Surveillance of all emergency department admissions for nine rural hospitals identified visits for injuries by 189 employed patients with construction occupations out of a total of 1843 injury visits of all employed patients with known occupations. The injury rate for construction workers was 20.28 injuries per 100 workers per year-more than 2.5 times that of all other employed people. The work-related injury rate was 7.63 per 100 construction workers, more than four times that of all other employed people. The injuries of construction workers seen in the emergency department were primarily open wounds, fractures and dislocations, and contusions, injuries similar to those of other workers. The percentage of work-related burns was higher in construction workers than for other workers, particularly because of burns to roofers and laborers from tar or hot fluids and flash burns from welding.