Offshore production of oil and gas is capital intensive coupled with high operational costs. The current low oil price continuing from 2015 and 2016 are having a profound impact on offshore oil producers’ profitability and viability. Offshore oil workers face the constant challenge of improving operational efficiency and lowering operational cost. In this current climate it is even more important to ensure offshore workers’ health and wellbeing are not compromised to ensure social responsibility and optimal productivity. This normally will necessitate constant health monitoring of offshore workers. The objective of this paper is to share some of the lessons learnt in determining (a) which workers are required to be in the Mercury Health Surveillance Program, (b) the necessary and effective Personal Protection Equipment for these workers and (c) the required Mercury Health Awareness training for these workers.