# Intracranial injuries with skull fractures at RK Hydrovac
> OSHA SIR `2025021518` · 2/15/2025 · SAN ANTONIO, TEXAS
## Severity
- **1 hospitalization**
- **Body part:** Brain
- **Nature of injury:** Intracranial injuries with skull fractures
## Cause
- **Event:** Fall to lower level from collapsing structure or equipment  6 to 30 feet
- **Source:** Skylights or other existing roof openings
- **Secondary source:** Other constructed surface
## Employer
- **Name:** RK Hydrovac
- **Location:** 803 Castroville Rd, SAN ANTONIO, TEXAS, 78237
- **NAICS:** 561720
- **Jurisdiction:** 1
## Narrative

An employee fell through a 4' x 4' domed skylight and landed on a brick and concrete walkway 15 feet below. The employee sustained a brain bleed and fractures to their skull, spine, and ribs.

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