Adjustable Forms
Other fall to lower level less than 6 feet — Traumatic injuries and disorders, unspecified — OAK PARK, ILLINOIS
| Employer | Adjustable Forms | Report ID | 2015031615 |
| Address | Lake And Forest | City, State ZIP | OAK PARK, ILLINOIS 60301 |
| Event Date | March 31, 2015 | Outcome | Hospitalized |
| Nature of Injury | Traumatic injuries and disorders, unspecified | Body Part | Nonclassifiable |
| Event Type | Other fall to lower level less than 6 feet | Source of Injury | Structural elements, n.e.c. |
| Industry (NAICS) | 238110 | Inspection # | — |
| GPS Coordinates | 41.88000, -87.79000 | ||
Incident Narrative
An employee was removing forms from a column using a positioning hook. When the form came free, the employee fell with the form approximately 5 feet to the ground.
Incident Summary
On March 31, 2015, a worker at Adjustable Forms in OAK PARK, ILLINOIS suffered traumatic injuries and disorders, unspecified to the nonclassifiable. The incident was classified as other fall to lower level less than 6 feet, with structural elements, n.e.c. identified as the source of injury. The worker was hospitalized.
Context
OSHA has recorded 3,310 severe injury reports involving "Other fall to lower level less than 6 feet" incidents in our database. Browse all Other fall to lower level less than 6 feet injuries.
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