none
Resume:
Job site:
JFK TWA
Injured worker name:
Dylan King – R&J Construction
DOB:
SSN:
Address:
** ******** ******, ****** ****, NY 11001
Phone:
1.Accident description:
Claimant was lifting metal studs on the 6th floor of the north hotel building when he felt sharp pain to his right elbow
2.Injured sites:
Right elbow
3.Medical treatment (provider name and number):
Site Medic – then left saying he would seek offsite treatment
4.Statements obtained:
a.Claimant
Yes
No
Pending - claimant has not returned to site. Scheduled to return on 7/30/18. No one home during visit to house on 7/26/18.
b.Witness 1 – name – Maria Jimenez, site medic
Yes
No
Pending
N/A
c.Witness 2 – name – David Mikhlin
Yes
No
Pending
N/A
d.Witness 3 – name – Andrew Finn
Yes
No
Pending
N/A
5.Evidence secured (list all items)
None
6.Red flags
Claimant mentioned to coworker Finn that he had sustained several dislocated right shoulders in the past due to football
7.Photos (attach them here)
Most Important Points
Pending
oObtain statement from claimant
o
o
Contact this candidate