Personal Locator Beacons (PLB) and other individual MOB devices have been available for some years now and have evolved to incorporate a variety of different alerting methods and combinations. However, usage of these additional enhancements within UK Pilotage is still in its infancy.

SeaSafe - Marine pilot falling off a ships ladder with his integrated life jacket coat

"Rope Ladders" by PTR Holland

An investigation into actual strength of ladders and intermediate securing methods used.
Capt. and Marine Pilot Troy Evans (New Zealand) decided to look into pilot ladder strength and intermediate securing arrangements after MNZ put out what he felt was a confusing and unclear document about securing of pilot ladders.

Wind was blowing strong from the NE and the waves were becoming bigger and bigger by the time we reach a new client.
Crew didn't consider the rolling effect about to happen while changing heading in order to give lee when they prepared pilot ladder, so the requested 1.5m above the water was not that good.
I decided to abort and to give the vessel the chance to shorten it. In the next attempt they did it right and I was able to board safe

It has been exactly one year ago that a pilot from Sandy Hook (New York), Dennis Sherwood, died in the line of duty while attempting to board the container vessel Maersk Kensington.
What has happened since then? Has safety been improved for the pilots?

During the transit time on the pilot launch between the shore and the vessel, marine pilots will spend at least a portion of that time carrying out (either consciously or subconsciously) a risk assessment of the forthcoming operation.

長崎県に入港するクルーズ船「ダイヤモンド・プリンセス」を誘導していた水先人の男性が海に転落し、男性はその後、死亡が確認された。 死亡したのは、水先人の大須賀祥浩さん(69)。 長崎海上保安部によると、5日午前5時半ごろ、パイロットボートから無線で「客船に移乗させる際にパイロットが海中に転落した」と通報があった。 大須賀さんは長崎港の入り口付近で海に転落し、クルーズ船の救命艇に救助されたが、およそ2時間後に死亡が確認された。 男性は5日に長崎に入港したクルーズ船「ダイヤモンド・プリンセス」を誘導する業務にあたっていた。

Join us for a full exterior walkaround of the Norwegian pilot boat LOS 107 while she’s underway — bow to stern, wheelhouse to fenders. Real-time footage of a working pilot/launch at sea.

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.