# Fractures at United Forming, Inc.
> OSHA SIR `2016109911` · 10/21/2016 · PALM BEACH GARDENS, FLORIDA
## Severity
- **1 hospitalization**
- **Body part:** Multiple pelvic region locations
- **Nature of injury:** Fractures
## Cause
- **Event:** Other fall to lower level 11 to 15 feet
- **Source:** Nonclassifiable
## Employer
- **Name:** United Forming, Inc.
- **Location:** 13995Pasteur Blvd, PALM BEACH GARDENS, FLORIDA, 33418
- **NAICS:** 238110
- **Jurisdiction:** 1
## Narrative

While performing form work, an employee fell 14 feet down with the form. The form fell on top of the employee, causing a broken sacrum and pubic bone.

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*Source: [OSHA Severe Injury Reports](https://www.osha.gov/severe-injury-reports) · AI Analytics · CC0 1.0*