The relative stability of the knowledge base regarding health hazards offshore may change as more innovative methods are employed to develop hydrocarbon resources in more ‘difficult’ environments. Society’s willingness to accept risk is changing. Addressing potential health risks should be done much earlier in the planning process of major projects. This may reveal a skills gap in health professionals as a consequence of needing to employ more anticipatory tools, such as modelling exposure estimations and the skills and willingness to engage effectively with engineers and other HSSE professionals.