Objective Vessel disasters and falls overboard result in fatalities in the commercial fishing industry and recreational boating. We reviewed available fatality surveillance data to identify opportunities to promote lifejacket use in the US Pacific Northwest.

Methods Commercial fishing fatality information for 2000–2018 was obtained for all fatalities in Oregon and Washington waters from the Commercial Fishing Incident Database (CFID). Recreational boater fatality information was obtained from the Oregon and Washington State Marine Boards’ publicly available information. Summary statistics were compiled and lifejacket policies reviewed for both occupational and recreational uses.

Results In Between 2000–2018 In Washington and Oregon there were 90 commercial fishing fatalities; only 5 (6%) victims were wearing a lifejacket, with 3 of those not properly worn. From 2000–2018 in Oregon there were 263 recreational boating fatalities with 76 (29%) victims wearing a lifejacket. In Washington, available data was limited from 2011–2017, there were 52 recreational boating fatalities with no lifejacket information. Commercial fishermen and recreational boaters over the age of 12 years are not required to wear lifejackets while boating, although Coast Guard-approved devices must be provided for each person onboard. Lifejacket use marketing promotions exist such as the ‘Live to be Salty’ campaign for commercial fishermen and ‘Life Jackets and Seat Belts-It’s Your Choice’ for recreational boaters.

Conclusion The percent difference in lifejacket use between commercial fishermen and recreational boaters who suffered a fatality likely represents differences in the precipitating factors in the incidents, and the ease of wear for tasks. Primary prevention of vessel disasters and falls overboard is critical; as lifejackets are essential in the event of an emergency. A regional intervention based on a successful program for lobstermen is proposed to bring lifejacket education, try-before-you-buy and discounts to commercial fishermen and recreational boaters that will be evaluated for impact and change of culture.