39
CPSC NEISS Data 2005–2024

Extension Or Straight Ladders

Twenty years of CPSC NEISS emergency-room records for this consumer product category, combined with demographic breakdowns, multi-year injury trends, and matching recall notices.

Floors, Walls & Ceilings · CPSC Code 4077

Down 37% over 5 years

The verdict

Extension Or Straight Ladders carry a danger score of 39/100 (low risk), driven by roughly 5,348 ER-treated injuries a year that are declining by about 37% over the last five years.

39/100
danger score (low risk)
5,348
ER visits per year (avg)
14.1%
end in hospital admission
45-54
most-injured age group

Every figure is rendered from the CPSC NEISS record for product code 4077 - last data year 2024.

PlainSafety danger score

0/100100/10039/100
PlainSafety danger score

Source: CPSC NEISS danger-score model As of 2024

How this 39/100 score is built

The score is computed from four CPSC-derived factors for extension or straight ladders - no opinion, no editorializing:

  • Injury volume5,348 ER visits/yr
  • Severity (hospitalization rate)14.1%
  • Fatality rate0.00%
  • 5-year trend-37%

See the full methodology for the exact weighting of each factor.

What the CPSC Data Shows

Extension Or Straight Ladders (CPSC product code 4077, in the Floors, Walls & Ceilings category) generate an estimated 5,348 emergency-room visits every year in the United States, adding up to roughly 106,968 ER-treated injuries across the 20-year span from 2005 to 2024. PlainSafety derives a danger score of 39/100 for this category (low risk), combining raw injury volume, demographic reach, severity of outcome, and multi-year trend. The five-year trajectory shows that injury counts are declining by about 37% over the last five years, with the busiest year on record being 2013 (14,328 estimated ER visits) and the quietest 2023 (1,654 estimated visits).

The single most common ER diagnosis for extension or straight ladders is fracture to the upper trunk, accounting for approximately 5,011 visits across the 20-year NEISS window, followed by contusions, abr. to the upper trunk (4,712 cases). The 45-54 age group absorbs the largest share of injuries, about 23,265 cases over the NEISS window, and males appear slightly more often than the opposite sex in that cohort. Severity outcomes from the NEISS disposition field show that 14.1% of ER visits involving this product end in hospital admission or transfer.

Beyond the hospital-sampled NEISS projections, this page also aggregates 49 consumer incident reports filed directly on SaferProducts.gov, plus 20 anonymized ER narratives - together forming a layered picture of how extension or straight ladders fail in real households. Every figure on this page comes from CPSC-published data: NEISS projects national estimates from a probability sample of about 100 U.S. hospital emergency departments, while SaferProducts.gov collects voluntary reports from consumers, manufacturers, and clinicians. The danger score, trend indicators, and demographic breakdowns update automatically when CPSC releases a new yearly NEISS file, which is why this page is dated 2024-12-31. For regulatory context, consult CPSC recall notices and the SaferProducts.gov public database linked below.

5,348
Injuries / Year
14.1%
Hospitalization Rate
0.00%
Fatality Rate

Annual Injury Estimates (2005–2024)

05K10K15K 20052008201120142017202020232024 2K
Estimated annual emergency-room visits for Extension Or Straight Ladders, CPSC NEISS

Source: CPSC NEISS national injury estimates As of 2024

Source: CPSC NEISS national estimates CPSC NEISS national estimates Injuries represent ER-treated cases only

Who Gets Injured?

Age Group Male Female Total
0-4 445 546 991
5-14 737 535 1,272
15-24 4,866 1,112 5,978
25-34 13,426 2,265 15,691
35-44 16,724 4,384 21,108
45-54 18,912 4,353 23,265
55-64 15,620 3,766 19,386
65-74 11,581 1,980 13,561
75+ 5,024 691 5,715

Most Common Injuries

Body Part Diagnosis Est. Injuries
Upper Trunk Fracture 5,011
Upper Trunk Contusions, Abr. 4,712
Head Internal Injury 4,338
Ankle Strain, Sprain 4,080
Lower Trunk Contusions, Abr. 4,043
Lower Trunk Fracture 3,942
Lower Trunk Strain, Sprain 3,776
Lower Trunk Other 3,379
Foot Fracture 3,237
Shoulder Strain, Sprain 2,922
Ankle Fracture 2,717
Head Laceration 2,681
Upper Trunk Other 2,674
Shoulder Contusions, Abr. 2,637
Wrist Fracture 2,375

