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What are the leading causes of serious ladder fall injuries?

On Behalf of | Jun 1, 2026 | Workers' Compensation

Ladders (at least in some form) have probably been around longer than most of the tools and equipment that workers use today. While there have certainly been safety improvements in ladders over the years, they can still be exceptionally dangerous – especially tall ladders that reach to upper levels of buildings.

The National Institute for Occupational Safety and Health (NIOSH) reported that in 2020, almost 23,000 workers were injured in ladder-related workplace accidents. Over 5,000 of those workers were involved in construction or extraction. That year, 161 workers died in falls from ladders.

Employers’ responsibilities for ladder safety

Employers have a responsibility to ensure that their ladders are safe and well-maintained. A single defect or bit of damage can make a ladder dangerous. Ladders need to be regularly inspected for damage and wear. Employers also have a duty to ensure that employees are properly trained in safe ladder use and that safety protocols are always followed. 

Employees also play a role in protecting their own safety and that of their co-workers. It can help to know a bit about other leading causes of workplace ladder falls. 

Placing the ladder at the wrong angle

The recommended placement for a ladder is 75 degrees from the ground. For those who weren’t geometry whizzes back in school, an easier way to measure this is called the “4-foot rule.” Specifically, for every four feet of height, the ladder should be one foot away from the wall or other support. Some 40% of ladder injuries result from an improper angle – usually one that is too steep.

Using the wrong size or duty rating

If a ladder isn’t the correct size (including height) and doesn’t have the correct duty rating for what it’s being used for, the person on it could lack stability. For example, if a worker on a ladder still has to stand on their toes (and maybe have to overextend their arm) to reach something or bend their knees because the ladder is too short, they increase their chances of falling.

Whether a fall was caused by a defective or broken ladder, lack of employer safety protocols or even worker negligence, it’s crucial for those injured in workplace ladder falls and surviving loved ones of those killed to know their options are for obtaining compensation for medical treatment and other expenses and damages. Getting experienced legal guidance is the best first step.