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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:
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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Case number:
9180672640
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Module
-
BST First Aid
Version
-
V18
Incident Significance
First aid
-
incident date
May 15, 2025
-
training setting
-
Fixed
Summary
-
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
-
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
-
training setting
-
Fixed
Summary
-
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
-
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
-
training setting
-
Onsite
Summary
-
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
-
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
-
training setting
-
Fixed
Summary
-
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
-
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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Case number:
8452247615
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Module
-
BST Working at Heights
Version
-
V18
Incident Significance
Incident
-
incident date
February 4, 2025
-
training setting
-
Fixed
Summary
-
A course participant got minor burns on fingers during an evacuation exercise. The participant lost grip on the steering wheel and started to descend. They panicked and grabbed onto some rope. Since it was difficult to brake, the participant got minor abrasions on their palms.
Mitigation action
-
Training Provider has informed their instructors that during assisted evacuation the use of gloves is mandatory. They have also provided clarification of their routines regarding gloves in training and how to communicate the importance of extra friction using a CRD.
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Case number:
8306790812
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Module
-
BST First Aid
Version
-
v18
Incident Significance
Incident
-
incident date
January 8, 2025
-
training setting
-
Fixed
Summary
-
A course participant scratched their hand during a first aid exercise as a mattress moved during the check-up exercise. First aid was applied and the course could carry on without further actions.
Mitigation action
-
Added more mattresses on the floor to avoid any scratches and requested course participants to wear gloves during all practical exercises.
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Case number:
8306733607
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Module
-
BST Working at Heights
Version
-
v18
Incident Significance
Significant near-miss
-
incident date
January 7, 2025
-
training setting
-
Fixed
Summary
-
The course participant involuntarily pressed the blocking system of the fall arrest during an exercise and fell one meter down before the back-up devise took over. No injury occurred.
Mitigation action
-
The use of work-positioning lanyards is now prohibited. 0,6m loop will be used instead.
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Case number:
7880524428
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Module
-
ART Nacelle, Tower & Basement Rescue
Version
-
V4
Incident Significance
Significant near-miss
-
incident date
November 18, 2024
-
training setting
-
Fixed
Summary
-
During a lowering exercise, a loose glider was left on a dummy. When the dummy evacuation started, the glider rolled off the dummy and fell from the tower. No one was in the drop zone nor got injured. Training was paused to secure all loose objects. The glider was put aside and the training resumed.
Mitigation action
-
All relevant instructors have been informed on the importance of securing loose objects during training and to pay extra attention to specific actions performed by the course participants.
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Case number:
7693106821
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Module
-
ART Single Rescuer
Version
-
V4
Incident Significance
Incident
-
incident date
October 18, 2024
-
training setting
-
Fixed
Summary
-
Course participant lifted a dummy without using the proper lifting equipment available. Due to the heavy lift the course participant pulled a muscle in the chest.
Mitigation action
-
Remind course participants that it is a training environment; they have time for exercises and do not need to take shortcuts to finish faster.
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Case number:
7500740465
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Module
-
BST Working at Heights
Version
-
V18
Incident Significance
Significant near-miss
-
incident date
September 18, 2024
-
training setting
-
Fixed
Summary
-
A course participant fell from a height of approx. 1m from an evacuation platform. Due to stress the participant did not follow the usual process and was only attached to their back up system when gate was opened. The participant did not get injured and was able to complete the training.
Mitigation action
-
Including verification from the lead instructor that both CRD and back up are attached before lanyards are removed and gate is opened. Instructors encouraged to take time out if anyone appears to be rushing or not following the procedure under stress. Staff training on understanding signs of participants’ stress.
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Case number:
7287012877
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Module
-
ART Hub Rescue
Version
-
V4
Incident Significance
Incident
-
incident date
September 3, 2024
-
training setting
-
Fixed
Summary
-
A course participant pinched the underside of their arm during an exercise of transferring a victim from the hub to the nose cone hatch.
Mitigation action
-
Edge guard placed on the lip of the edge where the participant’s arm was pinched.
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Case number:
7331008332
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Module
-
BST Working at Heights
Version
-
V18
Incident Significance
Significant near-miss
-
incident date
August 30, 2024
-
training setting
-
Fixed
Summary
-
During a lowering exercise, a knot came loose which resulted in the dummy falling to the ground. This was due to the instructor tying a basic knot instead of a “figure-of-eight knot”.
Mitigation action
-
Safety Instructors has been informed about the importance of choosing the correct knot for those exercises. It will be included in the Risk Assessment going forward.
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Case number:
7350365936
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Module
-
SLS
Version
-
v4
Incident Significance
Significant near-miss
-
incident date
August 28, 2024
-
training setting
-
Fixed
Summary
-
During an SLS practical exercise, a crane auxiliary hook got damaged when an operator mistakenly left it in the override function and did not react when the warning alert got triggered. No one was injured.
Mitigation action
-
Training was stopped and an investigation from the crane supplier was initiated. The operator will undergo supplier internal safety procedures and refresher training, and furthermore will not be allowed on the training provider’s premises for any future training.
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Case number:
7216053448
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Module
-
BST Working at Heights
Version
-
V18
Incident Significance
Incident
-
incident date
August 13, 2024
-
training setting
-
Fixed
Summary
-
During a break, a course participant dropped a glass water bottle. The participant picked it up with their bare hands and suffered a cut on their thumb.
Mitigation action
-
Participants will be reminded to wear hand protection when cleaning broken glass.
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