Stepladders
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.
Home Furnishings & Fixtures · CPSC Code 618
Stable over 5 years
The verdict
Stepladders carry a danger score of 43/100 (moderate risk), driven by roughly 13,161 ER-treated injuries a year that are roughly flat over the last five years.
- 43/100
- danger score (moderate risk)
- 13,161
- ER visits per year (avg)
- 11.9%
- end in hospital admission
- 65-74
- most-injured age group
Every figure is rendered from the CPSC NEISS record for product code 618 - last data year 2024.
PlainSafety danger score
How this 43/100 score is built
The score is computed from four CPSC-derived factors for stepladders - no opinion, no editorializing:
- Injury volume13,161 ER visits/yr
- Severity (hospitalization rate)11.9%
- Fatality rate0.02%
- 5-year trend+2%
See the full methodology for the exact weighting of each factor.
What the CPSC Data Shows
Stepladders (CPSC product code 618, in the Home Furnishings & Fixtures category) generate an estimated 13,161 emergency-room visits every year in the United States, adding up to roughly 263,221 ER-treated injuries across the 20-year span from 2005 to 2024. PlainSafety derives a danger score of 43/100 for this category (moderate risk), combining raw injury volume, demographic reach, severity of outcome, and multi-year trend. The five-year trajectory shows that injury counts are roughly flat over the last five years, with the busiest year on record being 2024 (17,326 estimated ER visits) and the quietest 2012 (10,637 estimated visits).
The single most common ER diagnosis for stepladders is internal injury to the head, accounting for approximately 21,699 visits across the 20-year NEISS window, followed by fracture to the lower trunk (12,924 cases). The 65-74 age group absorbs the largest share of injuries, about 54,147 cases over the NEISS window, and females appear slightly more often than the opposite sex in that cohort. Severity outcomes from the NEISS disposition field show that 11.9% of ER visits involving this product end in hospital admission or transfer, and a small fraction (0.02%) result in fatality.
Beyond the hospital-sampled NEISS projections, this page also aggregates 67 consumer incident reports filed directly on SaferProducts.gov, plus 20 anonymized ER narratives - together forming a layered picture of how stepladders 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.
Annual Injury Estimates (2005–2024)
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 | 2,873 | 2,085 | |
| 5-14 | 2,393 | 1,866 | |
| 15-24 | 4,319 | 4,239 | |
| 25-34 | 9,436 | 10,297 | |
| 35-44 | 14,961 | 15,261 | |
| 45-54 | 19,924 | 19,931 | |
| 55-64 | 24,609 | 29,392 | |
| 65-74 | 26,511 | 27,636 | |
| 75+ | 22,985 | 24,502 |
Most Common Injuries
| Body Part | Diagnosis | Est. Injuries |
|---|---|---|
| Head | Internal Injury | |
| Lower Trunk | Fracture | |
| Upper Trunk | Fracture | |
| Wrist | Fracture | |
| Lower Trunk | Contusions, Abr. | |
| Upper Trunk | Contusions, Abr. | |
| Lower Trunk | Other | |
| Ankle | Strain, Sprain | |
| Lower Trunk | Strain, Sprain | |
| Knee | Strain, Sprain | |
| Head | Laceration | |
| Lower Leg | Fracture | |
| Ankle | Fracture | |
| Foot | Fracture | |
| Lower Arm | Fracture |
Severity Breakdown
ER Visit Narratives
Real anonymized emergency room reports from the CPSC NEISS database.
84YOM WAS ON A STEP LADDER AND FELL OFF THE 2ND STEP ONTO THE CONCRETE ONTO HIS LEFT SIDE DX: TRAUMATIC SUBARACHNOID HEMORRHAGE/LACERATION OF THE HEAD/LACERATION OF LEFT ELBOW
55YOM FOR EVAL AFTER FALL INJURY. PT FELL YESTERDAY OFF A STEPLADDER WHERE HE WAS APPROX 3-4 FT OFF THE FLOOR & HIT A TABLE WITH HIS CHEST AS HE FELL. ONLY OTHER COMPLAINT IS PAIN IN HIS RIGHT WRIST. OCCURRED AT HOME. DX: MULTIPLE CONTUSIONS
77YOF STS R WRIST PAIN AFTER FELL OFF STEP LADDER AT HOME DX WRIST CONTUSION
37YOM - PATIENT PRESENT FOR FALL. PT FELL FROM A LADDER WITH 6 STEPS. NO LOC. PT C/O LEFT FOOT AND RIGHT HIP PAIN. DX: PAIN IN JOINT INVOLVING ANKLE AND FOOT.
