← OSHA severe injury reports

Fractures and dislocations

1 hospitalization · 2016042737 · 4/1/2016 · WILLIAM H. LANE, INC.

Severity

Hospitalized
1
Amputation
0
Loss of eye
0
Body part
Multiple pelvic region locations
Nature of injury
Fractures and dislocations

Cause

Event
Other fall to lower level 6 to 10 feet
Source
Structural elements, n.e.c.

Employer

Name
WILLIAM H. LANE, INC.
Location
261 Joyland Road, MONTICELLO, NEW YORK, 12701
NAICS
236220
Jurisdiction
1

Narrative

An employee was removing whalers of gang form. While positioned on the form, he removed one nut, and the form slid backwards. He was still connected to the form when the form detached from the concrete wall and fell. He fell 8 feet 6 inches with the form to the ground, dislocating his hip and breaking his pelvis. He was hospitalized.

Source

Authoritative
OSHA Severe Injury Reports
Machine
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