Incident date: 2016-07-13
NAICS industry code: 236220

An employee fell a distance of approximately twenty feet while performing concrete work on a pour form wall. One of the engineered ties used to hold the form in place snapped allowing for concrete to pour out of the form, striking the scissor lift from which the employee was working, and causing the scissor lift to topple over. The employee fell to the ground where he sustained serious injury to his arm and pelvic region.

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