If you are feeling very paranoid, get yourself a safety harness, tie yourself to the ladder. Do this only after youve secured the ladder to your house so that it isnt going anwhere either though.
Always keep your center of balance over the ladder, leaning back is a no-no if your center of balance goes withint a foot or half a foot from the base of the ladder, and leaning to either side should be restricted the higher you go.
Just keep your head on straight and have yourself a plan, and the big thing from Ashton (other than the tool belt, which is also excellent advice) is "never reach further than feels safe just because it would suck to move the ladder the inch or so". Move the damn ladder an inch, it takes a minute of effort, and could save a lot more in the end.
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