Two construction firms have been fined a total of £125,000 after a worker fell more than 60ft (20m) from a hospital building site in Newcastle.
Steven McColgan, 37, from Edinburgh, was seriously hurt when he fell at the Royal Victoria Infirmary (RVI) in 2006.
Laing O'Rourke Construction and Expanded Structures, both based in Kent, admitted health and safety breaches at Newcastle Crown Court.
The case was brought by the Health and Safety Executive (HSE).
The court heard Mr McColgan had been working on the building site of a new hospital block when part of an unsupported platform broke away when he stepped on it in October 2006.
He suffered multiple injuries to his head and body, which the court was told, continued to be "life-changing".
A subsequent HSE investigation revealed that supports for the platform Mr McColgan had been using had been mistakenly removed.
Both companies, which are based at Crossways in Kent, pleaded guilty to breaching the Health and Safety at Work Act 1974.
Laing O'Rourke Construction was fined £50,000 and ordered to pay costs of £13,756.
Expanded Structures Ltd was fined £75,000 and ordered to pay costs of £14,154.