| Country | State | River | Section | Date | Injury | Victim | |
| NY | Boquet | Spit Rock Falls | 2003-08-12 | Fatal (11 more) | four camp counselors | Read More | |
| CA | Feather, N. Fork | 3) Cresta Dam to Poe Dam | 2003-09-27 | Fatal (11 more) | Yannick Meraud | Read More | |
| OH | Maumee | 2003-03-16 | Fatal (11 more) | Arthur Sexton | Read More | ||
| MD | Youghiogheny | 3. Upper | 2003-08-03 | Near Drowning (11 more) | Unidentified Man | Read More | |
| WA | Elwha | 1. Grand Canyon | 2003-11-09 | Fatal (11 more) | Ben Manfredi | Read More | |
| VA | Black’s Run | 2003-09-19 | Fatal (11 more) | Christopher Ball | Read More | ||
| WY | Clarks Fork Yellowstone | 4. The Box | 2003-08-07 | Fatal (11 more) | Dan Crain | Read More | |
| CA | Salmon, S. Fork | Limestone Bluffs to Matthews Creek Campground | 2003-07-08 | Fatal (11 more) | Wayne Hawthorne | Read More | |
| PA | Youghiogheny | Lower | 2003-07-05 | Fatal (11 more) | Andrew Darden | Read More | |
| NC | Wilson’s Creek | 2003-07-05 | Fatal (11 more) | ?? Man | Read More | ||
| CA | Kern | Lower | 2003-07-05 | Fatal (11 more) | Richard Thurman | Read More | |
| NC | French Broad | 2003-07-04 | Fatal (11 more) | Hoyt Boyzart | Read More | ||
| WV | Shenandoah | 3. Millville to Harpers Ferry | 2003-11-21 | Fatal (11 more) | Josh Reichert | Read More | |
| IL | Vermilion, M. Fork | 2003-07-07 | Fatal (11 more) | Sandra Barnett | Read More | ||
| NY | Delaware | Hancock to Port Jervis | 2003-07-04 | Fatal (11 more) | Richard DiLaurenzio | Read More | |
| WA | Wenatchee | Tumwater Canyon | 2003-07-03 | Fatal (11 more) | Jason Smith | Read More | |
| OH | Great Miami | 2003-10-09 | Fatal (11 more) | Unidentified Man | Read More | ||
| CA | King’s | 4. Pine Flat Dam to Centerville (Route 180) | 2003-09-14 | Fatal (11 more) | Scott Manning | Read More | |
| OH | Great Miami | 2003-08-15 | Fatal (11 more) | Unidentified Boy | Read More | ||
| OH | Olentangy | Delaware Recycling Plant to Chapman Rd. pull-off | 2003-07-16 | Fatal (11 more) | Unidentified Man | Read More | |
| CO | Arkansas | D. Railroad Bridge Launch to Buena Vista | 2003-06-02 | Fatal (11 more) | David Borrell | Read More | |
| TN | Watauga | Watauga Reservoir to Boone Lake | 2003-11-19 | Fatal (11 more) | ?? Man | Read More | |
| NY | Oswegatchie | 2003-09-28 | Fatal (11 more) | James Williamson | Read More | ||
| GA | Chattooga | Section 4 - Route 76 Bridge to Tugaloo Lake Boat Ramp | 2003-11-09 | Fatal (11 more) | Keith Green | Read More | |
| Canada | BC | Rutherford Creek | Upper | 2003-07-30 | Fatal (11 more) | Matt Sheridan | Read More |
| NC | Nantahala | 3. Power Plant to Wesser | 2003-07-12 | Fatal (11 more) | Joel Hayes | Read More | |
| OR | Clackamas | 3. Three Lynx Power Station to North Fork Reservoir | 2003-08-09 | Fatal (11 more) | Ryan Philbrick | Read More | |
| Canada | QC | Jacques-Cartier | Tewksbury | 2003-07-22 | Fatal (11 more) | ?? Guide | Read More |
