Abstract: At 5:00 p.m. on November 13, 2015, Employee #1, employed by a construction and roofing company, was performing roofing work at a multifamily residential building. He was climbing a fixed access ladder from the building's third story landing to a roof hatch when he fell, a fall height of 27 feet. Emergency services were called, and Employee #1 was transported to the hospital, where he was admitted and treated for a subdural hematoma and fractures to both ankles. Employee #1 was in a coma for 9 hours. He then was declared brain dead. An autopsy was not performed due to organ retrieval. According to the subsequent investigation, there were no witnesses to the fall. A police detective stated that Employee #1 slipped and fell backwards off the ladder and over the 34-inch high landing railing. He then hit the second to third story stair railing, which sheared at the securing bolts, and continued to plummet, finally hitting the roof of a Ford F-150 pickup truck parked below.