Incident date: 2015-01-02
NAICS industry code: 238110

Two employees in a scissor lift were wrecking forms, taking forms down, and removing the forms. They lost their grip on the form, which fell and hit an employee walking below on the shoulder, knocking him to the ground. He hit his head on the concrete, causing a wound to the head, a broken collarbone, and a broken rib.

Hazard classification:
code_event: title: Struck by object or equipment dropped by other person
code_source: title: Structural elements, n.e.c.
code_nature: title: Fractures
code_body: title: Multiple body parts, n.e.c.
severity: moderate