# Internal injuries to organs and blood vessels of the trunk at Metro Express Car Wash
> OSHA SIR `20181111373` · 11/5/2018 · COEUR D ALENE, IDAHO
## Severity
- **1 hospitalization**
- **Body part:** Abdomen, except internal location of diseases or disorders
- **Nature of injury:** Internal injuries to organs and blood vessels of the trunk
## Cause
- **Event:** Other fall to lower level, unspecified
- **Source:** Step ladders
- **Secondary source:** Car or vehicle washing machinery
## Employer
- **Name:** Metro Express Car Wash
- **Location:** 3131 N Conference Dr, COEUR D ALENE, IDAHO, 83815
- **NAICS:** 811192
- **Jurisdiction:** 1
## Narrative

An employee was standing on a stepladder in a car wash tunnel, wiping down a stainless steel structure and air cylinder with a cloth. The passenger-side grill brush came into contact with the employee's ladder as it pulled away from a vehicle, throwing him to the ground. He landed on his left side and suffered lacerations to the spleen. He was hospitalized.

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