Work related injuries occurring in the metal sheet factory in Hyderabad are studied. Both minor and major trauma occurred in almost equal proportion. Significantly higher proportion of major injuries occurred in sites other than limbs The first accident of a worker was highly likely to be a major one. Higher proportion of major injuries occurred in sites other than limbs. Smoking habit is associated with more major injuries. Alcohol habit also is seen like wise. Corrected visual acuity and deafness prevented major injuries. Musculo skeletal system had shown predominantly more major injuries.