# Internal injuries to organs and blood vessels of the trunk at CTW Transportation Services
> OSHA SIR `20181212720` · 12/11/2018 · RICHMOND, MISSOURI
## Severity
- **1 hospitalization**
- **Body part:** Abdomen, except internal location of diseases or disorders
- **Nature of injury:** Internal injuries to organs and blood vessels of the trunk
## Cause
- **Event:** Other fall to lower level less than 6 feet
- **Source:** Truck-motorized freight hauling and utility, unspecified
- **Secondary source:** Floors, walkways, ground surfaces, unspecified
## Employer
- **Name:** CTW Transportation Services
- **Location:** 201 HWY 10 E, RICHMOND, MISSOURI, 64085
- **NAICS:** 484121
- **Jurisdiction:** 1
## Narrative

On December 11, 2018, an employee was exiting a truck when his foot slipped off the truck's step and he fell about 4 feet to the ground. The employee was hospitalized with rib fractures and a lacerated spleen.

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