Severity Breakdown

Treated/examined And Released 85.6% (91,510)
Treated And Admitted/hospitalized 9.0% (9,598)
Treated And Transferred 3.6% (3,816)
Left Without Being Seen 1.0% (1,067)
Held For Observation 0.9% (957)

ER Visit Narratives

Real anonymized emergency room reports from the CPSC NEISS database.

Age 48 · Female · Foot · Contusions, Abr. · 2024

48 YOFINJURED FEET, WHILE MOVING EXTENSION LADDER, THE EXTENSION PART CAME DOWN AND HIT FEET, AT HOME. DX-CONTUSION BILATERAL FEET

Age 65 · Male · Shoulder · Fracture · 2024

65 YOM FELL FROM AN EIGHT FOOT LADDER WHILE HE WAS TRIMMING A TREE AND IMPACTED HIS SHOULDER. DX: SCAPULA FRACTURE, CLAVICLE FRACTURE, EAR LACERATION

Age 73 · Male · Head · Contusions, Abr. · 2024

73YOM WAS APPARENTLY UP ON A LADDER AND FELL STRIKING THE BACK OF HIS HEAD HE SUSTAINED A SCALP CONTUSION WITH ABRASION NO NECK PAIN ALTHOUGH FELT SOME STIFFNESS NO BACK CHEST OF ABDOMINAL PAIN DX: CONTUSION OF SCALP

Age 2 · Female · Not Stated/unk · Other · 2024

2 YOF HAD A LADDER FALL ON HER. DX: STRUCK BY FALLING OBJECT WITH NO INJURIES

Age 49 · Male · Head · Internal Injury · 2024

49YOM STATES HE WAS UP ON A LADDER ROUGHLY 12 FT THE LEG BROKE ON THE LADDER AND THE PATIENT FELL DOWN FROM THE LADDER ROUGHLY 12 FT AND HIT HIS HEAD BAL 298.6 DX: UNSPECIFIED INJURY OF HEAD/STRAIN OF NECK/CONTUSION OF RIGHT WALL OF THORAX/ALCOHOL ABUSE WITH INTOXICATION

Age 79 · Male · Lower Trunk · Other · 2024

79YOM PT REPORTS FELL OFF A LADDER AND HAS LOW BACK PAIN THAT IS CONSTANT, WAS PICKING PECANS AND NOW HAS MORE PAIN. DX: LUMBAR BACK PAIN, AAA W/O RUPTURE, UTI

Age 57 · Male · Head · Internal Injury · 2024

57YOM WAS UP ON A LADDER AND THE LATCHES GAVE AWAYON THE EXTENSION PORTION OF THE LADDER. HE FELL AND HIT HIS HEAD. DX CHI, LACERATION TO HEAD,

Age 70 · Male · Lower Trunk · Fracture · 2024

70YOM, EXTENSION LADDER SLIPPED FELL, C/O LOW BACK TAILBONE PAIN, RIGHT ELBOW PAIN HIT HEAD DX: SACRAL FRATURE, RIGHT ELBOW LACERATION

Age 53 · Male · Face · Laceration · 2024

53 YOM WAS WORKING ON A SECTION LADDER SLIPPED AND AROUND, HIT HIS CHIN ON THE LADDER AND THEN FELL APPROXIMATELY 5 TO 6 FEET LANDING AND LANDED ON HIS BACK. +NECK PAIN, LOW BACK PAIN, CHIN LACERATION. DX: FALL.

