Alabama residents may know that commercial fishermen have the highest fatality rate of any job in the United States. Most of these deaths occur in the Gulf of Mexico. In 2010, there were 116 deaths for every 100,000 workers, and there were more than 500 wrongful death from 2000 to 2009. Sinking fishing vessels are the primary cause of these deaths. Approximately 33 percent of the deaths occurred when a person fell overboard. Of the remaining deaths, a large percentage were the result of entanglement with machinery on board the ship, such as the deck winches. The National Institute of Occupational Safety and Health reports three winch-related injuries during each year of the nine year span studies. This number may be inaccurate because researchers believe that not all injuries were reported.