Abstract: On September 13, 2023, an employee working as a roofer for a roofing contractor fell and slid off a roof. The employee had been walking between the ladder and the fall protection rope in order to complete the personal fall protection system. The employee struck a piece of plywood leaning against the house before landing on the ground below. The employee had a visible bruise on his head but he did not sustain any life-threatening traumatic injuries in the fall. The employee was part of a six-person crew and weather conditions were not a contributing factor. The employee was pronounced dead on the scene. His death was ruled as natural causes with hypertensive and atherosclerotic heart disease.