A step stool is most commonly used in hospital or pharmacy to step on when reaching stuffs like medicine, files and alike. Not only hospitals and other offices uses step stool. Most households have their own step stool. We have two step stool with no handrail and still look sturdy to me but it’s not as safe compared to a step stool handrail. It looks safe and secure when climbing. We actually have that old kind step ladder which I won’t like using too often because the ladder was thin and not so safe to stepped on. So, when we moved in my husband bought a new step stool with flat and rubbery surface. It doesn’t have a handrail but it’s safe and secure to use.