# Skull fracture and intracranial injury at American Petroleum Sales and Services, Inc.
> OSHA SIR `20181010641` · 10/16/2018 · OLIVE BRANCH, MISSISSIPPI
## Severity
- **1 hospitalization**
- **Body part:** Brain
- **Nature of injury:** Skull fracture and intracranial injury
## Cause
- **Event:** Other fall to lower level 6 to 10 feet
- **Source:** Extension ladders
- **Secondary source:** Floors, walkways, ground surfaces, unspecified
## Employer
- **Name:** American Petroleum Sales and Services, Inc.
- **Location:** 8400 Industrial Rd, OLIVE BRANCH, MISSISSIPPI, 38654
- **NAICS:** 423850
- **Jurisdiction:** 1
## Narrative

An employee was performing a test on a diesel fuel tank that is 10 feet high. He used an extension ladder to reach the top of the tank. While descending the ladder, he fell 9 feet to the ground and struck his head, suffering a concussion and skull fracture. The ladder was not tied off at the time of the incident.

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