# Fractures and dislocations at Builders First Source
> OSHA SIR `2020021294` · 2/10/2020 · GEORGETOWN, TEXAS
## Severity
- **1 hospitalization**
- **Body part:** Shoulder(s) and back
- **Nature of injury:** Fractures and dislocations
## Cause
- **Event:** Other fall to lower level 6 to 10 feet
- **Source:** Rail car(s)-unattached to locomotive
- **Secondary source:** Floors, walkways, ground surfaces, unspecified
## Employer
- **Name:** Builders First Source
- **Location:** 300 Leandra Rd, GEORGETOWN, TEXAS, 78626
- **NAICS:** 238120
- **Jurisdiction:** 1
## Narrative

An employee was unloading lumber from a railcar. Railcars have ladders welded to each side for employees to enter/exit. The employee was climbing down one of the railcar ladders and slipped and fell between 6 and 8 feet to the ground. The employee suffered a fractured back, dislocated shoulder, and laceration to the top of the head.

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