# Internal injuries to organs and blood vessels of the trunk at National Carwash Solutions, Inc.
> OSHA SIR `2019054712` · 5/8/2019 · MONTE VISTA, COLORADO
## Severity
- **1 hospitalization**
- **Body part:** Chest, 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:** Step ladders
- **Secondary source:** Floor, n.e.c.
## Employer
- **Name:** National Carwash Solutions, Inc.
- **Location:** 1745 Grande Ave., MONTE VISTA, COLORADO, 81144
- **NAICS:** 811192
- **Jurisdiction:** 1
## Narrative

An employee was on an A-frame ladder while trying to loosen a nut from the top of the boom arm of a car wash. The employee was putting force on the wrench when the ladder tilted to its side and the employee fell five feet to the ground. The employee suffered a broken collar bone, nine broken ribs, and a punctured lung.

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