Severe occupational traumatic injuries include amputations, fractures, severe lacerations, eye losses, acute poisonings, and burns. Control of severe occupational traumatic injuries is not possible without a concerted effort by government, academia, private business and labor. Such injuries pose a major threat to the health and well being of American workers. NIOSH estimates that as many as 10 million persons suffer traumatic injuries on the job each year. At least 10,000 of these are fatal. A dual approach is proposed to reduce the burden of such job injuries on the workforce, the economy and the population of the country. Immediate actions can be taken by interested groups and individuals based on prudent, carefully considered options for trauma prevention programs. For the long term, a major effort must be made to more thoroughly describe and study occupational injury incidents. Epidemiology can be used to evaluate the incidence of traumatic occupational injuries as it will assist in the identification, evaluation and control activities necessary to prevent further occurrences. Preventive components include modifying the job, changing the work environment, designing the safe machine, and managing the worker through training, hazard communication, known interventions, and rehabilitation.