Continuous Quality Improvement programs require organizations to assess staff related injuries as they correspond to client restrictive procedures. This study compares a three level staff injury system (Mild, Moderate, Severe) against the type of situation in which the injury occurred defined as unintentional, weapon or device used, and during the process of a restrictive procedure. There were 5,685 injuries over a 6-year period: 8.4 percent of injuries were unintentional, 10.0 percent involved the use of a device, and 30.7 percent of injuries occurred as the result of a restrictive procedure. Staff injury at moderate level was associated with restrictive procedures (p less than .001). (Published Abstract)