EMPLOYEE WAS PULLING ON A 3/4 RATCHET WRENCH. THE DIRECTION INDICATOR WAS NOT ALL THE WAY IN THE TIGHTENING DIRECTION. THE WRENCH SKIPPED A TOOTH AND THE EMPLOYEE STRAINED HIS BACK. **DID NOT SEEK MEDICAL ATTENTION UNTIL JULY. NO PRESCRIPTIONS OR PHYSICAL THERAPY WERE GIVEN UNTIL LATER AT WHICH TIME IT BACAME REPORTABLE.