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:
3259473852
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Module
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BST Fire Awareness
Version
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N/A
Incident Significance
Significant near-miss
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incident date
September 14, 2022
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training setting
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Fixed
Summary
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A participant positions a fire blanket on a fire training pan to extinguish the fire. At the request of the instructor, the participant removes the fire blanket resulting in self-ignition of the fire training pan (air supply, hot tank) with flashback on the participant causing minor eyelash burn
Mitigation action
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Reminder to all instructors of the applicable instructions
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Case number:
3238704336
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Module
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ART Hub Rescue
Version
-
N/A
Incident Significance
Incident
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incident date
September 10, 2022
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training setting
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Fixed
Summary
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While tightening a strap on the "victim"'s spec-pak, a course participant felt a sharp pain in the lower back. Upon questioning, the instructor discovered that the participant had a sore back at the beginning of the training and had exacerbated the injury during the course of the class.
Mitigation action
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JHA to include a musculoskeletal checkbox to ensure instructors will discuss injuries/limitations with participants at the beginning of each day. Additionally, instructors must have a continuous and ongoing conversation throughout lesson plans about rescuer safety, including ergonomics, hydration, state of mind to ensure rescuers do not become victims themselves.
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Case number:
2852928659
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Module
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BST Sea Survival
Version
-
N/A
Incident Significance
Significant near-miss
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incident date
May 21, 2022
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training setting
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Fixed
Summary
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A course participant panicked when a life raft came towards them causing them to become entangled in the ropes of the life raft. The participant did not respond to instructions of the safety guards in the water and refused to be helped and eventually had to be held and cut free from the ropes.
Mitigation action
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N/A
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