About 10 years ago I was mounting a flood light on a pole at the corner of the garage. I climbed the ladder and I stepped off into space instead f the garage roof, I had just been fitted with bifocals so I'll blame that.
In my mind it took about three minutes to make that 8-10 foot fall. I kept thinking now I'll break my back or neck and be paralyzed. But thank God none of that happened. I fell flat as a board on the lawn. I moved my toes, ok there, moved my hands, all good there too and started laughing at myself. I did have some cuts where the glasses hit my face and a big toe was broken or fractured but everything else was ok and I finished the light project and drove home that all happened at the fishing camp about 45 miles away.
So, I still use ladders but am extra careful of them, I believe a set of stabilizer arms makes them much safer and I use them where I can.
Steve W