This paper presents the results of analyses of injury and fatality accidents associated with the occupational use of metal extension ladders. Data contained in seven different data bases differing in geographic representation and level of severity of injury were analyzed to identify the type of accidents that occur and their frequency. In addition, the risks of fatality and of electrocution fatality associated with occupational use of extension ladders were estimated and compared with the fatal risk for various occupations. The overall fatal risk for extension ladder use by workers is less than the overall fatality risk for the construction industry.