# Fractures at Builders FirstSource
> OSHA SIR `2023088014` · 8/30/2023 · HOWELL, NEW JERSEY
## Severity
- **1 hospitalization**
- **Body part:** Skull
- **Nature of injury:** Fractures
## Cause
- **Event:** Other fall to lower level 6 to 10 feet
- **Source:** Step ladders
- **Secondary source:** Beams-unattached metal
## Employer
- **Name:** Builders FirstSource
- **Location:** 6461 Route 9 North, HOWELL, NEW JERSEY, 07731
- **NAICS:** 236220
- **Jurisdiction:** 1
## Narrative

An employee was climbing an 8-foot step ladder and stopped at the second step from the top to secure a beam that a forklift was placing in the building. The beam then fell toward the employee, causing him to fall backward and hit his head on the concrete slab below. The employee suffered a fractured skull.

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