A study was performed to estimate the extent of cow injuries as an indicator of animal welfare in organic dairy farms in Switzerland. The study was conducted during the winter feeding period of 1997/98 and was part of a larger project on animal health, nutrition and production in certified organic dairy herds in Switzerland. Potential predictors of injuries related to animal housing were quantified and relations between occurrence of injuries and nutritional status and production were evaluated. The investigation was designed as a cross-sectional study and included a representative sample of 152 farms and 1856 cows. Every farm was visited once and each cow was scored for claw-, skin- and joint-lesions and body condition. Statistical analyses were performed appropriate for a stratified and one-stage cluster sample weighted for the entire population of organic dairy farms in Switzerland. Possible individual and environmental predictors of cow injuries were analysed using multinomial logit models for ordinal outcomes. The overall frequencies of injuries were 10.4% for joint lesions, 12.8% for soft-tissue injuries and 3.6% for claw lesions. Most joint injuries (84.9%) were observed at the hock joint, 9.4% at the carpus and 3.1% at the knee joint. The analysis of the association between frequency of injuries and potential predictors revealed heterogeneous results and the risk profiles were different between the categories of injuries measured in the study. These observations support the assumption that variations in type and severity of injuries are due to specific differences of animal management, housing design and due to different characteristics of individual cows.