Near miss: Failure of work procedures during hot work at height

  • Safety Flash
  • Published on 6 March 2020
  • Generated on 17 April 2026
  • IMCA SF 09/20
  • 1 minute read

During a crew change handover walk around the vessel hull, the Master observed a welder working close to the open/unsecured edge of a PS davit area

What happened?

The incident occurred during planned installation of additional access support plates at the port side davit area.

A ‘hot work permit to work’ was raised for completion of welding activities; the work area was agreed, a risk assessment conducted, and a toolbox talk (TBT) signed off by all participants.

Welding operations were immediately stopped, and additional fall prevention measures installed.

During a crew change handover walk around the vessel hull, the Master observed a welder working close to the open/unsecured edge of a PS davit area

Red arrow showing welder working with unprotected edge behind and potential to fall into water

What was the cause?

The person authorising the work did not properly assess the work area.

Unprotected edge-related working at height hazards were left unattended with no safety precautions considered.

What went wrong?

  • STOP WORK AUTHORITY was not applied.
  • Risk seen as tolerable: the person working near the unprotected edge considered the job as a ‘quick 5-minute task, so nothing to worry about’.

Latest Safety Flashes:

LTI – crew member squeezed between buoy and cargo rail

A crew member was crushed between a large buoy and a cargo rail.

Read more
BSEE: Exterior Walkway separates from temporary living quarters, putting workers at risk

BSEE has published Safety Alert 513, relating to an incident involving a third-floor walkway outside temporary living quarters on an offshore platform.

Read more
UK HSE: electrician seriously injured on onshore wind farm

The UK HSE has fined a wind farm management company after a worker was seriously injured.

Read more
Unauthorised boarding and theft from vessel at anchor

An unknown individual boarded a vessel at anchor during night hours.

Read more
Death of seafarer due to fall from crane cabin

The Directorate General of Shipping (DGS) of India published Circular 04-2025 relating to an incident in which a seafarer took a fatal fall from a crane cabin.

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.