poor buoyancy control, equipment misuse, entrapment, rough water conditions and pre-existing health problems. Some fatalities are inevitable and caused by unforeseeable situations escalating out of control, but the majority of diving fatalities can be attributed to human error on the part of the victim. Equipment failure is rare in open circuit scuba. According to death certificates, over 80% of the deaths were ultimately attributed to drowning, but other factors usually combined to incapacitate the diver in a sequence of events culminating in drowning, which is more a consequence of the medium in which the accidents occurred than the actual accident. Scuba divers should not drown unless there are other contributory factors as they carry a supply of breathing gas and equipment designed to provide the gas on demand. Drowning occurs as a consequence of preceding problems such as unmanageable stress, cardiac disease, pulmonary barotrauma, unconsciousness from any cause, water aspiration, trauma, environmental hazards, equipment difficulties, inappropriate response to an emergency or failure to manage the gas supply. and often obscures the real cause of death. Air embolism is also frequently cited as a cause of death, and it, too is the consequence of other factors leading to an uncontrolled and badly managed ascent, possibly aggravated by medical conditions. About a quarter of diving fatalities are associated with cardiac events, mostly in older divers. There is a fairly large body of data on diving fatalities, but in many cases the data is poor due to the standard of investigation and reporting. This hinders research that could improve diver safety. Fatality rates are comparable with jogging (13 deaths per 100,000 persons per year) and are within the range where reduction is desirable by Health and Safety Executive (HSE) criteria, The most frequent root cause for diving fatalities is running out of or low on gas. Other factors cited include buoyancy control, entanglement or entrapment, rough water, equipment misuse or problems and emergency ascent. The most common injuries and causes of death were drowning or asphyxia due to inhalation of water, air embolism and cardiac events. The risk of cardiac arrest is greater for older divers, and greater for men than women, although the risks are equal by age 65. Several plausible opinions have been put forward but have not yet been empirically validated. Suggested contributing factors included inexperience, infrequent diving, inadequate supervision, insufficient predive briefings, buddy separation and dive conditions beyond the