CPSC NEISS · code 618

Stepladders

Stepladders: danger rank #84 of 838 is not ER-volume rank #172 of 838 (13,161 estimated ER visits a year; roughly flat over the last five years).

Home Furnishings & Fixtures CPSC NEISS through 2024

Danger score versus ER volume

Danger score versus ER volume

According to CPSC NEISS 2005-2024, Stepladders ranks #84 of 838 by danger score (43/100) at ER-volume #172 of 838 (13,161/yr). They are not the same ranking.

#84
danger rank of 838
#172
ER-volume rank of 838
43/100
danger score
13,161/yr
estimated ER visits (avg)

Danger score combines injury volume, hospitalization, fatality, and five-year trend. ER volume is the average annual NEISS estimate alone. Rank 1 is highest on each list.

Where this category's danger score sits nationally

Danger score (43/100) across 838 scored CPSC product categories

43 Higher than most more dangerous than 88% of 838 product categories

scored CPSC product categories, bucketed by value

Each bar is a band; taller bars hold more product categories. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source CPSC NEISS, PlainSafety danger-score model · 2024

Composite verdict

Composite Safety Score: 77/100

One verdict blending 4 independently-sourced dimensions from two separate CPSC systems, each benchmarked against all 838 scored product categories by percentile rather than raw value, so no single huge-volume category can dominate the scale.

D
Dimension Value National percentile Weight applied Source
Injury severity (hospitalization + fatality blend) 12 81st 35% CPSC NEISS 20-year severity index
Annual ER injury volume 13,161 77th 30% CPSC NEISS estimated annual ER-treated injuries
5-year injury trend +2% 68th 15% CPSC NEISS 5-year % change in ER-treated injuries
Consumer incident reports 67 77th 20% CPSC SaferProducts.gov public incident report count

Methodology: each dimension is ranked against the full population's p10/p25/p50/p75/p90 breakpoints and interpolated to a 0-100 percentile; the composite is the weighted average of available percentiles. See methodology for the full benchmark table.

Where 263,202 estimated ER injuries land on the body

Body-part shares from the same CPSC NEISS injury_types extract for product code 618. Segments sum to 263,202 - a body-map mix, not a danger score or ER-volume rank.

Two danger lenses

Same-group peer scores and this product's dial

The bars compare PlainSafety danger scores inside the Home Furnishings & Fixtures group (same CPSC NEISS extract). The dial is this product's score alone on the Low/Moderate/High bands. Do not read a peer bar as an ER-visit count.

Home Furnishings & Fixtures danger scores

1. Toilets57/1002. Rugs Or Carpets, Not Spec…50/1003. Bathtubs Or Showers50/1004. Recliner Chair49/1005. Sofas, Couches, Davenport…47/1006. Blankets, Not Specified46/1007. Hot Tubs Or Home Spas45/1008. Stepladders43/100
Higher score = higher composite danger in this group. Peer set is other scored products sharing the same CPSC group.
0/100100/10043/100
PlainSafety danger score · Stepladders

Source: CPSC NEISS danger-score model As of 2024

How this 43/100 score is built

The score is computed from four CPSC-derived factors for stepladders - no opinion, no editorializing:

  • Injury volume 13,161 ER visits/yr High volume
  • Severity (hospitalization rate) 11.9% High admission rate
  • Fatality rate 0.02% Low fatality rate
  • 5-year trend+2%

Band labels compare this category against the corpus of 838 scored CPSC product categories, see the full methodology for the exact weighting of each factor.

What the CPSC Data Shows

Across the 20-year NEISS window from 2005 to 2024, injury counts for stepladders 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 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)

10K12K14K16K18K 20052008201120142017202020232024 17K
Estimated annual emergency-room visits for Stepladders, CPSC NEISS

Source: CPSC NEISS national injury estimates As of 2024

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

Who Gets Injured?

Age Group Male Female Total
0-4 2,873 2,085 4,958
5-14 2,393 1,866 4,259
15-24 4,319 4,239 8,558
25-34 9,436 10,297 19,733
35-44 14,961 15,261 30,222
45-54 19,924 19,931 39,855
55-64 24,609 29,392 54,001
65-74 26,511 27,636 54,147
75+ 22,985 24,502 47,487

Most Common Injuries

Body Part Diagnosis Est. Injuries
Head Internal Injury 21,699
Lower Trunk Fracture 12,924
Upper Trunk Fracture 12,283
Wrist Fracture 12,094
Lower Trunk Contusions, Abr. 12,012
Upper Trunk Contusions, Abr. 11,547
Lower Trunk Other 9,790
Ankle Strain, Sprain 9,781
Lower Trunk Strain, Sprain 8,541
Knee Strain, Sprain 7,946
Head Laceration 6,725
Lower Leg Fracture 6,584
Ankle Fracture 6,099
Foot Fracture 5,504
Lower Arm Fracture 5,504

Severity Breakdown

Treated/examined And Released 86.3% (227,115)
Treated And Admitted/hospitalized 10.2% (26,771)
Treated And Transferred 1.9% (5,044)
Left Without Being Seen 1.0% (2,715)
Held For Observation 0.5% (1,377)
Unknown, Not Stated 0.0% (120)
Fatality Incl. Doa, Died In Er 0.0% (60)

ER Visit Narratives

Real anonymized emergency room reports from the CPSC NEISS database.

