This case involves a thirty-five-year-old male employee of a city transportation system in the Northwest. His job required him to drive a very large pickup truck to and from various job sites. The door sill to the truck cab was 36 inches above the ground. The truck had no safety railing or step to assist with entering and exiting. While exiting the vehicle on a routine trip, the employee slipped, twisted his leg and suffered significant injury. He underwent complex and repeated surgeries to repair the damage to his knee and leg. He is no longer able to work or get around on his own. He cannot participate in the sports and activities that he used to enjoy with his children. The worker previously played Division 1 college football for Texas A&M University and maintained a high level of athleticism up until his accident. Today, he remains in constant pain as a result of the injuries and has been unable to lead an active lifestyle.