Occupational Safety and Health Administration fatality inspection reco
rds were examined in this study to identify potential causes for occup
ational falls that resulted in death. Proportionate mortality ratios i
dentified significantly higher proportions of deaths resulting from fa
lls off ladders in electrical trades and plumbing and heating trades (
p < .01). The highway and streets trade had a significantly higher pro
portion of deaths resulting from falls from improper work surfaces, su
ch as from the top of moving vehicles (p < .01). Three trades had sign
ificantly lower proportions of deaths resulting from falls from variou
s causes. The electrical work trade had a significantly lower proporti
on of deaths from falls due to a lack of fall protection, whereas the
roofing trade had significantly lower proportion of deaths resuting fr
om falls from improper work surfaces (p < .01), and the masonry trade
had a significantly lower proportion of deaths caused by falls from la
dders (p < .05). With the increased risk of death from a fall identifi
ed for various industries, fall prevention strategies can be best iden
tified and implemented. These measures include identifying potential f
all hazards, proper selection and use of fall protection systems, and
employee training on fall hazards in the workplace. (C) 1998 National
Safety Council and Elsevier Science Ltd.