Since 1992 it can be estimated that boating fatalities have cost the Australian community in excess of one billion dollars. The findings of the study warrant further attention. In particular, the following results are noteworthy: 1. An apparent large increase in the frequency of overpowered and overloaded vessels. 2. People can double their chances of surviving by wearing a personal flotation device. 3. Alcohol continues to be the primary risk factor. The results indicate the needs for increased surveillance and control of alcohol and drug use among the boating public. Attitudes toward alcohol use when boating need to change and should be the focus of a media campaign. 4. People killed in boating incidents are older than observed in the first fatality study. In addition, ill-health involving various co-morbidities and medication use is now more common. 5. Dinghies continue to be the most common type of vessel involved in fatal incidents. The results reflected on the inherent instability of dinghies and the risk involved in alcohol and drugs and failure to wear a PFD for the operators and occupants of dinghies. 6. Alcohol and ill-health were the dominant initial contributing factors for person overboard. After consuming alcohol or being ill, balance is often affected and people become unsteady on their feet, which is a strong risk factor for falling overboard. People need to be more effectively warned about the dangers of falls overboard, especially involving alcohol and ill-health. No specific policy recommendations are made in this report as this is the role of the NMSC and the marine authorities. However, it is highly likely that a number of the key results and associated discussion presented in the report will further inform policy.