Incident date: 2019-10-04
NAICS industry code: 238110

Three employees were removing pins from gang forms in order to lower a form. When the upper pin was removed, the form fell forward, striking and landing on top of the employees. One employee received serious back injuries, while another employee suffered contusions to his upper body and a broken left ankle. They were both hospitalized.

Hazard classification:
code_event: title: Struck by falling object or equipment, unspecified
code_source: title: Structural elements, n.e.c.
code_nature: title: Soreness, pain, hurt-nonspecified injury
code_body: title: Back, including spine, spinal cord, unspecified
severity: low