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What happened?
At approximately 20:00hrs, a fatal fall incident occurred.
A supervisor and two workers were installing safety gate latches on the rooftop of a topside module, loaded onto a heavy transport vessel.
After completing the job, they descended via the vessel's permanent vertical ladders and intermediate platforms.
One of the workers who had earlier descended from the vertical ladder witnessed the supervisor fall onto the deck near him.
Despite immediate first aid by the yard paramedic and intensive care unit (ICU) admission, the supervisor died from his injuries.
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Why did it happen?
Inadequate compliance with the use of fall protection systems like self-retracted lifelines (SRLs) and anchor points.
Insufficient familiarisation with the safe practices for using vertical ladders and intermediate platforms.
Inadequate risk assessment conducted specifically for the fall hazards associated with the work location.
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What did they learn?
Reinforce strict adherence to height safety measures and lifesaving rules like ‘hook up and work safely at height’.
Conduct thorough risk assessments addressing fall hazards and control measures for specific tasks.
Improve the fall prevention plan (FPP) to include vertical ladder safety requirements.
Provide targeted training on using vertical ladders, SRLs, and maintaining 100% tie-off during height work.
Strengthen vendor management to ensure timely delivery of materials, enabling safer installation processes (of the safety gate latches, in this case).
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Ask yourself or your crew
How do we ensure consistent adherence to height safety protocols, including maintaining 100% tie-off?
What steps are we taking to identify and address all potential fall hazards in our work environment?
How well do we understand and apply safety requirements when accessing vertical ladders or intermediate platforms?
In what ways can we strengthen our fall prevention plan to better prevent incidents?
How do we verify that all required materials and scaffolding are in place before starting work to avoid hazardous access methods?
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What happened?
At approximately 20:00hrs, a fatal fall incident occurred.
A supervisor and two workers were installing safety gate latches on the rooftop of a topside module, loaded onto a heavy transport vessel.
After completing the job, they descended via the vessel's permanent vertical ladders and intermediate platforms.
One of the workers who had earlier descended from the vertical ladder witnessed the supervisor fall onto the deck near him.
Despite immediate first aid by the yard paramedic and intensive care unit (ICU) admission, the supervisor died from his injuries.


Why did it happen?
Inadequate compliance with the use of fall protection systems like self-retracted lifelines (SRLs) and anchor points.
Insufficient familiarisation with the safe practices for using vertical ladders and intermediate platforms.
Inadequate risk assessment conducted specifically for the fall hazards associated with the work location.


What did they learn?
Reinforce strict adherence to height safety measures and lifesaving rules like ‘hook up and work safely at height’.
Conduct thorough risk assessments addressing fall hazards and control measures for specific tasks.
Improve the fall prevention plan (FPP) to include vertical ladder safety requirements.
Provide targeted training on using vertical ladders, SRLs, and maintaining 100% tie-off during height work.
Strengthen vendor management to ensure timely delivery of materials, enabling safer installation processes (of the safety gate latches, in this case).

Ask yourself or your crew
How do we ensure consistent adherence to height safety protocols, including maintaining 100% tie-off?
What steps are we taking to identify and address all potential fall hazards in our work environment?
How well do we understand and apply safety requirements when accessing vertical ladders or intermediate platforms?
In what ways can we strengthen our fall prevention plan to better prevent incidents?
How do we verify that all required materials and scaffolding are in place before starting work to avoid hazardous access methods?
A supervisor tragically fell to his death while descending from a rooftop installation job on a heavy transport vessel, despite immediate first aid and intensive care unit (ICU) admission. The incident was witnessed by one of his workers.