# Cerebral and other intracranial hemorrhages at American Environmental, Inc.
> OSHA SIR `20171211560` · 12/5/2017 · NORTHAMPTON, MASSACHUSETTS
## Severity
- **1 hospitalization**
- **Body part:** Brain
- **Nature of injury:** Cerebral and other intracranial hemorrhages
## Cause
- **Event:** Other fall to lower level, unspecified
- **Source:** Step ladders
- **Secondary source:** Pipes, ducts, tubing, unspecified
## Employer
- **Name:** American Environmental, Inc.
- **Location:** Smith College Library, NORTHAMPTON, MASSACHUSETTS, 01063
- **NAICS:** 562910
- **Jurisdiction:** 1
## Narrative

On 12/5/2017, an employee was using a reciprocating saw to cut a pipe while standing on a 12-foot stepladder. While he was making a second incision in the pipe, it swung down, hit the ladder, and knocked it over. He fell and his face hit the concrete floor, breaking a facial bone and causing cranium bleeding. He was hospitalized and had surgery.

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