Abstract: On Decemebr 9, 2003, Employee #1 was working on the second floor of a new house under construction when he told his foreman that he was feeling dizzy. He began climbing down an 8 ft stepladder to the first floor when he fell approximately 5 ft to the bottom, striking his head against a lumber pile. The cause of Employee #1's fall was an epileptic seizure, a problem he had experienced since he was 6years old. The staircase to reach the second floor had not yet been installed and the stepladder did not extend at least 3 ft above the level of the second floor. In addition, its top step was being used as a way to access the second floor level.