On September 5, 2005, a 27-year-old male construction laborer died after falling approximately 10 feet from a ladder and landing on a gatepost. The decedent was removing aluminum siding while standing on an aluminum ladder on the west side of a house he and his two coworkers were remodeling. The ladder was positioned over a cyclone gate and fence of a neighboring home. It appears that while he was removing the siding, he lost his balance and fell. One of his coworkers, who was carrying debris to the dumpster on east side of the home, heard the decedent moan. He returned to the decedent's work location and found the decedent's midsection folded over the gate. The decedent's head and legs were not touching the ground. His midsection was lying across the end cap of the gate, which was about two inches higher than the gate's top bar. He was also lying across a small nut and bolt, which was about one inch above the top bar. The ladder the decedent was working from was standing against the house, still positioned over the gate. The decedent rolled off the gate and landed on the ground. The decedent told his coworker to call 911. His coworker panicked and began to yell for help. A neighbor heard the calls for help and called 911. Passersby provided emergency first aid until emergency response arrived. The victim was transported to a local hospital where he was declared dead. Recommendations: 1. Construction employers should consider using scaffolds or other work platforms to work from instead of ladders. 2. Employers should be familiar with safe ladder use and train their employees to follow safe ladder use procedures. 3. Employers should ensure that at least one person on the jobsite is certified in First Aid/CPR, should strongly consider having an individual certified as a Medical First Responder or Emergency Medical Technician (EMT), and hold at least semi-annual workplace rescue/first aid practices. 4. Homeowners should inquire whether their potential building/remodeling contractors are licensed to perform the contracted work and licensed builders should offer to present their pocket card with their license number.