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

  • Safety Flash
  • Published on 6 March 2020
  • Generated on 19 November 2025
  • 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:

Fingertip crush injury sustained during lifting operation

A rigger sustained crush injuries to several fingertips working on deck during the relocation of a pressure cap

Read more
Stay in the right place – the importance of personal positioning

A member reports two dissimilar events, both of which highlight the importance of ensuring you are not in the wrong place.

Read more
Slipped on stairs, broken finger

A worker slipped while descending the staircase, and broke his finger as a result

Read more
Condensation Hazard on Electrical Panel (440V)

During a recent inspection, condensation water was observed dripping directly onto a 440V electrical panel in the engine room.

Read more
Broken equipment repaired or replaced

A member highlights several cases of emergency equipment being broken or unserviceable.

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.