The pattern of occupational injury deaths among 16 and 17 year (yr) old United States (US) workers was examined. The records of the National Traumatic Occupational Fatalities surveillance system were searched to identify all deaths that occurred among 16 or 17yr old workers between 1990 and 1992. The details of each fatal accident were examined. Fatality rates represented by the identified accidents were calculated using estimates of fulltime equivalent (FTE) workers derived from data obtained in the Current Population Survey, a monthly household survey based on a probability sample of the US noninstitutionalized population. The data were compared with rates for older US workers and fatality rates for teen age workers for the period 1980 to 1983. A total of 111 occupational injury deaths occurred among the 16 and 17yr old workers. This was equivalent to a rate of 3.51 deaths per 100,000 FTEs (death/100000). Ninety six victims were male and 15 female. This represented death rates of 5.57 and 1.04death/100000, respectively. By race, 89 victims were white and 13 were black. Race could not be identified from the records for nine of the victims. The leading causes of death were motor vehicle related or were the results of homicides and machinery related injuries; these accounted for 32, 24, and 18 deaths, respectively. Twenty one of the 24 homicides involved firearms. Six of the machinery related deaths involved tractors and six involved forklifts. The death rates from motor vehicles, homicides, and machinery were comparable to or slightly higher than those for older workers. The death rates for the 1990 to 1992 period were lower than in the 1980 to 1983 period, but they did not show the decreasing trend that was seen between 1980 and 1983. The implications of the results of this study for preventing fatal accidents in 16 to 17yr old workers were discussed.