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Paramedics have treated three men for leg lacerations after reports a boat capsized off Windang Island on Tuesday morning.
The men, aged in their 20s, were found about 100 metres from the breakwall on the northern side of the island and managed to get themselves to the island after their boat overturned in the high swell.
No one suffered any serious injuries, but two men were taken to Wollongong Hospital..
"The remote location posed a slight challenge, but with the help of a surf life saver, one person from our Special Operations Team used a Surf Lifesaving 4WD buggy to reach the patients," NSW Ambulance Inspector Nathan O'Brien said.
"They had to travel around 15 metres through ankle deep water, in a Surf Lifesaving 4WD buggy to reach the patients."
Firefighters also attended, inspecting a watercraft on the rocks and checking for any spills.
A hazardous surf warning is in place for the Illawarra, with boaters advised to avoid shallow water, wear a life jacket and ensure they have appropriate safety equipment.
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