Olympic sailing is a globally popular sport that is performed on the water in several sailing classes. The two-man skiff or 49er is one of the newer classes and has two different positions on board. The load on sailors during training and competition, along with the unstable conditions at water and the need to handle the sailboat, represent significant risk factors for injuries. Therefore, this research aimed to identify the types, mechanisms, distribution and characteristics of injuries in the 49er class. 42 sailors (23 men, 19 women, average age 25.6 years) in the 49er class participated in this research. All data were collected during the World Sailing Championships 2023 in The Hague, Netherlands, through an online questionnaire consisting of general personal information, sports factors and injury information. Women had a higher proportion of injuries, but not significantly (χ2=0.47, p=0.49) and there was no significant difference between boat positions (χ2=0.27, p=0.6). Almost two-thirds of reported injuries were caused by trauma, while 62% were non-contact. In addition, 69% of injuries were sustained during training. The ankle and foot were the most frequently injured parts of the body, while ligament fractures and sprains were the most common types of injuries. Given the elite sample, this information can help create preventive strategies to reduce the incidence of injuries in 49er sailing.