84 YOM R THIGH PAIN GOING UP AND DOWN STEP LADDER AT HOME DX; THIGH PAIN
60YOF WAS COMING DOWN A STEP LADDER WHEN FELL OFF SECOND STEP DX:FRACTURED LOWER LEG
53YOM WAS STANDING ON A 6 FOOT TALL STEPLADDER, APPROXIMATELY 4-1/2 TO 5 FEET OFF OF THE GROUND WHEN THE LADDER TIPPED TO THE SIDE, AND HE FELL TO THE GROUND, LANDING ON HIS RIGHT SIDE. HE HAD IMMEDIATE ONSET OF RIGHT SHOULDER PAIN AND AN ABRASION TO HIS RIGHT FOREHEAD DX: ANTERIOR DISLOCATION OF RIGHT SHOULDER
83YOF PATIENT REPORTS SHE WAS ON A STEP LADDER AND SLIPPED AND FELL HITTING THE LEFT SIDE OF HER HEAD, COMPLAINING OF LUMBAR BACK PAIN AND BILATERAL HIP PAIN DX: FALL
84YOM HAD A FALL YESTERDAY OFF OF A STEP LADDER AND TODAY DEVELOPED SEIZURE ACTIVITY DX: NEW ONSET SEIZURE; FALL NO INJURY
66YOM PATIENT WAS ON A STEPLADDER WHEN HE SLIPPED FALLING DIRECTLY ONTO HIS HEAD DX: LACERATION OF SCALP
74YOM FELL OFF STEP LADDER AT HOME STRIKING CHEST DX:RIB FRACTURES
70YOF HAD FALL OFF OF A STEP LADDER STRIKING HER RIGHT KNEE DX: CONTUSION KNEE, LACERATION LEFT THUMB
Consumer Incident Reports
Reports filed by consumers on SaferProducts.gov.
Working on a Werner model ALMP-20IAA ladder configured in the step-ladder mode when the rope side locking mechanism broke and the ladder fell. I suffered displaced fractures of my right arm requiring surgery for internal fixation of the ulna and radius head replacement as well as contusions and soft tissue injuries to my head, right hip and leg, and left hand, and a broken nose. Injuries left me with chronic pain, limited range of motion in my right arm and left fingers, numbness in my right hand and forearm and sinus issues.
fixing awning on my motorhome when bottom of ladder leg supports gave out, resulting in falling and breaking arm. Fiberglass coating splintered resulting aluminum folding.
was using my Davidson step ladder #592-61 and the metal straps the hold the legs apart broke and the ladder fell with me on the 4th step. I fell baekwards and broke my right wrist in 2 places and was taken to hospital so now I have medical bills of over $5000.00 I can't pay
I own a Keller Modle 910 10 foot stepladder. It is a Yellow Line Industrial Type I unit with a part number of 421Y-10. The ladder is rated at 250lbs. I weigh 180lbs. I was working on the ladder in my yard when, without any warning, the second from the top rung let go. I was lucky and landed on the next rung down in a sitting position.
I was using the step ladder to reach items that were on the top of my kitchen cupboards. I keep the ladder in the closet on my patio, and am familiar with using it. I opened it as I normally did, and heard the click that told me it the latch was engaged. I retrieved my item and stepped down to the second step and the step collapsed. The entire ladder tried to fold back up. I fell from the second step and landed on my bottom, using my left hand to brace me. There was a plastic trash container behind me that I fell into, which left a large bruise on the back of my arm, as well as tingling and numbness on the left side of my body (I fell more to the left side of my body - I was holding a large glass bowl in my right hand. The bowl didn't survive the fall.). Although I did not seek medical attention when it happened, I do plan on seeing my primary care physician because of numbness and tingling in both arms, especially on the left side.
