Latest released figures for October show that the Phuket drownings toll is almost level with the road death toll - an unprecedented occurrence.
There were six deaths on Phuket roads and five in the water, an exceptional low on the roads and a high figure in the water.
Phuket police are now preparing 10 checkpoints for the Seven Days of Danger campaign across the island from December 29 to January 4.
Phuket Police Commander Major General Pekad Tantipong would like to have more breathalyzers and radars to measure alcohol and speed, but latest figures on the roads are encouraging.
To the end of October, there have been 97 deaths on Phuket's roads in 2011 - well down on figures for the same period on 2010 (122) and 2009 (127). The improvement is attributed to the ''100 percent helmet'' safety campaign for motorcycles, better road signage and markings, and regular checkpoints.
Some of the worst Phuket crash blackspots have also been obliterated by better road design, or redesign. Problems remain where wider Phuket roads encourage speed to still-dangerous curves and bends.
Major General Pekad says crashes involving motorcycles especially are becoming more prevalent on Phuket's secondary roads, where people think they can go without wearing helmets and speed without fear of detection.
Target for the Seven Days of Danger will be to reduce the total toll from last year, when there were four deaths on Phuket in 67 crashes, with 74 people injured.
The number of people seriously injured or even maimed for life in motorcycle crashes especially on Phuket remains alarming, with 1295 the total for October.
In the August-September-October period, 25 people have died on Phuket roads while 11 have drowned at beaches or in canals - an exceptionally high ratio given the number who use the roads compared to those who enter the water.