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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:
18243479503
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Module
-
BST Working at Heights
Version
-
V19
Incident Significance
Medical treatment
-
incident date
October 16, 2025
-
training setting
-
Fixed
Summary
-
During descent, the participant released the rescue device rope causing a rapid descent. Panicked, the participant grabbed the wheel which caused an immediate stop resulting on a strong pull to the shoulder joint. While this caused immediate pain, the participant had no lasting injury as confirmed at the hospital. 
Mitigation action
-
Instructors will explain hazards related to equipment. Lesson plans to include more emphasis on supervising participants and demonstrations. Risk Assessment review.
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Case number:
18126548219
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Module
-
BST Working at Heights
Version
-
V19
Incident Significance
Incident
-
incident date
October 7, 2025
-
training setting
-
Fixed
Summary
-
During a two-person descent exercise, a course participant sustained rope burns to both hands. The participant allowed the descent to go fast and then tried slowing down by grasping the rope, causing a burn through their gloves. Training was stopped and the course participant’s hands were cleaned and treated. The participant was able to return to training.
Mitigation action
-
The incident was discussed with the class and ways to prevent that from happening again were reviewed.
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Case number:
18063524910
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Module
-
BST-R Working at Heights Refresher
Version
-
V13
Incident Significance
Near miss
-
incident date
September 22, 2025
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training setting
-
Fixed
Summary
-
A participant was rescuing an instructor from the ladder, when they tried to reposition themselves to tie their shoelaces. They slipped while holding the working mechanism of the work positioner. The work positioner disengaged and the participant fell from around 1m, landing on their feet.
Mitigation action
-
The instructor checked all candidates’ footwear to ensure that they were secured properly. Tool Box Talks, which are conducted every morning, will be updated regarding checking one’s footwear. The instructors are to check participants before they start climbing the ladders.
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Case number:
10049047522
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Module
-
BST Working at Heights
Version
-
V19
Incident Significance
Medical treatment
-
incident date
September 12, 2025
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training setting
-
Onsite
Summary
-
During a two-person evacuation drill, a participant as a casualty placed their hands on the grating floor. As the rescuer approached the evacuation hatch, they accidentally stepped on the casualty’s fingers resulting in a bruise. Both participants were wearing the required PPE. The injured course participant was directed to the training centre's health centre for a check-up.
Mitigation action
-
The instructor reminded the participants of the safety rules and paying particular attention to the positioning of the hands during an evacuation exercise.
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Case number:
9849113009
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Module
-
BST Working at Heights
Version
-
V18
Incident Significance
Near miss
-
incident date
August 12, 2025
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training setting
-
Fixed
Summary
-
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
-
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
-
BST Working at Heights
Version
-
V19
Incident Significance
Incident
-
incident date
August 11, 2025
-
training setting
-
Fixed
Summary
-
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
-
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
-
During a ladder rescue exercise, a participant seemed shaky upon descent. The participant informed they were feeling lightheaded from lack of hydration. 
Mitigation action
-
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
-
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
-
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
-
training setting
-
Fixed
Summary
-
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
-
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
-
training setting
-
Fixed
Summary
-
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
-
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
-
training setting
-
Fixed
Summary
-
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
-
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
-
V5
Incident Significance
First aid
-
incident date
June 30, 2025
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training setting
-
Onsite
Summary
-
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
-
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
-
V4
Incident Significance
Near miss
-
incident date
June 24, 2025
-
training setting
-
Fixed
Summary
-
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
-
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
-
training setting
-
Fixed
Summary
-
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
-
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
-
training setting
-
Fixed
Summary
-
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
-
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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