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Operator was standing on third rung of 6' step ladder while attempting to open a steam valve with a pipe wrench. They were using one hand on wrench and holding onto an adjacent valve with other hand when valve broke loose and they fell backwards off ladder onto concrete floor. Bruised heel of left foot and lower back. X-rays did not show any fractures.

Employee claims arterial damage in right hand from using index and middle fingers to extend a safety knife blade to cut open paper bags. Injury was first reported as occurring off the job when playing sports, but a work claim was later submitted on 5/31/16. Mine Operator disputes the injury is work-related and has requested an insurance investigation.