# Injuries to the brain, spinal cord and severe wounds, internal injuries at Great Hills Constructors
> OSHA SIR `2025066216` · 6/27/2025 · AUSTIN, TEXAS
## Severity
- **1 hospitalization**
- **Body part:** Head and extremities
- **Nature of injury:** Injuries to the brain, spinal cord and severe wounds, internal injuries
## Cause
- **Event:** Pedestrian struck by vehicle or object propelled by another vehicle in road work zone
- **Source:** Other semi, tractor-trailer
- **Secondary source:** Trucks with other mounted machinery, equipment  n.e.c.
## Employer
- **Name:** Great Hills Constructors
- **Location:** HWY 183, AUSTIN, TEXAS, 78759
- **NAICS:** 237310
- **Jurisdiction:** 1
## Narrative

An employee was picking up a traffic closure when an 18-wheeler rear-ended the truck-mounted attenuator (TMA). The impact spun the TMA sideways and forward; it struck the employee before impacting the barrier wall. The employee sustained a concussion to the right side of the forehead and a fractured left femur.

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