Incident date: 2017-08-08
NAICS industry code: 237120

An employee had been prepping concrete forms for removal and was on top of one of the forms. While moving from one anchor point to another, the employee fell off the form. His self-retracting lanyard failed and he fell to the concrete, 16 to 18 feet below, sustaining injuries to his head, hip and wrist.

Hazard classification:
code_event: title: Other fall to lower level 16 to 20 feet
code_source: title: Structural elements, n.e.c.
code_nature: title: Soreness, pain, hurt-nonspecified injury
code_body: title: Multiple body parts, n.e.c.
severity: moderate