I hurt. Bad.
Standing on TOP of a 6' a-frame ladder yesterday working overhead outside (yes, I know this isn't safe, but it was the only way to do it). Lost my footing (damn dead leg from an old car accident/back injury), and went all the way back and down. Landed on my back and shoulders in sharp 3/4 minus gravel. JUST missed impaling myself on a 4' wooden picket fence behind me.
And we ALMOST had it on a camera phone. By the time my friend turned around to shoot the pic from a distance, I was half way to the ground already.