Analysis of reports indicates that pilot ladders (Pilot Transfer Arrangements, or PTAs) and intentional deviations from safety procedures remain the main causes of near misses, while fires and enclosed space incident are the main incident causes. Tragically, over 50% of reports submitted to CHIRP resulted in one or more fatalities, almost all of which were the result of entry into enclosed spaces which had not been sufficiently ventilated beforehand. The next leading cause of reported deaths was people unintentionally falling into the water (MOB) who were not wearing life-jackets.

The full report can be downloaded here: