Pilot boat Explorer approaches 2GO Maligaya as the harbor pilot then boards the vessel during a Monday morning arrival to Cebu from Manila
See my photos at https://www.flickr.com/photos/dareleven/
Chesapeake Bay pilots guide massive cargo ships safely through the Bay's channels every day, but boarding them on a ladder attached to a moving ship is nothing short of breathtaking. Watch the video from a retired Bay Pilot.
Study from 2015: Psychological stressors, in addition to the physical demands associated with the role (e.g., reduced sleep, boarding, and departing vessels), may over time have a damaging effect on pilots' physical and mental health.