Traumatic injuries and disorders, unspecified

Name: Traumatic injuries and disorders, unspecified at Adjustable Forms
Start: 3/31/2015

1 hospitalization · 2015031615 · 3/31/2015 · Adjustable Forms

Severity

Hospitalized: 1
Amputation: 0
Loss of eye: 0
Body part: Nonclassifiable
Nature of injury: Traumatic injuries and disorders, unspecified

Cause

Event: Other fall to lower level less than 6 feet
Source: Structural elements, n.e.c.

Employer

Name: Adjustable Forms
Location: Lake And Forest, OAK PARK, ILLINOIS, 60301
NAICS: 238110
Jurisdiction: 1

Narrative

An employee was removing forms from a column using a positioning hook. When the form came free, the employee fell with the form approximately 5 feet to the ground.

Source

Authoritative: OSHA Severe Injury Reports
Machine: JSON-LD · Markdown