Abstract: At approximately 9:40 a.m. on February 13, 1995, Employee #1 was in the aft section of the Blue Narwhal Vessel taking and marking measurements for a helicopter platform. He was standing on a 2 ft high step-on ladder and/or on the 40 in. high cap rail for the railing when he lost his balance and fell 17 ft to the concrete slab of a floating dock. He was assisted and transported by Med-Star to Memorial Medical Center, where he died of multiple fractures and internal injuries on February 15, 1996. Employee #1 was not using or provided with personal protective equipment such as safety belts or lifelines.