Pilot boarding on Pilot Boat "Virginia"

KITTIWAKE ( MMSI 232008570) is a Pilot and currently sailing under the flag of United Kingdom (UK) Here she is speeding down the River this morning.

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New guidance for PBAs with trapdoors. Released 4.11.2020 at NZMPA Conference in Dunedin, NZ. Distinct difference to suggestions in many other countries, is that we challenge operators who have the ladder suspended from the accommodation ladder (gangway) and not secured to the ship. SOLAS states that pilot ladder shall be secured to the ship, and securing strongpoints, shackles and ropes shall be as strong as the sideropes.

The Halifax Pilot Boat recovering a Pilot from a cruise ship in some rough weather
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As a rule, every pilot has the right to refuse an unsafe ladder. Safety first! A brave pilot is not the one who uses an unsafe ladder, but the one who, in case of doubt, asks for a different ladder or a different setting.
Unfortunately, too many pilots climb a dubious ladder when in doubt.

MV Astoria, Dunkirk

UK's Marine Accident Investigation Branch has published grounding and recovery of a container feeder vessel and a tug in the approaches to the Humber Estuary in storm force conditions on 15 December 2018.