Abstract: On January 5, 2012, Employee #1, with Integrated Cleaning Solutions, Inc., was performing janitorial services in the Laurel Court Restaurant and Bar in the Fairmont San Francisco hotel. He was standing approximately 5 ft up an 8 ft ladder, stabilizing a 400 lb chandelier, while his supervisor cleaned it with an extended cleaning tool from the ground. When the ladder started to shake, Employee #1 grabbed onto the chandelier. The chandelier became detached and fell onto Employee #1, the supervisor, and a third worker. All three were transported to San Francisco General Hospital, where Employee #1 was admitted for wrist, shoulder, and head fractures. The other two workers were treated and for minor injuries and released.