# Internal injuries to organs and blood vessels of the trunk at HEB
> OSHA SIR `20191111455` · 11/3/2019 · SAN ANTONIO, TEXAS
## 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:** Ramps, loading docks, dock plates
- **Secondary source:** Semi, tractor-trailer, tanker truck
## Employer
- **Name:** HEB
- **Location:** 646 S. Flores St., SAN ANTONIO, TEXAS, 78204
- **NAICS:** 445110
- **Jurisdiction:** 1
## Narrative

An employee was sealing a trailer before it departed. The trailer pulled away from the loading dock and the employee fell approximately 4 feet from the loading dock. The employee sustained a head contusion, fractured 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*