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United Forming, Inc.

Other fall to lower level 11 to 15 feet — Fractures — PALM BEACH GARDENS, FLORIDA

HOSPITALIZED — Worker hospitalized after incident at United Forming, Inc. in PALM BEACH GARDENS, FLORIDA
Employer United Forming, Inc. Report ID 2016109911
Address 13995Pasteur Blvd City, State ZIP PALM BEACH GARDENS, FLORIDA 33418
Event Date October 21, 2016 Outcome Hospitalized
Nature of Injury Fractures Body Part Multiple pelvic region locations
Event Type Other fall to lower level 11 to 15 feet Source of Injury Nonclassifiable
Industry (NAICS) 238110 Inspection # 1186880
GPS Coordinates 26.84000, -80.13000

Incident Narrative

While performing form work, an employee fell 14 feet down with the form. The form fell on top of the employee, causing a broken sacrum and pubic bone.

Incident Summary

On October 21, 2016, a worker at United Forming, Inc. in PALM BEACH GARDENS, FLORIDA suffered fractures to the multiple pelvic region locations. The incident was classified as other fall to lower level 11 to 15 feet, with nonclassifiable identified as the source of injury. The worker was hospitalized.

Context

OSHA has recorded 1,098 severe injury reports involving "Other fall to lower level 11 to 15 feet" incidents in our database. Browse all Other fall to lower level 11 to 15 feet injuries.

See all reports for United Forming, Inc..

Similar Incidents

Other severe injury reports involving Other fall to lower level 11 to 15 feet events:

Date Employer Location Nature Outcome
Jun 12, 2017 Pyramid Roofing Inc. SYRACUSE, NEW YORK Fractures Hosp.
Oct 22, 2016 Heritage Personnel, LLC CEDAR PARK, TEXAS Fractures Hosp.
Jan 18, 2018 Wenger Manufacturing, Inc. SABETHA, KANSAS Intracranial injuries, n.e.c. Hosp.
Oct 31, 2018 Wood Group USA, Inc. SUNRAY, TEXAS Fractures Hosp.
Mar 14, 2017 U.S. DEPT OF DEFENSE, TINKER AIR FORCE BASE TINKER AFB, OKLAHOMA Fractures and other injuries, n.e.c. Hosp.
Aug 31, 2020 Titan Reinforcing, LLC JANESVILLE, WISCONSIN Fractures Hosp.
Oct 7, 2015 C. K. King Builders. LLC PLYMOUTH MEETING, PENNSYLVANIA Traumatic injuries and disorders, unspecified Hosp.
Apr 19, 2016 International-Matex Tank Terminals, Inc. SAINT ROSE, LOUISIANA Fractures Hosp.

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 industry or state below.

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