Accident rates at a busy diving centre.

: Dear Editor, The Poor Knights Islands in Northland, New Zealand, is a world-famous, temperate-water, diving tourism destination, popularised many years ago by Jacques Cousteau. By far the largest dive operator there is Dive! Tutukaka, with five vessels carrying up to 30 divers, operating on a regular basis throughout the year. Dive! Tutukaka is required to keep a detailed, daily vessel manifest. Thus, the number of divers is known accurately and all incidents are recorded by the Skipper or the Chief Divemaster on board. Although all dives are logged (time in, time out and maximum depth for every diver) and kept permanently, these data were not utilised for this brief report. Each customer does two dives on a trip and there are between one and four divemasters on board who may do one, two or more dives a day (van der Hulst G, unpublished observations). Thus the accident rate per diver is known, and it is assumed that the rate per dive is very close to half this figure. In addition, under health and safety regulations all non-diving injuries both on shore and on board are documented, but these will include some non-divers. For the three financial years between July 2005 and 14 June 2008, 32,302 customers dived with Dive! Tutukaka, approximately 63,000 dives (a small minority did only one dive). Over the same period, there were an estimated 7,600 dives conducted by the divemasters. The injuries documented during this time are shown in Table 1. There were seven cases of decompression illness (DCI), a rate of about 1 per 10,000 divers (0.5 per 10,000 dives). Two of the seven DCI cases involved serious neurological injury. There was one further possible case of DCI who did not seek medical advice. If this diver is included then the rate is 1.14 per 10,000 divers. More minor diving injuries and incidents occurred at a rate of approximately 2 per 10,000 divers. Non-diving injuries occurred rarely, the most common being various musculo-skeletal injuries to staff, requiring time off work. Many of these were secondary to lifting and carrying heavy diving equipment, particularly dive tanks. This indicates an area where improved practices by staff could be achieved. We believe these injury data are robust and provide an accurate picture of a single, mainstream, international tourism diving centre in temperate waters, and indicate a low rate of injury, comparable to the international literature.