This study aims to evaluate a variety of existing and novel fall detection algorithms, for a waist mounted accelerometer based system. Algorithms were tested against a comprehensive data-set recorded from 10 young healthy subjects performing 240 falls and 120 activities of daily living and 10 elderly healthy subjects performing 240 scripted and 52.4 hours of continuous unscripted normal activities. Results show that using a simple algorithm employing Velocity+Impact+Posture can achieve a low false-positive rate of less than 1 FP/day* (0.94FPs/day*) with a sensitivity of 94.6% and a specificity of 100%. The algorithms were tested using unsupervised continuous activities performed by elderly subjects living in the community, which is the target environment for a fall detection device.