing. Each of the stair’s five flights measured about five feet wide by five feet high and led to a
57 square foot landing. The sides of the stairway were well guarded with six heavy metal rails.
Starting at the top platform, the victim set up a new, eight foot high wooden stepladder to paint
the overhead steel beams on the staircase. His co-worker painted the railings, starting at ground
level and working his way up. The supervisor oversaw the operation. At 1:30 p.m., the victim
was standing on the ladder positioned on the landing directly below the stairway roof, while his
co-worker was painting on the next landing down. The victim was reportedly standing on the
second or third rung of the ladder to paint a gutter pipe running 8½ feet above the edge of the
stair. No one saw the victim fall. His co-worker on the landing below reported hearing the victim
gasp before falling onto him. He put his arms out to try to catch the victim, but was unable to
hold him. The victim fell approximately nine feet, striking the landing and hitting his head on the
concrete surface. The co-worker immediately called for help, and a railroad company employee
ran to the train station for assistance. As one station employee called 911, a second station
employee who was an EMT went to the victim and started cardio-pulmonary resuscitation. The
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police and EMS quickly arrived, took over rescue efforts, and transported the victim to the local
hospital. The victim was revived for a short time but died of his injuries four hours later.
CAUSE OF DEATH
The county medical examiner found the cause of death to be due to “craniocerebral injuries.”
RECOMMENDATIONS/DISCUSSIONS
Recommendation #1: Employers must stress to all employees the importance of exercising
caution when working from ladders.
Discussion: The direct cause of this incident is not known. Possible causes are incorrect
placement of the ladder or the victim overextending himself and loosing balance on the ladder. To
prevent falls from ladders, the FACE Project recommends that employers should stress to
employees the importance of exercising caution when setting up, climbing, and working from
ladders. It should be noted that the OSHA standard 29 CFR 1926.1060 outlines the employee
training requirements for ladders.
Recommendation #2: Contractors should become familiar with available resources on safety
standards and safe work practices.
Discussion: It is extremely important that contractors obtain accurate information on working
safely and following all OSHA standards. The following sources of information may be helpful:
U.S. Department of Labor, OSHA
On request, OSHA will provide information on safety standards and requirements for fall
protection. OSHA has several offices in New Jersey that cover the following areas:
Hunterdon, Middlesex, Somerset, Union, and Warren counties..........(732) 750-4737
Essex, Hudson, Morris, and Sussex counties.......................................(973) 263-1003
Bergen and Passaic counties................................................................(201) 288-1700
Atlantic, Burlington, Cape May, Camden, Cumberland, Gloucester,
Mercer, Monmouth, Ocean, and Salem counties.................................(609) 757-5181
NJDOL OSHA Consultative Services
This organization, in the New Jersey Department of Labor, will provide free advice for business
owners on methods of improving health and safety in the workplace and complying with OSHA
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standards. The telephone number is (609) 292-3922.
New Jersey State Safety Council
The NJ Safety Council provides a variety of courses on work-related safety. There is a charge for
the seminars. The address and telephone number is: NJ State Safety Council, 6 Commerce Drive,
Cranford, New Jersey 07016. Telephone (908) 272-7712
Internet Resources
Information on OSHA standards can also be easily obtained over the internet at the US
Department of Labor’s OSHA website www.osha.gov . Other useful information can be found the
USDOL’s Employment Laws Assistance for Workers and Small Business (ELAWS) system at
www.dol.gov/elaws .
REFERENCES
Code of Federal Regulations 29 CFR 1926. U.S. Government Printing Office, Office of the
Federal Register, Washington DC.
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DISTRIBUTION LIST
Immediate Distribution
NIOSH
Employer
Incident Site Owner
NJ State Medical Examiner
County Medical Examiner
Local Health Officer
NJDHSS Census of Fatal Occupational Injuries (CFOI) Project
General Distribution
USDOL-OSHA New Jersey Area Offices (4)
NJDOL Public Employees OSHA
NJDHSS Public Employees OSHA
NJDOL OSHA Consultative Service
NJ State Safety Council
NJ Institute of Technology
NJ Shade Tree Federation
NJ Utilities Association
NJ School Boards Association
University of Medicine & Dentistry of NJ
Public Service Electric and Gas Company
Liberty Mutual Insurance Company Research Center
Private Consultants (3)
Private Companys (8)
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