Universal Forming, Inc.

Fall through surface or existing opening 11 to 15 feet — Fractures — CLERMONT, Florida

HOSPITALIZED — Worker hospitalized after incident at Universal Forming, Inc. in CLERMONT, Florida
Employer Universal Forming, Inc.
Address 1900 Don Wickham Dr
City, State ZIP CLERMONT, Florida 34711
Report ID 20221210845
Event Date December 14, 2022
Outcome Hospitalized
Nature of Injury Fractures
Body Part Wrist(s)
Event Type Fall through surface or existing opening 11 to 15 feet
Source of Injury Existing floor opening
Secondary Source Nonclassifiable
Industry (NAICS) 238110
Inspection # 1640341
GPS Coordinates 28.55246, -81.72014

Location Map

Incident Narrative

An employee was cleaning up and picked up a piece of plywood that was being used as a hole covering. The employee fell approximately 14 feet to the next lower level, resulting in a left wrist fracture and a right shoulder contusion.

Incident Summary

On December 14, 2022, a worker at Universal Forming, Inc. in CLERMONT, Florida suffered fractures to the wrist(s). The incident was classified as fall through surface or existing opening 11 to 15 feet, with existing floor opening identified as the source of injury. The worker was hospitalized.

Context

OSHA has recorded 237 severe injury reports involving "Fall through surface or existing opening 11 to 15 feet" incidents in our database. Browse all Fall through surface or existing opening 11 to 15 feet injuries.

See all reports for Universal Forming, Inc..

Similar Incidents

Other severe injury reports involving Fall through surface or existing opening 11 to 15 feet events:

Date Employer Location Nature Outcome
Nov 16, 2023 PATTEN CONSTRUCTION, INC. PARKVILLE, Missouri Fractures Hosp.
Oct 21, 2020 Five Guys Operations JACKSONVILLE, Florida Internal injuries to organs and blood vessels of the trunk Hosp.
Nov 16, 2023 Strictly Mechanical, Inc. FORT EISENHOWER, Georgia Fractures Hosp.
Jun 3, 2020 Paul W. Essig Inc. READING, Pennsylvania Soreness, pain, hurt-nonspecified injury Hosp.
Feb 25, 2023 S and S Welding LLC GAINESVILLE, Georgia Fractures Hosp.
Jul 25, 2017 Bernecker Brothers Roofing, LLC CINCINNATI, Ohio Fractures Hosp.
Nov 27, 2023 General Fire & Safety OMAHA, Nebraska Fractures Hosp.
May 21, 2018 King of Texas Roofing Company, LP IRVING, Texas 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.

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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.

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