Emp. was installing new light bulbs from the 4th step of a 6 ft. ladder, as the emp. was coming down the ladder he stated he blacked out or fainted and fell to the ground. After splinting the emp. RT. ankle he was taken to the E.R for X-Rays, X-Ray was positive. The ortho Dr. performed surgery on his RT. ankle. Emp. is at home recovering until further notice.