lesson learned

Lesson Learned: Tragic Fall Aboard MV Ludogorets

  • On October 12, 2021, a tragic incident occurred aboard MV Ludogorets, resulting in the death of a duty-able seaman (AB) during cargo discharging operations.
  • The duty AB was discovered at the bottom of the cargo hold no. 6’s aft access trunk after falling from a height
  • Safety protocols and barriers in place were insufficient to prevent entry.

The fatal accident aboard MV Ludogorets highlighted safety vulnerabilities in cargo operations and crew hazard awareness. The investigation aimed to...

https://mfame.guru/lessons-learned-tragic-fall-aboard-mv-ludogorets/

Lesson Learned: Flawed Procedures Lead to Fire Aboard PGC Patreas

  • Crew members aboard the vessel underwent refresher training on the company’s engineering and maintenance procedures.
  • The company distributed safety circulars, risk assessments, and an internal investigation report across its fleet for awareness and compliance.
  • Instructions were issued for discussing the internal investigation report during onboard safety meetings to prevent similar incidents.

A fire incident occurred aboard the PGC Patreas during a routine waste oil transfer, resulting in burn...

https://mfame.guru/lesson-learned-flawed-procedures-lead-to-fire-aboard-pgc-patreas/

Enclosed Space Entry: Why Compliance Is Critical for Crew Safety

  • The chief officer suffered a fatal cardiac condition while working unaccompanied in an enclosed space (cofferdam) during a voyage.
  • Delayed medical assistance and possible undisclosed health conditions contributed to the tragic outcome.
  • Safety measures and compliance with medical history disclosure are emphasized in the investigation’s recommendations.

On 25 June 2021, the chief officer of a vessel traveling from Rotterdam to Gebze entered the starboard cofferdam alone to perform maintenance....

https://mfame.guru/enclosed-space-entry-why-compliance-is-critical-for-crew-safety/

Lessons from ROV Recovery: Improving Emergency Procedures

  • During an ROV emergency recovery, a worker’s finger was amputated due to insufficient planning and risk assessment.
  • Key oversights included failing to identify all procedural steps and not addressing the faulty LARS latching mechanism beforehand.
  • Emergency recovery procedures and training have since been improved to prevent similar incidents.

An incident during an emergency recovery operation involving a remotely operated vehicle (ROV) led to the amputation of a worker’s finger. Despite prior...

https://mfame.guru/lessons-from-rov-recovery-improving-emergency-procedures/

VLCC’s Market Dip: Adapting to the New Wellness Economy

  • The company reported a 20% drop in revenue due to decreased demand and stiff market competition.
  • Emerging competitors and changing consumer preferences impacted VLCC’s market share.
  • VLCC is urged to realign its offerings and improve operational efficiencies to regain stability.
What Happened?

VLCC experienced a significant revenue dip of 20% in Q4, primarily attributed to a decline in demand for its services and products. Additionally, increased competition from new players in the wellness...

https://mfame.guru/vlccs-market-dip-adapting-to-the-new-wellness-economy/

Lessons Learned: Hidden Corrosion Can Cause Dangerous Failures

USCG provides lessons learned from a recent marine casualty that resulted in a severe injury to a crewmember onboard a cargo vessel. The incident brought to light a dangerous and potentially fatal situation involving D-ring lifting points.

The incident

While positioning a removable hatch cover on the vessel (Figures 1 and 2), three of the four D-ring securing straps failed (Figures 3 and 4), causing an uncontrolled snap-back of the lifting sling assembly that struck the crewmember in the head....

https://mfame.guru/lessons-learned-hidden-corrosion-can-cause-dangerous-failures/

Lessons Learned: Wire Rope Hazard Management

The United States Coastguard (USCG) has published Marine Safety Alert 11-23 relating to an incident in which a wire rope parted, causing a wind turbine nacelle weighing 69 tons to fall 2.2m to deck, causing significant damage and loss of the nacelle.

What happened

A vessel crane was being used to offload the 69 ton wind turbine nacelle. While hoisting, a wire rope parted, causing the load to fall to the deck. No-one was harmed, but the load landed within a metre of working personnel – there was...

https://mfame.guru/lessons-learned-wire-rope-hazard-management/

Lessons Learned: Bosun Fatally Crushed Onboard RoRo

UK MAIB has published an investigation report into an incident where at 13:53 on 20 July 2021, the bosun of the roll-on/roll-off cargo vessel Clipper Pennant was fatally crushed when he became trapped between a moving vehicle and the vessel’s structure.

The incident

Clipper Pennant was alongside in Liverpool, England, loading a cargo of semi-trailers. A tractor unit driver pushed a semi-trailer into a corner space, marshalled by the vessel’s bosun in his assigned role as banksman. The driver then...

https://mfame.guru/lessons-learned-bosun-fatally-crushed-onboard-roro/

Lessons Learned: Serious Burn Injuries to a Crew Member

Transport Malta has published an investigation report regarding an incident that took place in the morning of 26 September 2022, whilst a bulk carrier was drifting outside the Republic of Korea’s territorial waters, the fitter was assigned to replace a leaking hydraulic pipe on the main deck.

The incident

An oxy-acetylene torch cut the Ubolts, which secured the pipe to the pipe supports on the deck.

Whilst cutting the last U-bolt, which was close to the forward flange, the pipe slipped off its...

https://mfame.guru/lessons-learned-serious-burn-injuries-to-a-crew-member/

Injury Incident on CMA CGM San Antonio

  • A third engineer aboard the CMA CGM San Antonio sustained serious injuries while working on the engine.
  • A hydraulic jack failure during maintenance led to the accident.
  • Recommendations were made to improve crew safety awareness regarding equipment use.

On 21 October 2023, the container vessel CMA CGM San Antonio was at a layby berth at Jebel Ali when a third engineer was severely injured in the engine room, reports MSIU.

Cylinder Head Maintenance

“CMA CGM San Antonio was alongside a layby berth...

https://mfame.guru/injury-incident-on-cma-cgm-san-antonio/

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