We are conducting a prospective in‐depth review of children aged 16 years and under who are admitted to any one of the three paediatric hospitals in the state of New South Wales, Australia, due to injuries caused by a crash on a powered off‐road vehicle or motorcycle. We aim to characterise crash circumstances, injury patterns and severity in order to identify priority targets for the development of injury prevention countermeasures. In this ongoing study, we have analysed 25 crashes, involving 22 males and 3 females between the ages of 4 and 16 years of age. Most riders were injured on purpose built off‐road motorcycles or quad bikes in the course of recreational riding or farm duties. Most crashes (n=19) occurred as a result of loss of control of the vehicle. A range of injuries to all body regions were observed. Injury severity varied, including 13 with minor injuries (Injury Severity Score (ISS) between 1‐9), 6 with moderate injuries (ISS 10‐15), 2 with severe injuries (ISS 16‐24) and 4 with critical injuries (ISS 25 or greater).