EE stepped off bottom rung of ladder; EE's pocket caught a pry bar which caused EE to fall. EE tried to stop fall with right arm while falling to ground. EE did not seek medical help or miss any time until recently. EE went to the doctor in July of 2019 and on 9/4/19 received an operation to repair a tear in EE's shoulder. Since the operation EE has been off work.