lessons learned

UK MAIB: There was no agreed plan before CMA CGM Centaurus heavily hit pier

The UK MAIB issued an investigation report on the allision of the UK-registered container ship ‘CMA CGM Centaurus’ with the quay that resulted in collapse of a shore crane and subsequent injury of 10 persons. MAIB noted that many of the factors in this accident can be attributed to a focus on completing acts of pilotage as quickly as possible.

The incident

At 1137 on 4 May 2017, the ‘CMA CGM Centaurus’ made heavy contact with the quay and two shore cranes while under pilotage during its arrival...

https://safety4sea.com/uk-maib-there-was-no-agreed-plan-before-cma-cgm-centaurus-heavily-hit-pier/

Two die because of carbon monoxide on board motor cruiser

In its latest safety digest, UK MCA highlights the danger of the carbon monoxide. UK MCA presents an incident where two people on board an inland waterways motor cruiser died due to carbon monoxide poisoning.

The incident

An inland waterways motor cruiser was moored alongside a jetty when a local boat owner became suspicious of the lack of activity on board. He moored his boat alongside the jetty and went to investigate. He shouted to attract attention, but there was no response.

He proceeded to...

https://safety4sea.com/two-die-because-of-carbon-monoxide-on-board-motor-cruiser/

Navigating by eye can be misleading even in familiar waters

The UK MAIB shared valuable lessons learned from an incident involving a ferry which ran over the submerged remains of a derelict mooring dolphin. The ferry’s port propeller, shaft, stern seal and rudder were damaged by the contact. MAIB noted that navigating by eye in a narrow channel is common practice, but it can be misleading, even in familiar waters.

The incident

It was a fine summer’s day and passengers on board a ferry were taking in the sights of a city while enjoying a scheduled river...

https://safety4sea.com/navigating-by-eye-can-be-misleading-even-in-familiar-waters/

Lessons learned: Dragging anchor in tidal stream

In its latest Safety Digest, UK MAIB described a case of ship grounding in low tidal conditions, noting that, in exposed anchorages prone to tidal streams, a ship can remain safely at anchor only as long as there is sufficient scope on the cable and the anchor continues to hold.

The incident

In preparation for a short coastal passage, a small general cargo ship left its berth, in ballast, and proceeded to an anchorage approximately 1½nm offshore to layover for a few hours. Although the master was...

https://safety4sea.com/lessons-learned-dragging-anchor-in-tidal-stream/

Inappropriate risk assessment leads to serious injury from rotating winch

IMCA informs of a serious injury that was caused by a rotating winch. Namely, a person was responsible of spooling a wire onto the main crane forward tugger. He positioned himself in a restricted space, with his foot placed on the winch. When he decide to leave, the winch hit his foot amputating five toes.

The incident

A person was about to spool a wire onto the main crane forward tugger winch drum. To do the operation, he got into a restricted space inboard of the winch and opposite to the...

https://safety4sea.com/inappropriate-risk-assessment-leads-to-serious-injury-from-rotating-winch/

Lessons learned: Language attributed to ship grounding

In its Monthly Safety Scenario for October, the Swedish P&I Club presents a case of ship grounding, discussing what can happen when someone communicates in a language that is not understood by everybody onboard.

The incident

The vessel was sailing in a South American river bound for its next port. The Master and the 3rd officer, who was the OOW, were on the bridge. It was evening, so it was dark outside. An AB was hand steering as per the pilot’s orders.

The port pilot had disembarked and the...

https://safety4sea.com/language-attributed-to-another-ship-grounding/

Poor pre-bunker checklist contributes to HSFO overflow

In its latest Safety Digest, the UK MAIB described an incident of a Heavy Sulphur Fuel Oil overflow during bunkering operation. MAIB highlighted that at least one of the two isolating valves that caused the incident could have been closed fully if it had been checked as per the checklist.

The incident

An LPG carrier was at anchor awaiting a berth when instructions to take bunkers were received. A bunkering plan was completed by the ship’s crew prior to the bunker barge arriving alongside.

A...

https://safety4sea.com/poor-pre-bunker-checklist-contributes-to-hsfo-overflow/

Solo bridge manning contributes to grounding

Transport Malta’s Marine Safety Investigation Unit (MSIU) issued an investigation report into the grounding of the Maltese registered bulk carrier ‘Marbella’ on North Reef, Paracel Islands, on 28 September 2017. The investigation showed that the bridge was solely manned by one person at the time of the incident, which meant ‘a missing safety barrier for one-person error’.

The incident

At 2350 on 26 September 2017, Marbella departed Hong Kong for Tarahan Coal Terminal in Indonesia. The following...

https://safety4sea.com/solo-bridge-manning-contributes-to-grounding/

Lessons learned after ferry runs under pier

The UK MAIB described an incident in which the wheelhouse of a small water jet propelled passenger ferry was severely damaged when the ferry overshot its intended berth and ran under a pier. The skipper suffered minor abrasions from the impact, but the two other crewmen and the 15 passengers escaped injury.

The incident

It was dark and the 1½ mile crossing had been uneventful. As usual, when the ferry was about 100m from its berth, which was on the inner side of a pontoon attached to a pier, the...

https://safety4sea.com/lessons-learned-after-ferry-runs-under-pier/

Lessons learned: Serious scald during routine engine inspection

In its latest Safety Digest report, the UK MAIB provides valuable lessons learned after a second engineer onboard a chemical/ products tanker was badly scalded while carrying out a routine external inspection of the vessel’s main engine.

The incident

The vessel was alongside and engaged in cargo operations at the time and the second engineer was being assisted by a third engineer. During the course of the inspection, the second engineer stepped off the walkway and squeezed between two cylinder...

https://safety4sea.com/lessons-learned-serious-scald-during-routine-engine-inspection/

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