Purpose: Each year on July 1st, Northern Territorians are legally allowed to purchase and let off fireworks in celebration of Territory Day. Yearly for clinicians, this day heralds an influx of injuries related to misuse of fireworks, and commonly results in burns to the hands, face and extremities. Previous studies have called for increased prevention campaigns and tougher laws around the purchase and use of fireworks however injuries continue to happen, placing significant burden on the Royal Darwin Hospital (Read, 2017). Method: A 5-year retrospective cohort study of firework related burn injuries presenting to the Royal Darwin Hospital between 2018-2022 was undertaken. Results: 54 burns related to fireworks occurred during the study period. Most occurred in the days surrounding July 1st with sporadic burns occurring later, presumably caused by fireworks stockpiled from Territory Day. The median age was 25 years (range 14 months-64 years) with two-thirds of patients being males. The median TBSA was 1.25% (range <0.5% to 7%) and the most affected areas were the face including eyes, neck and hands including amputations. 80% of patients had some first aid, but only 70% received full burns first aid. Conclusion: Clearly changes in legislation are required in addition to ongoing education campaigns to teach firework about their risks and appropriate first aid, and when to seek medical attention. References: Read DJ, Bradbury R and Yeboah E, 2017. ‘Firework-related injury in the Top End: a 16-year review’. ANZ Journal of Surgery, 87: 1030-1034.