Abstract: At 3:45 p.m. on October 7, 2020, an employee working as a laborer for a masonry contractor was descending an extension ladder from the second floor. The employee was attempting to reach the first floor of the building. Most of the employee's coworkers had already gone home for the day. The employee was assisting Coworker #1 (foreman) before leaving for the day. Coworker #1 told the employee to go home at which time the employee was carrying a bag with unknown items. The ladder was in good repair and the concrete surface did not have visible markings. The ladder extended three feet above the eave and was secured at the top. Coworker #2 who was located at the ground level heard moaning and found the employee injured. The employee had fallen from the ladder to the concrete surface below, but no one witnessed the fall. Coworker #1 and Coworker #2 stated that they did not hear screams or any other noises indicative of a fall off a ladder prior to the accident. The employee fractured his pelvis, left orbital at the cheek, arm and snapped both wrists and was hospitalized. The employee required screws in his left arm and a metal plate on the left side of his face.