Traumatic injury from sledding and tobogganing can be reduced. The obj
ective of this study was to determine the incidence of sledding and to
bogganing deaths in Ontario. Operator, vehicle (sled), and environment
al factors associated with these events were also examined. A retrospe
ctive series of cases from the Provincial Chief Coroner's Office ident
ified all patients fatally injured while sledding or tobogganing in On
tario between 1986 and 1991. Communities should pay careful attention
to injury prevention when planning organized sledding areas.