An access ladder for an access hole in a building includes a plurality of sections which telescope relative to each other between an extended position, where the sections define a plane and a user can climb the sections, and a retracted position where the sections are folded on each other. Several of the sections have a least one step which preferably moves between an unfolded position where the user can stand on the step when the sections are in the extended position, and a folded position when the sections are in the retracted position. Each section slides relative to another section of the plurality of sections which it is in contact in order for the sections to telescope. A method for using an access ladder attached to an end of an access hole of a building.