Audit & Compliance

Resolutions and reports

Incident Reports

Incident reporting, assessment and mitigation are a vital element of creating and enhancing the safety of GWO training. To promote good practices and learning GWO publishes its incident reports once investigations are complete. These are published anonymously to encourage collective learning and the sharing of experiences and mitigating actions across the training community. For the GWO Secretariat incident reporting directly feeds into the review and maintenance of GWO standards contributing to the development of safer training.

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Case number:
9849113009
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Module
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BST Working at Heights
Version
-
V18
Incident Significance
Near miss
-
incident date
August 12, 2025
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training setting
-
Fixed
Summary
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A course participant, whilst connected to anchor point and taking out the slider from the rail, dropped the slider from heights. The area where the slider landed was clear of people. 
Mitigation action
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From now on the exercise will be done with the slider connected to a safety sling and the instructor will help remove the slider of the rail.
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Case number:
9841821277
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Module
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BST Working at Heights
Version
-
V19
Incident Significance
Incident
-
incident date
August 11, 2025
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training setting
-
Fixed
Summary
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After a controlled descent during a practical descent exercise, a course participant transitioned from landing on one knee to standing abruptly. Slack in the SRL cable recoiled and contacted the trainee's ear, resulting in a small bleeding laceration.
Mitigation action
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Instructional conversation with course participants to emphasize the proper management of SRL devices and the minimization of slack after descent. Integrate updated risk assessment into practical descent exercises encompassing SRL recoil hazards.
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Case number:
9750219793
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Module
-
BST Working at Heights
Version
-
V18
Incident Significance
First aid
-
incident date
July 28, 2025
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training setting
-
Fixed
Summary
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During a ladder rescue exercise, a participant seemed shaky upon descent. The participant informed they were feeling lightheaded from lack of hydration. 
Mitigation action
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The participant was given water and electrolyte fluids, after which they were directed to return to their hotel to rest. They felt better the following day and were rescheduled for a future class to complete the course.
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Case number:
9688886403
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Module
-
BST Working at Heights
Version
-
V19
Incident Significance
Near miss
-
incident date
July 23, 2025
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training setting
-
Fixed
Summary
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After a rescue exercise, a participant was standing on the floor and about to demount the fishhook from the D-ring, when the wire on the fishhook loosened. The fishhook fell apart and dropped from approx. 90 cm above the ground. No injuries occurred.
Mitigation action
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All fishhooks were immediately put into quarantine after the incident. Change of practices in the following areas - removing coating that prevents tightening the bolt; pulling harder in the wire to check that the bolt is firmly tightened.
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Case number:
9653368175
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Module
-
BST Working at Heights
Version
-
V18
Incident Significance
Near miss
-
incident date
July 22, 2025
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training setting
-
Fixed
Summary
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While participating in practical exercises outdoors on a hot day, a participant informed that they were experiencing symptoms of heat related illness. The participant was escorted indoors to have water and cool down and then sent home to continue hydrating and resting as a precaution.
Mitigation action
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2 large fans will be placed in the outdoor training area for use when temperatures exceed 27C/80F. The instructor will remind participants once per hour to pause and take a water break.
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Case number:
9816546963
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Module
-
BST Working at Heights
Version
-
V18
Incident Significance
First aid
-
incident date
July 21, 2025
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training setting
-
Fixed
Summary
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During a double evacuation exercise, upon descent, participant’s face came into contact with the moving reel of the rescue and escape device, resulting in a skin abrasion. 
Mitigation action
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Proposal to reposition rescue device overhead via secure anchor/arbor kit. Maintain minimum 30–50 cm clearance between any mechanical rescue device and the head/face. Train support staff on face hazard awareness in confined rescue positioning.
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Case number:
9619051500
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Module
-
BST Sea Survival
Version
-
V19
Incident Significance
Incident
-
incident date
July 11, 2025
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training setting
-
Fixed
Summary
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A participant complained about shortness of breath after a few minutes in the water. A boat came up to them, their lifejacket was deflated and suit opened at the neck. The participant felt better and wanted to make another attempt but had to stop again due to shortness of breath.
Mitigation action
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Internal review of training documents and safety instructions on life jackets – found sufficient.
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Case number:
9490339918
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Module
-
EFA Enhanced First Aid Training
Version
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V5
Incident Significance
First aid
-
incident date
June 30, 2025
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training setting
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Onsite
Summary
