 Of the 702 patients enrolled, 659 subjects provided data for follow up analysis. The primarily male 96 population was 55 13 years old, and had their SCI for an average of 21 13 years. 47 of the injury levels were cervical and 46 thoracic. The majority of subjects used manual wheelchairs 62 an average of 10.9 4.3 hours a day. 553 fall events were reported by 204 individuals. 95 14 subjects were injured as a result of the fall. Regression models showed that fall occurrence was predicted by increased pain in past two months, increased alcohol use, higher FIM sub-motor scores, having a previous fall, shorter wheelchair length, fewer years of SCI, and not having ones first wheelchair. Injurious falls were predicted by increased pain in past two months, higher FIM sub-motor scores, having a previous fall, non-flat home entrance and a diagnosis of arthritis. In both models, 83 of the variance was explained by the predictors. Additional analysis is planned for completion of manuscripts. In addition, funding was received to develop a risk assessment tool for falls from wheelchairs in SCI. 