A review of the relationship between stress and occupational injury was presented. Studies examining this relationship were identified from two databases during a literature search. Reports identified as examining specifically the relationship between work or nonwork related stress and occupational injury were selected and reviewed to determine if a quantitative measure of stress or injury was used and a quantitative assessment made of the relationship between the two factors. This screening process identified 20 reports published between 1976 and 1991 which were reviewed. All of these studies had reported a relationship between injury and stress. Differences between the studies in the assessment and definition of stress, the instruments used to measure stress, statistics, and measures of injury, among others, were noted, making comparisons difficult. The results of the studies reviewed were, however, generally consistent with National Traumatic Occupational Fatality data on high risk occupations and industries. The author concludes that compelling evidence exists relating occupational injury to stress and recommends further research in this area.