# Fractures at Historic Tours of America LLC
> OSHA SIR `20181212403` · 12/3/2018 · KEY WEST, FLORIDA
## Severity
- **1 hospitalization**
- **Body part:** Shoulder(s) and arm(s)
- **Nature of injury:** Fractures
## Cause
- **Event:** Fall on same level due to tripping over an object
- **Source:** Floors, walkways, ground surfaces, unspecified
- **Secondary source:** Bus
## Employer
- **Name:** Historic Tours of America LLC
- **Location:** 1805 Staples Avenue, KEY WEST, FLORIDA, 33040
- **NAICS:** 561520
- **Jurisdiction:** 1
## Narrative

An employee was performing a pre-trip inspection of a tour bus when she tripped on an opened wheelchair ramp and fell to the ground. She suffered fractures in her arm and right shoulder, and was hospitalized.

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