Working at height involves accessing work locations which have an inherent risk of falling. It is not surprising that falling from height is the leading cause of workplace fatalities due to its prevalence in almost every industry sector, and the severe consequences of an accident occurring. However, there are numerous access systems to help mitigate the risk, from the basic to very complex. The access system chosen should be based on a thorough risk assessment, including the practicalities of completing a work task whilst using a particular system.