# Fractures at Purestream Services
> OSHA SIR `2023065389` · 6/19/2023 · MIDLAND, TEXAS
## Severity
- **1 hospitalization**
- **Body part:** Skull
- **Nature of injury:** Fractures
## Cause
- **Event:** Other fall to lower level, unspecified
- **Source:** Semi, tractor-trailer, tanker truck
- **Secondary source:** Floors, walkways, ground surfaces, unspecified
## Employer
- **Name:** Purestream Services
- **Location:** 9205 West County Road 127, MIDLAND, TEXAS, 79706
- **NAICS:** 213112
- **Jurisdiction:** 1
## Narrative

An employee was preparing a load on a semi-trailer for a delivery to a field location. After putting the straps over the totes, he descended the trailer. While descending, his pant leg was caught on the mud flap frame, which caused him to fall and strike his head on the ground. The employee lost consciousness and sustained a laceration and a fractured skull.

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