A study was carried out, using death certificates and medical examiners' records, to determine the epidemiology of fatal occupational injuries of civilian women who had died in five urban counties in Texas from 1975 through 1984. This study analyzed the causes of work related injuries of these workers, as well as the occupations and industries having the highest risk of fatal injuries. For deaths from homicides, the circumstances under which the injuries occurred were determined. Of the 348 cases which satisfied the criterion that the injury occurred at work, homicide was the leading cause of death, 53 percent of the total, followed by motor vehicle injuries at 26 percent. Injuries from firearms caused 70 percent of the homicides. The retail trade industry had the highest workplace homicide rate, with 77 percent of the 133 deaths resulting from homicide. Female drivers of heavy trucks had the highest occupational injury rate. Stock handlers and baggers, food counter and fountain workers, and supervisors and proprietors in sales had markedly elevated homicide rates. There was a trend toward higher rates of fatal injuries with increasing age, and women 65 years or older showed a homicide rate 2.2 times higher than that of younger women. The authors conclude that there is a high risk associated with occupations involving the exchange of money in public, unsecured places, as well as with those which involve motor vehicles. They suggest that robbery deterrence programs and regulations requiring the wearing of seat belts may help reduce the risks of working in these occupations.