Agricultural work encompasses a variety of activities which carry with them different risks. One such activity is working at height, a frequent cause of fatal accidents. The aim of this work is to describe and discuss a typical case of a fall from height in order to understand the traumatic consequences of such accidents, to analyze the dynamics and lesions, and highlight the dangers of working at height. These falls, which may involve farm workers who are officially or unofficially employed, can produce injuries whose seriousness is not always strictly correlated to the height of the fall