State Farm Insurance
Other fall to lower level, unspecified - Soreness, pain, hurt-nonspecified injury - WILLIAMS BAY, Wisconsin
| Employer | State Farm Insurance |
| Address | 83 Jewell Drive |
| City, State ZIP | WILLIAMS BAY, Wisconsin 53191 |
| Report ID | 2015097158 |
| Event Date | September 28, 2015 |
| Outcome | Hospitalized |
| Nature of Injury | Soreness, pain, hurt-nonspecified injury |
| Body Part | Multiple head locations |
| Event Type | Other fall to lower level, unspecified |
| Source of Injury | Ladders, unspecified |
| Industry (NAICS) | 524126 |
| Inspection # | 1099678 |
| GPS Coordinates | 42.57234, -88.54408 |
Location Map
Incident Narrative
On September 28, 2015, at approximately 10:15 a.m., an employee fell from a ladder while climbing on the roof of a house to inspect it for damage as part of a claim. After striking the ground, the employee received a head injury involving the face, teeth, and facial bones.
Incident Summary
On September 28, 2015, a worker at State Farm Insurance in WILLIAMS BAY, Wisconsin suffered soreness, pain, hurt-nonspecified injury to the multiple head locations. The incident was classified as other fall to lower level, unspecified, with ladders, unspecified identified as the source of injury. The worker was hospitalized.
Context
OSHA has recorded 5,921 severe injury reports involving "Other fall to lower level, unspecified" incidents in our database. Browse all Other fall to lower level, unspecified injuries.
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Frequently Asked Questions
Workers injured on the job have the right to medical treatment covered by workers' compensation, wage replacement benefits during recovery, and protection against retaliation for reporting the injury. You have the right to file a complaint with OSHA if you believe your workplace is unsafe, and OSHA cannot reveal your identity to your employer without your consent. You also have the right to see your OSHA 300 injury log. If your employer denies a workers' comp claim, you can appeal through your state's workers' compensation board. An occupational health attorney can advise on complex cases involving denied claims or third-party liability.
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About This OSHA Report
This is a severe injury report filed with OSHA. Employers are required to report all work-related fatalities and severe injuries within 8 to 24 hours. Browse more reports by employer, state, or industry below.