On Tuesday, November 15, 2005 at 0933 HRS, eight Companies of Los Angeles City Firefighters, two Rescue Ambulances, one Heavy Rescue, one USAR Task Force, one EMS Battalion Captain, and one Battalion Chief Officer Command Team under the direction of Battalion Commander Greg Gibson responded to a Confined Space Rescue at 800 N. Alameda St. in the Chinatown/Union Station area. Firefighters found a 48 year old male who had fallen from a ladder, approximately 5 to 10 feet, into an underground, 10 foot by 8 foot electrical vault. The patient was complaining of moderate neck and back injuries with some numbness to his extremities. Paramedics initiated spinal precautions by placing the patient on a backboard. Due to the limited access into the vault through a small hatch, Firefighters were unable to extricated the patient using the available access hole. The LAFD Urban Search and Rescue team along with local Firefighters were able to breach an adjacent wall and safely remove the patient through the wall and into the men’s restroom. The patient was transported to USC Medical Center in stable condition. The cause of the incident is under investigation by the proper authorities.