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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:
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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Case number:
7169904497
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Module
-
BST First Aid
Version
-
V18
Incident Significance
Incident
-
incident date
July 30, 2024
-
training setting
-
Fixed
Summary
-
Participant fell unconscious in chair during the lesson. The participant recovered after a few seconds and was assessed and offered fruit and water. The participant appeared unharmed but will follow up with their doctor.
Mitigation action
-
No mitigation needed as drinks are provided however the participant is suspected to have drunk too little during the day.
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Case number:
7058149384
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Module
-
ART Nacelle, Tower & Basement Rescue
Version
-
V4
Incident Significance
Incident
-
incident date
July 19, 2024
-
training setting
-
Fixed
Summary
-
A course participant tripped over an uneven floor during an evacuation exercise.
Mitigation action
-
Participants will be warned about the uneven floor and caution tape will be applied to the area.
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Case number:
6860511174
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Module
-
BST Working at Heights
Version
-
V17
Incident Significance
Incident
-
incident date
June 14, 2024
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training setting
-
Mobile
Summary
-
A participant had a tough time breathing, felt faint and dizzy, during a break after a ladder rescue practical exercise. On inquiry, the participant mentioned they had a history of heart issues at which point the decision was made to take them to the emergency room.
Mitigation action
-
N/A - awareness of personal emergency occurrences have been developed and implementation through instructor meetings has occurred.
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Case number:
6884393057
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Module
-
BST Sea Survival
Version
-
V17
Incident Significance
Incident
-
incident date
June 14, 2024
-
training setting
-
Fixed
Summary
-
A participant bumped his thigh against the side of the transfer piece when descending down from the transfer piece during a double evacuation. The injury was minor, leading only to a small bruise on his thigh. The participant was provided with an ice pack.
Mitigation action
-
Internal auditor and instructors reviewed lesson plans and standards associated with this training. A practical review training will also be scheduled to cover adequate coaching techniques and to identify what needs to be looked for when overseeing participant form during double evacuations.
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Case number:
6677901092
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Module
-
BST First Aid
Version
-
V17
Incident Significance
Incident
-
incident date
May 21, 2024
-
training setting
-
Fixed
Summary
-
As part of the practical exercise for rescuing casualties from a wind turbine, a course participant tripped over their own feet and hit their right elbow against a steel girder.
Mitigation action
-
N/A
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