The purpose of this study was to determine if ‘unsafe’ functional movements as measured by short forms of the Safe Functional Motion test (SFM-6 and SFM-3) predict incident fragility fracture at any skeletal site. An osteoporosis clinic database was queried for adults with baseline SFM scores and corresponding data for prevalent fracture, history of injurious falls, femoral neck bone mineral density (fnBMD), bone-sparing medication use, and incident fracture at 1yr, and 3yr follow-up (n= 1700) Multiple logistic regressions, adjusted for gender, age, history of injurious fall(s), fnBMD, bone-sparing medication use, and any prevalent fracture at baseline to determine whether baseline SFM-6 and SFM-3 scores were associated with fragility fracture at any skeletal site at follow-up. According to the analyses, the SFM-6 score was a significant independent predictor of fracture at any site at 1y (p=0.014), and 3y follow-up (adjusted odds ratio (95%CI) = 1.26 (1.140, 1.396) for each 10 point decrease; p < 0.0001). Similarly, SFM-3 score was also a significant independent predictor of any fracture at 1y (p0.0.01), and 3y follow-up (adjusted odds ratio (95%CI) = 1.183 (1.098, 1.274) for each 10 point decrease; p < 0.0001). For all analyses, no other variables were significant predictors at 1yr. Age and fnBMD also were significant at the 3y follow-up. ‘Unsafe’ movement strategies, as measured using the SFM-3 or SFM-6, increase fracture risk by 18–25% for each 10 point drop in score independent of altered risk associated with age, and bone mineral density