This article examines the magnitude and characteristics of fall-related injuries on U.S. farms for youth less than 20 years old for work and non-work exposures at a national level. To examine the problem, data from the Childhood Agricultural Injury Survey (CAIS) and Census of Fatal Occupational Injuries (CFOI) were used. Findings indicate that falls are an important contributor to on-farm injuries, with youth appearing to be at considerable risk. Thus, a reduction of the exposure of youth to fall-related hazards on farms is needed. Strategies such as providing safe play areas for young children and continuing efforts to prevent extra riders on farm equipment will help in reducing these hazardous fall exposures.