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. Report ID 20221210845
Address 1900 Don Wickham Dr City, State ZIP CLERMONT, FLORIDA 34711
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 28.55000, -81.72000

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.

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