I purchased a Little Giant Mega Max ladder ( product date code: 10272S) from Costco in [REDACTED] in April of 2017. Last week on 8/3/2017 at my home in [REDACTED] I experienced a failure in the ladder's locking mechanism which resulted in a severe bodily injury. I had deployed the ladder in the extension ladder configuration when the locking mechanism disengaged and the ladder slide downward and twisted in one motion. In that sudden movement my right ankle was caught between the twisted rungs of the ladder and I simultaneously hit the ground awkwardly with the rung of the ladder striking my shin. The resulting injury was a fracture of my ankle, that will now require a surgical repair. I believe a further Investigation should be undertaken to reduce risk for other consumers. Regards [REDACTED] [REDACTED] [REDACTED]
To whom it may concern: On July 13 2012 I was painting on your ladder at the [REDACTED], in Lake Ariel Pa. 18436. This ladder was a new ladder bought specifically for painting. I was on the second to the top step when the ladder twisted somehow and went out from underneath me. I fell backwards about 8 to 9 feet in the air and landed on the concrete floor. I injured the whole right side of my body. I knocked the wind out of myself and couldn't breathe for a while. When I got my wind back the pain was unbelievable. My right arm swelled up like a balloon, there was pain in my ribs and lower back. The ambulance took me to the hospital because they thought I had a broken arm. The x rays showed I didn't have any broken bones which was a miracle. What I did have was a lot of pain. I couldn't bend my arm for two or three days to eat, that's how bad this was. I still can't use my arm fully, and to this day I still have a lump on it. I believe this ladder is a bad design and should be fixed before somebody gets hurt really bad I was lucky, if you want to call it that that I didn't break my back or get killed falling that far on to a concrete floor. Your ladder has metal braces on every step except under the bottom step which is the most important to stabilize the ladder and it has a plastic brace. I believe this is what caused the ladder to twist. This ladder, like I said, was on a concrete floor which was perfectly level. I am enclosing pictures of your ladder showing how it cracked at the bottom and along the seam. This is a fiber glass ladder and should have never done this. The bottom aluminum step is also split.
Yesterday morning (15 Aug 2017) I was standing on our Werner 6 foot Type II Medium Duty/Commercial use non-conductive Fiberglass stepladder. When suddenly it collapsed under me in a split second throwing me off to the right. Both cross braces had bowed with vertical cracks in the fiberglass appearing where the cross braces are attached to the ladder. The skin on the back portion of my right elbow was shaved off apparently by the bowed out cross brace on the right side of the steps as I fell to the ground. I also hit my head on a lawn border brick. I was taken to the local emergency room by ambulance where my complex lacerations were sewed up. I have always been safety conscience and ensured the ladder was fully deployed and on level ground. I weighed 231 pounds yesterday which is 6 pounds over the specified weight limit of 225. I believe I was standing on the third step from the ground and in the process of moving to the fourth step.I do have pictures of the ladder following its collapse, but am having trouble uploading them to your site due to the special Flash Player requirement. This morning I spoke with an individual in the construction business regarding my accident yesterday. He informed me the construction company he was with threw out this stepladder as soon as it reached five years old. Apparently, they were aware that the fiberglass in this ladder tends to lose its strength and fatigue over time resulting in this type of accident. My ladder was probably about eighteen to nineteen years old. The individual looked at my damaged ladder and said the same thing had happened to him where the cross-braces suddenly buckle outward, and their attachment points in the fiberglass exhibit vertically running cracks.
Showing 8 of 67 reports.
Product Recalls
Search for active and past recalls related to stepladders on the CPSC website.
Frequently Asked Questions
How dangerous are stepladders?
Based on 20 years of CPSC data, stepladders have a danger score of 43/100 (moderate risk). An estimated 13,161 ER-treated injuries occur annually in the U.S. related to this product category.
What are the most common injuries from stepladders?
The most common injury is internal injury to the head, accounting for approximately 21,699 injuries over 20 years.
Are injuries from stepladders increasing or decreasing?
Stable over 5 years.
Who is most at risk for stepladders injuries?
The 65-74 age group accounts for the most injuries, with approximately 54,147 cases recorded over 20 years. Females are more frequently injured in this age group.
What happens when someone is injured by stepladders?
Of all ER visits involving stepladders, approximately 11.9% result in hospital admission. The majority of patients (88.1%) are treated and released from the emergency department.
How can I report a safety problem with stepladders?
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.
Related Products in Home Furnishings & Fixtures
Safety Guides
What this means for you
Treat the 43/100 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 65-74 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.
Read our methodology - how this data is sourced, scored, and verified.