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Course participant reported feeling unwell during EFA, complaining of dizziness and nausea. No obvious antecedents to the episode or abnormal environmental conditions noted. Participant was pain free, however disclosed that they were under cardiology for further investigations.
Mitigation action
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Training was suspended during the event. Incident will be entered into the training provider´s incident log and reviewed by the Clinical Lead for Education and Quality.
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Case number:
9449777039
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Module
-
ART Nacelle, Tower & Basement Rescue
Version
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V4
Incident Significance
Near miss
-
incident date
June 24, 2025
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training setting
-
Fixed
Summary
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During the ART-Nacelle training, a participant accidentally dropped a battery from a lifting bag, while working on a ladder in the PPE area. No one was nearby, and no injuries occurred. The training was temporarily stopped, and the instructions were clarified again.
Mitigation action
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As an immediate action, only one battery will be brought along for the exercise and the battery change will be carried out inside of a bag. Options for a safety tether will be explored.
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Case number:
9448273754
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Module
-
BST Sea Survival
Version
-
V18
Incident Significance
Incident
-
incident date
June 24, 2025
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training setting
-
Fixed
Summary
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Improper helmet cleaning resulted in detergent residue remaining inside helmets used for Sea Survival training. Upon water entry, foam generated by the residue entered the eyes of an instructor and a course participant, causing redness and irritation. Affected individuals received eyewash treatment.
Mitigation action
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This incident was the result of an execution error during cleaning. Helmet cleaning procedures have been strengthened. Also recommended that participants wear headscarves during courses to reduce direct sweat contact with helmets. Regular helmet inspection to ensure equipment remains in optimal condition.
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Case number:
9190349463
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Module
-
ART Nacelle, Tower & Basement Rescue
Version
-
V4
Incident Significance
First aid
-
incident date
May 15, 2025
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training setting
-
Fixed
Summary
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A participant attended training with a sore shoulder due to previous injury. They informed the instructors and felt they could continue the training. During the ladder rescue exercise, their pain became too strong, so they came down for treatment. They were advised to contact medical support.
Mitigation action
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An “all stop” was implemented. The participant was advised to immediately contact their workplace injury management and occupational health consulting services. A change in policy was adopted, so that all reported/observed incidents must immediately be escalated to the client manager for customers to follow their internal injury protocol.
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Case number:
9180672640
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Module
-
BST First Aid
Version
-
V18
Incident Significance
First aid
-
incident date
May 15, 2025
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training setting
-
Fixed
Summary
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A course participant passed out while sitting in a chair during lecture portion of FA. When falling, the participant hit their head on the ground and appeared to suffer a seizure. First aid was provided until emergency services arrived and the participant was taken to the ER for a check up.
Mitigation action
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No corrective action needed. The participant claimed no medical history, medications, or drug use, and had never experienced this before. Since waking up that morning, they had only had water and coffee to drink, and nothing to eat.
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Case number:
9089343875
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Module
-
BST First Aid
Version
-
V18
Incident Significance
First aid
-
incident date
May 6, 2025
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training setting
-
Fixed
Summary
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Participant fainted during the theoretical part of the training while sitting down. No injuries occurred. First aid was administered by First Aid instructors. Emergency services took care of the participant, but hospitalization was not required.
Mitigation action
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N/A – participant had not reported any prior health issues and no reason for fainting was identified or reported. No corrective actions put in place.
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Case number:
9032923807
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Module
-
ART Nacelle, Tower & Basement Rescue
Version
-
V4
Incident Significance
Near miss
-
incident date
April 22, 2025
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training setting
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Onsite
Summary
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A participant was performing “rescue up” to the first deck. During the transition from the ladder to the deck through the hatch where the drill and lanyard possibly got snagged/pinched, a tool lanyard on a drill broke causing the drill to fall to the base deck. Drop zone was all clear of personnel.
Mitigation action
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Training was halted to inspect all equipment to ensure safety. Technicians were made aware of what to look for and pre-use inspection before each scenario was re-enforced. The awareness of snagging hazards, sharp edges, and abrasions with tool lanyards was covered.
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Case number:
8533977876
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Module
-
BST Sea Survival
Version
-
V18
Incident Significance
Incident
-
incident date
February 14, 2025
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training setting
-
Fixed
Summary
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Course participant dislocated a knee while participating in a practical swimming exercise. The participant has had previous incidents with their knee while swimming. Incident could not have been prevented. 
Mitigation action
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None as this occurred spontaneously and without any direct causal link to the exercise being carried out. The participant has previously had issues with knee while swimming. 
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