During hold-cleaning operations, the crew were using a ladder and a high-pressure water jet to remove cargo residue from the sloping upper hopper bulkhead. The crew member on the ladder lost his balance and fell backwards on to the tank top, striking his head.
As the Nautical Institute reports, the ladder was secured at the top by a rope and was stabilised by a crew member at the bottom. Another crew member climbed the ladder and directed the water-jet on to the bulkhead to remove cargo residue.
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https://safety4sea.com/lessons-learned-from-fatal-one-metre/