Life at sea is unlike almost any other working environment. I can be hundreds of miles from the nearest hospital while surrounded by machinery, electricity, pressurized systems, moving equipment, heavy loads, rigging, heat, chemicals, noise, confined spaces and a platform that never truly stops moving.
Then something happens. A hand becomes trapped. I fall. I strike my head. A line comes under load. A ladder gives way. Hot liquid burns skin. Electrical energy passes through a body. A heavy component shifts unexpectedly. For a moment, the routine disappears and one question takes over: am I all right?
I do not allow the answer “I think I’m fine” to close the incident. Being hurt and being injured are not identical. Hurt describes an experience such as pain, soreness, shock or distress. Injury describes actual physical or psychological harm. Some injuries are immediately visible. Others develop metabolically, neurologically or structurally over time and may not be obvious in the first minutes.
I therefore follow a definitive order. I protect life first. I make the scene safe. I provide assistance within my training. I obtain professional medical direction when required. I report the event. I record facts. I preserve evidence. I determine blame later.
This guide follows that same order. I begin at the instant of injury and continue through treatment, reporting, investigation, recovery, repatriation, disability, compensation and the legal protections that may apply. The MLC 2006 is the legal backbone where it applies, but I never force an incident into the MLC merely because the accident occurred at sea.
I also treat documentation as instrumental. Months after an incident, vessels move, crew rotate, equipment is repaired, bruises disappear and memories change. A precise note made at the time, a lawful photograph, an identified witness, a medical record, an SEA clause or a financial-security certificate can become decisive.
My purpose is not to turn a seafarer into a doctor or lawyer. My purpose is to make the seafarer informed, constructive and difficult to mislead: capable of recognizing danger, asking for appropriate care, recording facts accurately, understanding responsibilities, and knowing when the matter has moved beyond onboard first aid into professional medicine, flag-State enforcement, port-State intervention, insurance or maritime law.
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