Age 78 · Male · Head · Contusions, Abr. · 2024

78YOM, FELL FROM STRAIGHT LADDER X 2 DAYS AGO, HIT HEAD DX: FALL, SCALP CONTUSION, CONCUSSION, CERVICAL STRAIN

Age 46 · Male · Upper Trunk · Contusions, Abr. · 2024

46YOM, FELL OFF 12 FOOT LADDER C/O SHOULDER, HIP & RIB PAIN DX: FALL, RIB CONTUSION, SHOULDER SPRAIN, NAIL AVULSION TOE, NSAID ALLERGY

Age 52 · Female · Hand · Contusions, Abr. · 2024

52YOF STATES THAT SHE WAS USING A NEW COLLAPSIBLE LADDER WHEN THE LADDER COLLAPSED AND CRUSHED HER LEFT HAND TO DX: CONTUSION OF LEFT HAND

Consumer Incident Reports

Reports filed by consumers on SaferProducts.gov.

9/28/2024 · Injury, Hospital Admission · OLD LADDER COMPANY · Nevada

I was up.on the 20ft Aluminum D1120-2 extention ladder max weight allowed was 200lbs ( I was 125lbs) I had the ladder extended 17 feet up and was standing on the 6th rung from the top fly section all the sudden I heard a cling noise so I decided to get back off the ladder so I stepped down the next rung (7th) and the ladder started pulling away from the wall and was bending towards me. The ladder then tore apart and tore open the drywall on the home I was working at I then was flipped around with my foot between the rungs and the ladder we t down causing me to fall and broke my left talus bone in my foot my foot was turned the wrong way and arched like up on my tip toes, I ladder on the ladder with it broken on top half and my back against the wall. I hurt my back badly and cut my elbow it was very scary and I could have died. After years of surgeries I now have had to have part of my leg amputated in 2014. My career as a house painter is over and live off disability which isn't enough to support myself.

9/26/2025 · Incident, No Injury · Werner Co · Florida

keller industries all aluminum ladder. during regular use one of the lower treads collapsed apparently due to corroded rivets. No major injury resulted from this incident however this issue with the thread rivets may likely cause more serious injuries. Have photos in support of this incident.

9/25/2014 · Injury, Emergency Department Treatment Received · Werner Co · North Carolina

Monday, September 22nd, 2014 the caller was on his 24 ft ladder purchased in June 2006 picking apples when the ladder broke 5 ft from the top sending him to the dirt ground. He lost consciousness briefly (possibly 15 minutes) when he awoke his wife advised him to contact his son in law who took him to the VA Hospital in Johnson City TN emergency room. He was not admitted but was examined, ex-rayed, diagnosed with broken left ankle, badly sprained right ankle. His knees are scraped up but the right knee and elbow are the more painful. A few small bruises are on various parts of his body. He contacted the manufacturer on Tuesday, September 23rd, 2014 and received a return call this morning September 25th, 2014. He did not obtain the name of the representative that returned his call but she advised him to send pictures of the ladder to her. He will also send pictures when he returns this report.

9/21/2022 · Injury, Hospital Admission · WING ENTERPRISES · New York

Attorney representing client stated that the Little Giant Leveler Type 1A Ladder (adjustable ladder) made exclusively for [REDACTED] failed unexpectedly similar to the recalled ladder failures involved in CPSC Recall #17-113 dated 03/23/2017. The ladder's rapid lock fasteners failed after the client adjusted them when suddenly the ladder collapsed while the client was on the ladder in August 2021 and was preparing to adjust the video camera's in his wife's store. The client sustained a fracture to his left wrist and required surgery that included pins and screws to repair his injury. The client also sustained contusions to his leg. The attorney hired an expert who tested the ladder and revealed that all of the rapid lock fasteners failed on the entire incident unit. The attorney has detailed photographs and a video of the incident. The client has limited use of his left hand and wrist.

9/21/2019 · Injury, Seen by Medical Professional · Werner Co · South Carolina

When using the extension ladder the structural integrity of the last side failed causing me to fall approximately 10 feet. I went to have x-rays performed but they found no fractures and no brakes but since have experienced severe low back pain as well as neck pain since the fall since learning of the recall I'm now returning my ladder go home Depot . Something should have been done to let the public know this danger without having the research Werner ladder recalls on my own.

