If you are walking in the street, you can suddenly

fall down because you are clumsy

If you are standing and you fell sick and faint, you
fall over.
If you are on the bed, on a ladder, on a bike, you
fall down.
If you slip on a banana peel, you fall down.
If you trip on a root while hiking, you down.

An also with objects,
A painting on the wall falls off.
A button in your jacket falls off.
A glass on the table falls over.