A postal survey was carried out of the 90 most accessible climbing wal
ls in England, Scotland and Wales to determine the incidence and natur
e of injuries requiring emergency treatment associated with their use.
Over a two year period, representing 1.021 million visits to the 56 w
alls used by more than 30 climbers per week, 55 significant injuries w
ere recorded. The rate of injury was not related to any identified des
ign or safety feature of the walls, although upper limb injuries were
proportionally more common in walls which provided thinner fixed landi
ng mats rather than thicker, moveable crash mats. The overall rate of
injury was very low and climbers seem to modify risk taking behaviour
and thus compensate for the level of safety equipment available. It ma
y be possible to reduce the injury rate further by providing seamless
ground cover with matting of adequate energy absorbency.