| WV | Shenandoah | 2003-06-29 | Fatal (11 more) | Jesse Heiss | Read More | ||
| WA | Wenatchee | 1. Lake Wenatchee State Park to Tumwater Campground | 2003-08-13 | Fatal (11 more) | Alisa Belcourt | Read More | |
| OH | Little Miami | 2003-06-22 | Fatal (11 more) | Scott A. Sapp | Read More | ||
| NY | Delaware | Hancock to Port Jervis | 2003-06-02 | Fatal (11 more) | Obinna Okoro | Read More | |
| CA | Cache Creek | 2003-06-01 | Fatal (11 more) | James Owens | Read More | ||
| CO | Colorado | 5. Shoshone Power Plant Exit 123 (I-70) to Grizzly Creek Exit 121 (I-70) | 2003-05-31 | Fatal (11 more) | Erich Fritz | Read More | |
| NJ | Raritan | near New Brunswick, NJ | 2003-06-22 | Fatal (11 more) | Brian Tomasa | Read More | |
| OH | Great Miami | Hamilton | 2003-06-20 | Fatal (11 more) | Kevin Lodder | Read More | |
| TN | Watauga | 2003-06-09 | Fatal (11 more) | Nathan Raymer | Read More | ||
| CO | Cache La Poudre | Narrows | 2003-05-31 | Fatal (11 more) | L. W. Jenks | Read More | |
| ID | Marsh Creek | 2003-05-25 | Fatal (11 more) | Vaughn Jones | Read More | ||
| ID | Salmon, Middle Fork | 1 - Marsh Creek to Boundary Creek | 2003-05-25 | Fatal (11 more) | Matt Bartley | Read More | |
| MI | Presque Isle | C) Steigers Bridge to South Boundary Road | 2003-05-17 | Fatal (11 more) | Jim Rada | Read More | |
| NH | Androscoggin | 2003-05-11 | Fatal (11 more) | Ryan Corrigan | Read More | ||
| OR | Wind | 2003-04-27 | Fatal (11 more) | Lauren Orton | Read More | ||
| MD | Potomac | 6. Little Falls | 2003-04-25 | Fatal (11 more) | Jennifer Lohnert | Read More | |
| WV | Kanawha | Below Kanawha Falls | 2003-03-27 | Fatal (11 more) | Walt Given | Read More | |
| NH | Fowler | 2003-03-27 | Fatal (11 more) | Stephen Bryant | Read More | ||
| OH | Cuyahoga | Lower Gorge | 2003-03-16 | Fatal (11 more) | Richard Jensen | Read More | |
| PA | Youghiogheny | Lower | 2003-03-14 | Fatal (11 more) | Matt Painley | Read More | |
| AL | Warrior, Locust Fork | 2003-02-22 | Fatal (11 more) | Darrell Fleming | Read More | ||
| CA | Shackleford Creek | 2003-05-03 | Fatal (11 more) | Jeff Ellis | Read More | ||
| CA | Yuba, S. Fork | C) Washington to Edwards Crossing | 2003-05-04 | Fatal (11 more) | David Edrington | Read More | |
| WA | Skykomish, N. Fork | 2. Bear Creek (Drumbeater) to South Fork confluence | 2003-05-30 | Fatal (11 more) | James Nelson | Read More | |
| PA | French Creek | Route 100 to French Creek Road | 2003-06-18 | Fatal (11 more) | Rachael E. Graham | Read More | |
| WA | Stillaguamish | 2003-06-08 | Fatal (11 more) | ? Woman | Read More | ||
| MI | Maumee | 2003-03-20 | Fatal (11 more) | Arthur Bell | Read More | ||
| GA | Chattooga | Section 4 - Route 76 Bridge to Tugaloo Lake Boat Ramp | 2003-05-26 | Fatal (11 more) | Tony Cobb | Read More | |
| WV | Big Sandy Creek | 3. Rockville to Jenkinsburg Bridge (Cheat River) | 2003-04-14 | Fatal (11 more) | Jeff Mayfield | Read More |