Diving instructor killed – incorrect valve threads

  • Safety Flash
  • Published on 18 January 2023
  • Generated on 5 December 2025
  • IMCA SF 03/23
  • 1 minute read

The Dutch Labour Inspectorate (Nederlandse Arbeidesinspectie) reports an incident in which a diving instructor was killed. The incident is reported here (in Dutch).

During a dive, the valve came loose from the diving cylinder and fatally  hit the diving instructor; a cylinder with internal thread G3/4 was used,  which was fitted with a valve with external thread M25x2

Diving instructor was killed at work

Threads on the diving cylinder and the mounted valve were  incompatible. In this case, the screw thread of the valve was slightly  smaller than that of the screw thread in the diving cylinder. The result  was that there was an increased risk that the valve will come loose from  the cylinder when at pressure.

Diving cylinder

Threads on the diving cylinder and the mounted valve were  incompatible. In this case, the screw thread of the valve was slightly  smaller than that of the screw thread in the diving cylinder. The result  was that there was an increased risk that the valve will come loose from  the cylinder when at pressure.

Diving cylinder valve

What happened?

During a dive, the valve came loose from the diving cylinder and fatally hit the diving instructor; a cylinder with internal thread G3/4 was used, which was fitted with a valve with external thread M25x2.

What was the cause?

Threads on the diving cylinder and the mounted valve were incompatible.

In this case, the screw thread of the valve was slightly smaller than that of the screw thread in the diving cylinder. 

The result was that there was an increased risk that the valve will come loose from the cylinder when at pressure.

Lessons learned

Members are advised to follow the guidance contained within IMCA D064 Guidance on diving cylinder and valve thread compatibility. 

The Dutch Labour Inspectorate (Nederlandse Arbeidesinspectie) notes that despite various (international) publications about the prevention of such incidents, these situations unfortunately continue to occur.

Latest Safety Flashes:

Vessel ran aground

A vessel on a short voyage ran aground while navigating through a narrow channel at low tide.

Read more
Fire in the engine room – fuel spray fire

A fire broke out on the starboard main engine due to a leak from the fuel pipe connection.

Read more
Fire hazard: missing splash tapes on fuel hose connections

It was observed that several engine fuel hose connections were not fitted with splash tapes.

Read more
Dropped pallet during cargo transfer

A plastic pallet loaded with plastic lube oil drums fell while being hoisted.

Read more
Positive – Enhancing safety communication through digital monitors

All crew and office personnel have 24/7 access to essential safety and operational updates.

Read more

IMCA Safety Flashes summarise key safety matters and incidents, allowing lessons to be more easily learnt for the benefit of the entire offshore industry.

The effectiveness of the IMCA Safety Flash system depends on the industry sharing information and so avoiding repeat incidents. Incidents are classified according to IOGP's Life Saving Rules.

All information is anonymised or sanitised, as appropriate, and warnings for graphic content included where possible.

IMCA makes every effort to ensure both the accuracy and reliability of the information shared, but is not be liable for any guidance and/or recommendation and/or statement herein contained.

The information contained in this document does not fulfil or replace any individual's or Member's legal, regulatory or other duties or obligations in respect of their operations. Individuals and Members remain solely responsible for the safe, lawful and proper conduct of their operations.

Share your safety incidents with IMCA online. Sign-up to receive Safety Flashes straight to your email.