9/17/2018 · Injury, First Aid Received by Non-Medical Professional · Werner Co · Alabama

Hello, I just wanted to write you real quick. I recently purchased a Werner-MTIAA-Aluminum-22-ft-Reach-Type-1AA-375-lbs-Capacity-Telescoping-Multi-Position-Ladder from Lowe's Home Improvement store. I paid $178 and was very excited to have a versatile utility ladder that could meet all my personal needs. I purchased it on July 25th, 2018; not two months yet. So far I've only used it for two things: getting into my attic through the man hole in our garage ceiling and for installing some directional antennas on the side of our house for our 4G wireless internet. Today, I was very disappointed, a little scared, and injured on the ladder from Werner and can't believe something like this would happen on a practically brand new ladder... I had to remove the antennas I had previously installed because we decided to go a different route with our internet services. So I brought the ole ladder around the house, opened it out all the way straight and ensured the clips locked in place, and then I extended the telescoping on each side equally to achieve the desired height I needed. I am always a little nervous on ladders because I've heard and read lots of horror stories, my brother in law actually had a close friend who passed away from falling off a ladder. So I made sure that everything was used properly on your ladder, everything was locked in place, and the C clamps from the telescoping part were secured inside the holes for my desired height. I got almost to the top of the ladder as I began to feel something give and then completely release. The aluminum metal broke and bended at one of the ends where the telescoping part comes out. It's kinda hard to explain through a message so I took pictures. I was lucky that I was able to fall over to the right side where there was nothing in the way like the wooden fence on my left. I fell about 10-12ft from the ladder but I only came out with missing a small chunk of flesh from my right thumb as it caught on the metal whil

9/12/2011 · Injury, Level of care not known · LOUISVILLE LADDER INC · Washington

Consumer stated that while using the ladder extended to 16ft the locks didnot hold causing the ladder to collapsed which caused her to fall to the floor, she received injuries to her back and to the right of her ribs, sprained left foot, torn ligaments to her right foot and bruises to both elbows. She was not taken to the hospital or received any medical attention. Consumer stated that she will be making an appointment to visit a physician. 9/6/11 Consumer stated that she contacted the manufacturer and was advised that someone would contact her, but no one had as yet. Consumer is concerned that this ladder is a safety hazard and should be reported.

8/23/2025 · Injury, Emergency Department Treatment Received · Vevor Corporation · California

Ladder malfunctioned while i was using it which caused me significant physical harm.

Showing 8 of 49 reports.

Product Recalls

Search for active and past recalls related to extension or straight ladders on the CPSC website.

Frequently Asked Questions

How dangerous are extension or straight ladders?

Based on 20 years of CPSC data, extension or straight ladders have a danger score of 39/100 (low risk). An estimated 5,348 ER-treated injuries occur annually in the U.S. related to this product category.

What are the most common injuries from extension or straight ladders?

The most common injury is fracture to the upper trunk, accounting for approximately 5,011 injuries over 20 years.

Are injuries from extension or straight ladders increasing or decreasing?

Down 37% over 5 years.

Who is most at risk for extension or straight ladders injuries?

The 45-54 age group accounts for the most injuries, with approximately 23,265 cases recorded over 20 years. Males are more frequently injured in this age group.

What happens when someone is injured by extension or straight ladders?

Of all ER visits involving extension or straight ladders, approximately 14.1% result in hospital admission. The majority of patients (85.9%) are treated and released from the emergency department.

How can I report a safety problem with extension or straight ladders?

You can file a consumer incident report at SaferProducts.gov, the official CPSC reporting portal. Reports help the CPSC identify emerging hazards and trigger investigations or recalls. You can also call the CPSC hotline at 1-800-638-2772.

Safety Guides

What this means for you

Treat the 39/100 score as relative risk between products, not your personal odds of injury.

  • See where this category ranks against every other tracked product. Full rankings
  • Injuries cluster in the 45-54 age group, take extra care if that describes your household.
  • Check for active recalls on this product before you assume it is safe. CPSC recalls

NEISS estimates ER-treated injuries from a national probability sample of hospitals; they do not capture injuries treated elsewhere or not treated at all.

Data: CPSC National Electronic Injury Surveillance System (NEISS) 2005–2024 and SaferProducts.gov consumer incident reports. Injury estimates are based on a nationally representative probability sample of U.S. hospital emergency departments. This page is for informational purposes only and is not affiliated with the CPSC.