Rope-Based Casualty Retrieval via Rope Access.

Think Access carries out rope-based retrieval of incapacitated personnel from elevated positions, confined spaces and complex structures. Our trained rescue teams recover casualties safely and efficiently using certified equipment and rehearsed procedures.

Scope at a glance

Retrieval scenarios


Lower-down rescue · Raise-up rescue · Suspended at height · Confined space extraction

Rigging systems


Lowering device · Hauling & raising system · Existing or rescue anchor · Controlled movement throughout

Casualty care


Spinal injury precautions · Suspension trauma management · Place of safety · Emergency services handover

What we do

The core rescue skill

Rope-based casualty retrieval is the core technical skill of any rope access rescue. An incapacitated worker suspended in a harness at height, or unable to self-rescue from a confined space, must be moved to a safe position by the rescue team using rigging systems that control the movement of the casualty at all times.

Lower-down rescue

Lower-down rescue involves lowering a casualty from their working position to the ground or to a place of safety, using a lowering device attached to the existing anchor system or to a dedicated rescue anchor above.

Raise-up rescue

Raise-up rescue involves hauling a casualty from a lower position. Typically a confined space, or a position below the level of the rescue team, up to the surface or to a working platform.



Casualty handling & handover

Retrieval demands particular attention to potential spinal injury, the management of suspension trauma the medical emergency that can affect an unconscious person suspended in a harness and a clean handover to emergency services at the point of extrication. Our rescue teams are trained in all of these considerations.

Why Think Access

Rope-based casualty retrieval requires practised teams, certified equipment and clear decision-making under pressure. Think Access trains and equips our rescue teams to operate effectively in exactly these conditions.

F.A.Q’s

Suspension trauma occurs when an unconscious person hangs in a harness for a period, causing blood pooling in the legs and cardiovascular consequences. We manage it by repositioning the casualty as quickly as possible to a horizontal or semi-reclined position on retrieval, and by providing immediate first aid support.

Yes. Horizontal confined space retrieval from pipes, culverts, tunnels and similar requires a different rigging approach from vertical retrieval. We plan the specific retrieval method during the rescue planning phase before any entry begins.

Free survey

Let’s talk about how we can help you get more from your space. Reach out today to book your free site survey, we’ll take care of the rest.