# Fractures (except skull fractures) and concussions at Van Hook Services Co Inc
> OSHA SIR `20211110078` · 11/22/2021 · MILFORD, PENNSYLVANIA
## Severity
- **1 hospitalization**
- **Body part:** Multiple body parts, unspecified
- **Nature of injury:** Fractures (except skull fractures) and concussions
## Cause
- **Event:** Other fall to lower level 11 to 15 feet
- **Source:** Extension ladders
- **Secondary source:** Floors, walkways, ground surfaces, unspecified
## Employer
- **Name:** Van Hook Services Co Inc
- **Location:** Mirabito Energy, MILFORD, PENNSYLVANIA, 18337
- **NAICS:** 238220
- **Jurisdiction:** 1
## Narrative

An employee was descending a 32-foot extension ladder from a gas station roof to retrieve a part. The bottom of the ladder kicked backward and slid, striking a concrete curb. The employee fell from the ladder approximately 12 feet to the ground below, resulting in three fractured vertebrae and a concussion.

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