# Multiple intracranial injuries, n.e.c. at Lee Gilman Builders
> OSHA SIR `2023021547` · 2/17/2023 · KETCHUM, IDAHO
## Severity
- **1 hospitalization**
- **Body part:** Brain
- **Nature of injury:** Multiple intracranial injuries, n.e.c.
## Cause
- **Event:** Other fall to lower level less than 6 feet
- **Source:** Step ladders
- **Secondary source:** Floor, n.e.c.
## Employer
- **Name:** Lee Gilman Builders
- **Location:** 110 Stone Gate, KETCHUM, IDAHO, 83340
- **NAICS:** 236117
- **Jurisdiction:** 1
## Narrative

An employee was on a step ladder placing interior vertical door trim. As the employee changed positions, the ladder tipped over, causing the employee to fall approximately 6 feet to the cement floor. The employee sustained fractures to the orbital wall, maxillary sinus, sphenoid, temporal portion of the skull, and bilateral distal radii. The employee also sustained pneumocephalus, a subarachnoid hemorrhage, and an acute subdural hematoma as well as loose teeth. The employee was hospitalized.

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