Background: Fall from height is a common cause of morbidity and mortality in suburban population. These cases are either domestic or workplace injuries with different causative factors.We analyzed different aspects of these falls along with pattern of injuries , management and their outcome.   Methods: we conducted prospective epidemiological study to identify various causative , contributory factors and resultant injuries in cases of fall from height.the study group comprised of semiurban population and involved both domestic and workplace injuries presenting in a tertiary care hospital.     Results: the study involved 100 cases of fall from height . The age group 21–40 yrs were predominant for abdominal injuries with head or spine injuries with 51 cases out of which 36 were male and 15 were females. 25 cases of fall from height were due to terrace of building.44 cases were home related falls and 56 cases were work related fall. In 52 cases signs of peritonitis were present and in 48 cases absent. according to findings of cect whole abdomen.  Liver injury was present in 36 cases and splenic injury was presnt in 28 cases. Combined liver and spleen injury was present in 6 cases. 76 cases were of abdominal injury with head injury , 15 cases were of abdominal injury with spinal injury and 9 cases were of abdominal injury with head and spinal injury.   Conclusion: Fall from height is the second most common cause of trauma.Most cases of fall from height are accidental in nature. Male outnumbered females by the ratio of 3:1. 21–40 years age group contributed the highest number 
with 51 cases . 25 cases of fall from height were due to fall from terrace of building.Among occupation, fall from height most frequently seen among construction 
workers . Abdomen (Liver Lacerations) injuries are very common followed by head and 
chest injuries .Liver is the most common solid organ to be damaged, followed by spleen.