Abstract
Objective: To describe the epidemiological profile of serious work accidents reported in the state of Bahia, between 2007 and 2017. Methods: Ecological study of descriptive nature, where data from epidemiological investigation records were obtained. The data observation unit was presented according to the nine health macroregions of the state. Analysis based on descriptive statistics. Results: A total of 20,345 serious accidents were reported in the period in question; there was a 93% increase in the incidence of cases, with higher frequency in young men, brown color, incomplete elementary school. Great underreporting in the variable that identifies economic activities and occupation, the production category of goods and services I was the most representative. Typical accidents predominated, and the contractor's facilities were identified as the most frequent accident site. There was a great underreporting for the Communication of Work Accident (40.5%), and 91% of the notifications requiring medical care. Conclusion: Even in view of the limitations that this information system presents, it was observed that serious accidents represent a phenomenon of significant incidence throughout the state. These findings require attention from managers, in actions aimed at improving working conditions and health, greater commitment of employers and working class.