Abstract: At 4:25 p.m. on September 28, 2023, an employee was carrying a bundle of roofing material to the rooftop of the building, up a ladder. From interviews and observations, OSHA inspectors learned that the employee fell when he placed roofing materials on the roof and turned to step back onto the ladder-scaffold that was set just below the gutter of the roof (at approximately 25 feet above the blacktop parking lot below). The employee lost his footing and fell to the pavement below. The employee suffered multiple broken bones, including a depression fracture and a compound fracture to the skull. The employee was killed.