# Fractures at American Air & Heat, Inc.
> OSHA SIR `20181011176` · 10/30/2018 · ANNA, TEXAS
## Severity
- **1 hospitalization**
- **Body part:** Shoulder(s), including clavicle(s), scapula(e)
- **Nature of injury:** Fractures
## Cause
- **Event:** Other fall to lower level, unspecified
- **Source:** Step ladders
- **Secondary source:** Floors, walkways, ground surfaces, unspecified
## Employer
- **Name:** American Air & Heat, Inc.
- **Location:** 2010 W. White Street, ANNA, TEXAS, 75409
- **NAICS:** 238220
- **Jurisdiction:** 1
## Narrative

The injured employee was on an 8-foot step ladder holding piping while helping another employee install HVAC piping. The employee fell from the ladder and suffered a broken collarbone and a head laceration.

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