# Concussions at Interstate Waste Service
> OSHA SIR `2021087262` · 8/25/2021 · PEARL RIVER, NEW YORK
## Severity
- **1 hospitalization**
- **Body part:** Brain
- **Nature of injury:** Concussions
## Cause
- **Event:** Other fall to lower level, unspecified
- **Source:** Tanks, bins, vats-nonconfined space
- **Secondary source:** Floors, walkways, ground surfaces, unspecified
## Employer
- **Name:** Interstate Waste Service
- **Location:** 401 north Middletown road building 222, PEARL RIVER, NEW YORK, 10965
- **NAICS:** 562111
- **Jurisdiction:** 1
## Narrative

An employee was on top of a 30-yard roll-off box that was loaded with pallets, trying to remove the pallets from the sides so that he could tarp the box. As he tried to dislodge a pallet that was sticking up out of the top of the box, it suddenly came free. He stumbled backward, then fell off the box to the ground, suffering a cut on the left side of the head and a concussion.

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