# Internal injuries to organs and blood vessels of the trunk at America's Auto Auction - Houston
> OSHA SIR `2023054589` · 5/23/2023 · HOUSTON, 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 6 to 10 feet
- **Source:** Step ladders
- **Secondary source:** Floor, n.e.c.
## Employer
- **Name:** America's Auto Auction - Houston
- **Location:** 1826 Almeda-Genoa Road, HOUSTON, TEXAS, 77047
- **NAICS:** 423110
- **Jurisdiction:** 1
## Narrative

An employee was on a 7-foot A-frame ladder clearing debris from a vacuum line in the shop. While on the top step, the employee lost his balance and fell to the ground, resulting in five rib fractures and a punctured lung.

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