This paper presents findings from three workshops focused on the physical, organizational and social work environment of service crew working on board Swedish passenger vessels. The first workshop aimed to identify underlying causes of long-term sick leave among employees in the service department, and potential measures that can be taken to reduce ill-health. The second and third workshop explored knowledge of available methods to identify occupational safety and health risks, and suggest health-promotion strategies at individual, team and company levels. A total of 58 persons from the Swedish maritime cluster participated in the workshops. During the workshops, open and structured brainstorming was used to create affinity diagrams to systematically summarize the identified causes, risks and strategies. Although the results presented in this article stem from a research project focused on Swedish passenger vessels, many of the findings may be transferable to an international maritime setting towards a deeper understanding of seafarers' work environment and working conditions. http://www.transnav.eu the International Journal on Marine Navigation and Safety of Sea Transportation Volume 12 Number 3