# Skull fracture and intracranial injury at Donovan's Express Care
> OSHA SIR `20231211499` · 12/19/2023 · CINCINNATI, OHIO
## Severity
- **1 hospitalization**
- **Body part:** Brain
- **Nature of injury:** Skull fracture and intracranial injury
## Cause
- **Event:** Other fall to lower level, unspecified
- **Source:** Step ladders
- **Secondary source:** Confined spaces, n.e.c.
## Employer
- **Name:** Donovan's Express Care
- **Location:** 5609 Ridge Avenue, CINCINNATI, OHIO, 45213
- **NAICS:** 811191
- **Jurisdiction:** 1
## Narrative

An employee was standing on a step ladder in an oil change pit to tighten a drain plug located underneath a vehicle. The employee fell from the step ladder, resulting in a concussion, a fractured skull, and a brain bleed.

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