The shipping industry has always been one in which workers' relative risks
of ill health, injury and death have been considerable. However, the indust
ry has been utterly transformed since the mid 1970s by the shift to flags o
f convenience, the sub-contracting of operations by owners to international
ship management companies and crewing companies, the explosive growth of m
ixed nationality crews, and technological and economic changes which have r
educed crewing levels and extended working hours. The shipping industry has
become arguably the first truly global industry, inadequately controlled b
y flag-state and port-state regulatory regimes. The evidence of the impact
of globalisation on seafarers' health and safety is reviewed and found to b
e fragmentary but indicative of potentially serious deleterious effects. Cl
oser monitoring of seafarers' health and safety is required as is an enhanc
ed international regulatory regime to narrow the very wide gap between best
and worst industry practice.