A TUBE passenger's head was crushed as they tried to urinate between two moving carriages.
The accident happened on the Piccadilly Line service earlier this year, according to a report by Transport for London.
The commuter suffered serious injuries but miraculously survived the bizarre incident.
Tube carriage doors can be easily opened as the train is moving but signs warn of a danger of death if passengers do this.
The off-the-rails stunt was revealed in Transport for London's quarterly health and safety report.
Amongst the gruesome accidents included a woman who died after falling down steps at Walthamstow Central station in North East London.
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On the Overground – the Capital's inner-city rail network – a visually impaired passenger was seriously injured after falling out of a train onto the platform.
The report revealed one death and 43 serious injuries across the capital’s transport network between April and June this year, Metro reported.
Meanwhile, 263 injuries were recorded among TfL’s workforce, including two serious injuries.
A TfL spokesperson said: "We have initially prioritised common customer safety concerns including slips, trips and falls; passenger/transport interfaces; and road risk.
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"First and foremost, we will focus on improving what is within our control.
"However, we acknowledge that customer incidents will always be influenced by human behaviour."
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