# Traumatic injuries and disorders, unspecified at Adjustable Forms
> OSHA SIR `2015031615` · 3/31/2015 · OAK PARK, ILLINOIS
## Severity
- **1 hospitalization**
- **Body part:** Nonclassifiable
- **Nature of injury:** Traumatic injuries and disorders, unspecified
## Cause
- **Event:** Other fall to lower level less than 6 feet
- **Source:** Structural elements, n.e.c.
## Employer
- **Name:** Adjustable Forms
- **Location:** Lake And Forest, OAK PARK, ILLINOIS, 60301
- **NAICS:** 238110
- **Jurisdiction:** 1
## Narrative

An employee was removing forms from a column using a positioning hook. When the form came free, the employee fell with the form approximately 5 feet to the ground.

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*Source: [OSHA Severe Injury Reports](https://www.osha.gov/severe-injury-reports) · MORVS · CC0 1.0*