# Skull fracture and intracranial injury at Miller Plumbing Co
> OSHA SIR `2023043281` · 4/13/2023 · SAN ANTONIO, TEXAS
## Severity
- **1 hospitalization**
- **Body part:** Brain
- **Nature of injury:** Skull fracture and intracranial injury
## Cause
- **Event:** Other fall to lower level, unspecified
- **Source:** Ladders, unspecified
- **Secondary source:** Wood pieces, trim pieces, wood scraps, n.e.c.
## Employer
- **Name:** Miller Plumbing Co
- **Location:** 23026 Evangeline, SAN ANTONIO, TEXAS, 78258
- **NAICS:** 238220
- **Jurisdiction:** 1
## Narrative

An employee was standing on a ladder drilling into a wooden 2x4 when the wood broke, causing him to lose balance and fall off the ladder striking his head on the concrete below. The employee sustained a concussion and skull fracture.

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