Incident date: 2021-09-17
NAICS industry code: 236220

An employee was helping to move a concrete form. The employee climbed on top of the 7-to 8-foot tall form to readjust the lifting device. The employee connected a positioning hook onto the form. The form tipped over and the employee jumped off, but they were still connected to the form. The form struck and broke the employee's lower right leg.

Hazard classification:
code_event: title: Other fall to lower level 6 to 10 feet
code_source: title: Structural elements, n.e.c.
code_nature: title: Fractures
code_body: title: Lower leg(s)
severity: moderate