The purpose of the annual report is to maintain public focus on the issue of agricultural confined space injuries and fatalities, aid in the development of evidence-based training, and offer resources and direction to policymakers and engineering organizations in developing improved workplace regulations and design standards. New findings reported no fewer than 55 cases involving agricultural confined spaces, with 29 fatal and 26 nonfatal cases. This represents a 33.7% decrease over the 83 cases documented in 2022.