Universal Forming, Inc.

Struck by swinging or slipping object, other than handheld, n.e.c. - Internal injuries to organs and blood vessels of the trunk - JACKSONVILLE, Florida

HOSPITALIZED, Worker hospitalized after incident at Universal Forming, Inc. in JACKSONVILLE, Florida
Employer Universal Forming, Inc.
Address 347 Riverside Ave.
City, State ZIP JACKSONVILLE, Florida 32256
Report ID 2021021194
Event Date February 9, 2021
Outcome Hospitalized
Nature of Injury Internal injuries to organs and blood vessels of the trunk
Body Part Abdomen, except internal location of diseases or disorders
Event Type Struck by swinging or slipping object, other than handheld, n.e.c.
Source of Injury Drums, pulleys, sheaves
Industry (NAICS) 238110
GPS Coordinates 30.32047, -81.67247

Location Map

Incident Narrative

An employee was using a chain come-along to release a table form from the ceiling. As the employee was pulling the chain, the chain broke and struck the employee in the abdomen. The employee was hospitalized.

Incident Summary

On February 9, 2021, a worker at Universal Forming, Inc. in JACKSONVILLE, Florida suffered internal injuries to organs and blood vessels of the trunk to the abdomen, except internal location of diseases or disorders. The incident was classified as struck by swinging or slipping object, other than handheld, n.e.c., with drums, pulleys, sheaves identified as the source of injury. The worker was hospitalized.

Context

OSHA has recorded 581 severe injury reports involving "Struck by swinging or slipping object, other than handheld, n.e.c." incidents in our database. Browse all Struck by swinging or slipping object, other than handheld, n.e.c. injuries.

See all reports for Universal Forming, Inc..

Similar Incidents

Other severe injury reports involving Struck by swinging or slipping object, other than handheld, n.e.c. events:

Date Employer Location Nature Outcome
Jul 7, 2017 Rockin'CT Oil & Gas Services, LLC ODESSA, Texas Fractures Hosp.
Oct 20, 2016 Amec Foster Wheeler Constructors, Inc. RINCON, Georgia Fractures Hosp.
Sep 14, 2022 Holt Tecas Ltd. dba Holt CAT SAN ANTONIO, Texas Fractures Hosp.
Jun 14, 2022 Pinnacle Builders USA, Inc. OSWEGO, New York Amputations Amp.
Feb 11, 2019 Fresh Express, Inc. MORROW, Georgia Cuts, lacerations Hosp.
Sep 21, 2021 Full Metal Iron, LLC THORNTON, Colorado Fractures Hosp.
Dec 18, 2021 Apollo MedFlight AMARILLO, Texas Fractures Hosp.
Feb 10, 2021 Sewon America Inc LAGRANGE, Georgia Fractures Hosp.

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.

After an employer reports a severe injury, OSHA decides whether to conduct an on-site inspection. Fatalities and amputations typically trigger automatic inspections. For hospitalizations and eye loss events, OSHA may conduct a phone/fax investigation or an on-site inspection based on the circumstances. During an inspection, OSHA compliance officers assess the accident scene, interview witnesses, review safety records, and identify violations. Citations and penalties may be issued. OSHA also works with the employer to abate hazardous conditions. All inspection results are published in OSHA's public inspection database at osha.gov.

You can file an OSHA complaint online at osha.gov/workers/file-complaint, by calling 1-800-321-OSHA (1-800-321-6742), or by visiting your local OSHA area office. Complaints can be filed anonymously. OSHA prioritizes formal written complaints from workers. If you believe an imminent danger exists, call OSHA immediately, they are required to investigate immediately when there is reasonable grounds to believe imminent danger exists. Workers are protected from retaliation for filing complaints under Section 11(c) of the OSH Act; if you experience retaliation, file a separate complaint within 30 days of the adverse action.

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.

Browse All Injury Reports