Farmers' injuries are more frequent and severe than those in the other job groups. To identify the characteristics of agricultural injuries in Jeju, 119 first aid records and emergency department based injury surveillance system data for four years were analyzed retrospectively. Farmers' injuries in 119 first aid records were 1,947 cases, and mean age of injured patients was 63.9±11.8 years. The proportion of major trauma was 27.4%. The more frequent months of farmers' injuries were from August to October. In comparison between farmers' and non-farmers' injuries, farmers' injuries showed more male proportion (70%), mean age (54.0±17.0 years), and old age proportion (29%) than non-farmers' injuries did, with significance(p<0.001). However, farmers' injuries revealed less usage of 119 rescue transportation (26%) and self-injury proportion (2%) significantly (P<0.001). Further studies including expansion of injury surveillance for agricultural injuries would be needed for in-depth investigation.