According to a report recently released by the AFL-CIO, North Dakota is once again the deadliest state for workers in the United States.

4,585 workers in the United States were killed on the job in 2013, while another 50,000 died from occupational diseases, according to the report.

For the third year in a row, North Dakota was the named the deadliest state:

The state’s job fatality rate of 14.9 per 100,000 was more than four times the national average.

The fatality rate in the mining and oil and gas extraction sector in North Dakota was an alarming 84.7 per 100,000, nearly seven times the national fatality rate of 12.4 per 100,000 in this industry; and the construction sector fatality rate in North Dakota was 44.1 per 100,000, more than four times the national fatality rate of 9.7 per 100,000 for construction.

Wyoming, West Virginia, Alaska, and New Mexico rounded out the list of the top five deadliest states for workers in the United States.

You can read the full report from the AFL-CIO HERE.