A step stool includes a step frame and a handrail movable relative to the step frame between lowered and raised positions. The handrail includes a handle and left and right handle support arms coupled to the handle to allow sliding movement of the handle relative to the left and right handle support arms as the handrail is moved relative to the step frame between raised and lowered positions. A tray is mounted for pivotable movement on a handle located between the left and right handle support arms about a pivot axis established by the handle.