Death certificate analyses were conducted on all fatal occupational fa
lls occurring between 1980 and 1989 in the United States' construction
industry using the National Traumatic Occupational Fatalities surveil
lance system at the National Institute for Occupational Safety and Hea
lth, Division of Safety Research. Fatality rates were calculated by ge
ographic location (region and state), and year of injury. From 1980 to
1989, there were 2798 deaths due to occupational falls in constructio
n, representing 49.6% of all fatal occupational falls across all indus
tries. Most of these incidents occurred among young white males. By ge
ographical location, the highest fatality rates were observed within t
he subregions of the Southern states in the United States. In observin
g the time between the date of injury and the date of death, 66% of th
e fall victims died on the same day as the injury, whereas 5.7% lived
more than 90 days before dying. Further research needs to be targeted
at what occupations are at highest risk for a fall injury, what circum
stances are attributable to these falls, and prevention strategies to
reduce fall injuries and fatalities. Research is also needed to explai
n why there are geographic differences in occupational falls in the co
nstruction industry. Copyright (C) 1996 Elsevier Science Ltd