SAFETY DIGEST WITH TWENTY FOUR CASE STUDIES PUBLISHED BY MAIB
The Marine Accident Investigation Branch (MAIB), based in Southampton, UK, has published its latest safety digest that features 24 case studies of accidents and incidents it has investigated.
The information is published to inform the shipping and fishing industries, the pleasure craft community and the public of the general circumstances of marine accidents and to draw out the lessons to be learned. The sole purpose of the Safety Digest is to prevent similar accidents happening again. The content must necessarily be regarded as tentative and subject to alteration or correction if additional evidence becomes available. The articles do not assign fault or blame nor do they determine liability. The lessons often extend beyond the events of the incidents themselves to ensure the maximum value can be achieved.
In his introduction to the Safety Digest, Andrew Moll, MAIB (Interim) Chief Inspector of Marine Accidents says, “Anyone who knows me will already be aware that I like simplicity. There is seldom anything simple about a marine accident, but to my mind there are usually three recurring components: an underlying weakness or vulnerability in the system (which includes the people); a trigger event or additional stressor that exploits an existing weak spot to cause an accident; and the aftermath, or how it is dealt with. As I was reminded as I approached my first sea command, it is not what happens that matters; it is how you deal with it.”
Read the story in full and download the safety digest at
https://bit.ly/2ytBejT
TRANSPORT MALTA INVESTIGATION REPORT INTO FATALITY BY TOXIC GASES IN BOW THRUSTER COMPARTMENT
Transport Malta’s MSIU issued an investigation report on the fatality of a crew member onboard the Maltese- registered chemical tanker ‘Scot Berlin’ in August 2017. The immediate cause of the accident was the entry into a space which had a significant presence of toxic gases suspended in the air.
The vessel arrived at Marsaxlokk Oil Tanking Terminal loaded with two parcels of cargo. Following the completion of cargo operation, the crew members started the ballasting of the vessel since her next trip to Spain was a ballast voyage. Ballasting in the forepeak tank started under the supervision of the second mate.
About an hour later, at about 1300, a high bilge level alarm in the bow thruster compartment sounded on the vessel’s Alarm Monitoring System. The bosun proceeded forward to investigate. He immediately noticed water escaping from the forepeak tank’s manhole, reaching the bow thruster entrance, flowing over the sill plate and cascading on the bow thruster motor.
Consequently, one of the bilge alarms in the bow thruster compartment triggered the high level alarm. Aware of possible issues with the bow thruster motor, the chief engineer instructed the electrician to inspect the motor for any water damages. Prior to the commencement of the work, three safety documents were signed. The bow thruster electrical supply to the ventilation fan and the bow thruster motor was isolated.
As part of the cleaning process, the electrician sprayed the motor with an electrical cleaner using a pneumatic spray gun. He then proceeded to the messroom and returned to the bow thruster compartment at around 1600. About 20 minutes later, the bosun went to check on the electrician and found him unconscious, lying over the bow thruster tunnel.
Crew members were mustered and attempts made to lift the electrician from the bow thruster compartment. Eventually, shore assistance was requested and personnel from the local Civil Protection Department lifted the electrician to the open space on the forecastle deck. However, he was pronounced dead onboard.
Read the story in full and download the safety report at
https://bit.ly/2R2WV1a
The Report • December 2018 • Issue 86 | 17
Safety Briefings
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68 |
Page 69 |
Page 70 |
Page 71 |
Page 72 |
Page 73 |
Page 74 |
Page 75 |
Page 76 |
Page 77 |
Page 78 |
Page 79 |
Page 80 |
Page 81 |
Page 82 |
Page 83 |
Page 84 |
Page 85 |
Page 86 |
Page 87 |
Page 88 |
Page 89 |
Page 90 |
Page 91 |
Page 92
