# Fractures and burns at Indian Health Service
> OSHA SIR `2024109252` · 10/3/2024 · PINE RIDGE, SOUTH DAKOTA
## Severity
- **1 hospitalization**
- **Body part:** Body systems and other part(s) of body
- **Nature of injury:** Fractures and burns
## Cause
- **Event:** Fall to lower level resulting from exposure or contact  unspecified
- **Source:** Portable ladders and stairs  unspecified
- **Secondary source:** "Lock out/ tag out" communication systems
## Employer
- **Name:** Indian Health Service
- **Location:** 607 Indian Health Road, PINE RIDGE, SOUTH DAKOTA, 57770
- **NAICS:** 923120
- **Jurisdiction:** 1
## Narrative

An employee was standing on a ladder installing a fluorescent light bulb ballast when he contacted a live wire and received an electrical shock to his left hand, causing him to fall from the ladder to the floor. The employee was hospitalized with an electrical shock and burns to his left hand, as well as fractures to his right tibia and distal right radius. The wire was not deenergized or locket out/tagged out.

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