Age 84 · Male · Head · Internal Injury · 2024

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

Age 55 · Male · Upper Trunk · Contusions, Abr. · 2024

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

Age 77 · Female · Wrist · Contusions, Abr. · 2024

77YOF STS R WRIST PAIN AFTER FELL OFF STEP LADDER AT HOME DX WRIST CONTUSION

Age 37 · Male · Ankle · Other · 2024

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.

Age 84 · Male · Upper Leg · Other · 2024

84 YOM R THIGH PAIN GOING UP AND DOWN STEP LADDER AT HOME DX; THIGH PAIN

Age 60 · Female · Lower Leg · Fracture · 2024

60YOF WAS COMING DOWN A STEP LADDER WHEN FELL OFF SECOND STEP DX:FRACTURED LOWER LEG

Age 53 · Male · Shoulder · Dislocation · 2024

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

Age 83 · Female · Lower Trunk · Other · 2024

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

Age 84 · Male · Not Stated/unk · Other · 2024

84YOM HAD A FALL YESTERDAY OFF OF A STEP LADDER AND TODAY DEVELOPED SEIZURE ACTIVITY DX: NEW ONSET SEIZURE; FALL NO INJURY

Age 66 · Male · Head · Laceration · 2024

66YOM PATIENT WAS ON A STEPLADDER WHEN HE SLIPPED FALLING DIRECTLY ONTO HIS HEAD DX: LACERATION OF SCALP

Age 74 · Male · Upper Trunk · Fracture · 2024

74YOM FELL OFF STEP LADDER AT HOME STRIKING CHEST DX:RIB FRACTURES

Age 70 · Female · Knee · Contusions, Abr. · 2024

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.

9/8/2025 · Injury, Hospital Admission · Werner Co · Virginia

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.

9/5/2018 · Injury, Emergency Department Treatment Received · Werner Co · Florida

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.

9/18/2012 · Injury, Emergency Department Treatment Received · LOUISVILLE LADDER INC · Arizona

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

8/3/2011 · Injury, First Aid Received by Non-Medical Professional · Werner Co · California

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.

8/28/2016 · Injury, No First Aid or Medical Attention Received · Tricam Industries, Inc. · Arizona

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.

8/23/2017 · Injury, Emergency Department Treatment Received · WING ENTERPRISES · Arizona

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]

8/21/2012 · Injury, Emergency Department Treatment Received · Werner Co · Pennsylvania

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.

8/16/2017 · Injury, Emergency Department Treatment Received · Werner Co · Ohio

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.

Compare beyond Home Furnishings & Fixtures

Nationwide peers by danger score, ER volume & hospitalization

Three PlainSafety-derived comparison paths for Stepladders: cross-group products nearest on danger score (43/100), estimated annual ER visits (13,161/yr), and hospitalization share (11.9%). Same-group neighbours stay in Related Products above.

Read with this product

About this data

CPSC National Electronic Injury Surveillance System (NEISS) 2005–2024 and SaferProducts.gov consumer incident reports form the basis of this page. Injury estimates are based on a nationally representative probability sample of U.S. hospital emergency departments.

According to PlainSafety's CPSC NEISS corpus ranking, Stepladders ranks #84 of 838 scored CPSC product categories by PlainSafety danger score and #172 of 838 by 20-year estimated ER injury volume.

Frequently Asked Questions

Where does stepladders rank on danger score versus ER volume?

Among 838 scored CPSC product categories, stepladders ranks #84 by PlainSafety danger score (43/100) and #172 by 20-year estimated ER injury volume (13,161/yr). The two rankings come from the same NEISS extract and are not the same order.

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.

Data on Stepladders is compiled directly from CPSC NEISS and SaferProducts.gov records, current through 2024. See our methodology for details.

Disclaimer: This page is for informational purposes only and is not affiliated with the CPSC.

PlainSafety is rendered directly from U.S. Consumer Product Safety Commission recall and incident records, no number is typed in by an editor. Product recall timelines and hazard labels are drawn from CPSC recall records for this product. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.