Abstract: A telephone line worker was replacing a telephone drop to a house. She was working from an 8.5-meter-long extension ladder that was hooked over the telephone suspension strand. As the employee, who was not tied off to the ladder, cut the metal frame on the telephone drop, the strand vibrated and caused her to fall. She sustained a back injury and a fractured left wrist. She was hospitalized for her injuries and received surgery on her left wrist (open reduction with external fixation). She was discharged from the hospital 8 days after the accident and was to undergo follow-up surgery a month later.