Abstract: At 3:09 p.m. on April 10, 2019, Employee #1, employed by a resort hotel, was tasked with replacing skylights and metal roof panels on the roof of a one-story horse stable. As the employee removed an existing roof panel below a skylight, an unsupported piece of foam board was exposed. The employee stepped onto the foam board and fell into the stable, a fall height of 13 feet. The employee was not using any fall protection. Emergency services responded, and the employee was evacuated by air to the hospital. He was admitted and treated for a fractured pelvis, multiple fractured ribs, and fractures to the spine.