The purpose of this study was to estimate surface-specific rates of fa
ll injuries on school playgrounds. Playground injuries related to fall
s from climbing equipment and the surfaces involved were identified fr
om injury reports for 1988 to 1990 from 157 Utah elementary schools. E
nrollment data and playground inspections were used to estimate studen
t-years spent over each surface. The fall injury rates per 10 000 stud
ent-years were asphalt, 44; grass, 12; mats, 16; gravel, 15; and sand,
7. These data did not show that impact-absorbing surfaces reduce fall
injuries on playgrounds better than grass. Improved field studies are
needed to guide policy decisions for playground surfacing.