analysis of national major work safety accidents in china, 2003-2012

background: this study provides a national profile of major work safety accidents in china, which cause more than 10 fatalities per accident, intended to provide scientific basis for prevention measures and strategies to reduce major work safety accidents and deaths. methods: data from 2003-2012 census of major work safety accidents were collected from state administration of work safety system (saws). published literature and statistical yearbook were also included to implement information. we analyzed the frequency of accidents and deaths, trend, geographic distribution and injury types. additionally, we discussed the severity and urgency of emergency rescue by types of accidents. results: a total of 877 major work safety accidents were reported, resulting in 16,795 deaths and 9,183 injuries. the numbers of accidents and deaths, mortality rate and incidence of major accidents have declined in recent years. the mortality rate and incidence was 0.71 and 1.20 per 10 6 populations in 2012, respectively. transportation and mining contributed to the highest number of major accidents and deaths. major aviation and railway accidents caused more casualties per incident, while collapse, machinery, electrical shock accidents and tailing dam accidents were the most severe situation that resulted in bigger proportion of death. conclusion: ten years’ major work safety accident data indicate that the frequency of accidents and number of deaths was declined and several safety concerns persist in some segments.