Abstract: At approximately 6:10 a.m., on March 7, 2012, Employee #1 of St. Bernardine Medical Center was involved in an accident that resulted in a right knee replacement surgery. At 6:00 am a call came into the office for assistance to a coworker at a local convalescent home. The call was assigned to Employee #1 by her supervisor. At approximately 6:10 am Employee #1 left the office and walked towards her car. Upon exiting, she used the handicapped walkway ramp to descend into the parking lot. At that time of morning, it was still dark and the ramp was wet from a heavy mist that had been falling during the morning hours. As she walked down the wet ramp holding the hand rail for support, she slipped and fell on her back with her right leg bent back underneath her body.