I don't want to appear simplistic, uncaring or unsympathetic ....
but what are some reasons why crew can't / don't escape .... from small boats / ships?
Most of the time, when fatal accidents happen, the fatalities are either because those persons are at a point of impact of sorts, OR because the smaller the boat, the more rapid the sequence of events that together cause/form the incident.
Some of the captains I sail with prefer me not doing any engineroom work as long as the towing line is tied to something, because of that, when doing harbour work. At sea engine room work is often unavoidable during towing.
As for towing over the stern, I am not that long working on tugboats, and have no experience with the older single prop tugboats that typically only are capable of towing over the stern, so I don't know much about gob ropes. I just recently learned that that is what the aft bit in the centreline of my tug is for