Several activities in construction Work relates to work at height. These activities are required to be performed at elevations which exceed 1.8 m higher from the ground level. Ladders are used to provide access to scaffolds (temporary work platforms) as well as to connect various working levels. Fall from height is one of the major contributors for serious and fatal injuries at construction sites. In this regard, Incident data as well as safety inspection findings of five construction projects involving overall 20,000 workers are taken into consideration. This includes improper utilization of ladders, including various deviations such as extension of ladders, angle, slippery surfaces, improper access etc. As matter of relevance, impact of loading and vibration on the ladder was also studied for safe usage.