Apr 032017
 

Often, when vessels capsizes, there is not enough time to say “Oh, f*&k”. Stellar Daisy, a 24-year old Very Large Ore Carrier vanished with minutes of sending a standard daily report. At this time, only two of the ship’s 24 officers and crew have been found alive. Two empty lifeboats and a liferaft, ship’s debris and surface fuel oil are reported to have been found in the vicinity of her last known position. SAR efforts continue with the help of four merchant vessels.

The vessel was carrying iron ore from Brazil to China when it disappeared at about 02.52 GMT, 11.53 local time, on 31 March some 350 nautical north-west off Tristan Da Cunha reportedly under fine weather conditions.

It is understood that liquefaction played a key role in the capsize, investigations are at a very early stage but the suddenness of the disappearance, the lack of survivors and the empty LSAs are typical of liquefaction-induced capsize. Port State Control examinations suggest that the 24-year-old vessel had a fairly clean bill of health with no detentions although Chinese PSC authorities identified two deficiencies related to water-tight doors, which investigators will be studying.

Liquefaction is the phenomenon by which, under certain circumstances, a dry bulk cargo typically an ore, and often iron ore fines, behaves like a liquid. When the vessel rolls to one side the liquefied cargo moves to the lower side of the vessel, then lock in place as a mass, producing a list. An opposite roll can re-liquefy the cargo.  One may have as little as 90 seconds to identify and mitigate the problem before it becomes irrecoverable.

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Toxic Leader – Toxic Culture: The Death of the Bow Mariner Part 2

 Accident, Accident Investigation, Accident report, Toxic Leadership  Comments Off on Toxic Leader – Toxic Culture: The Death of the Bow Mariner Part 2
Mar 282017
 

The second of our case studies of toxic leadership at sea looks at the sinking of the Bow Mariner. When the firm hierarchy aboard ship meets dysfunctional leadership and cultures with large power gradients the result can be a toxic culture that maximises dangers to the vessel and its crew in a crisis.

We present a transcript with the podcast.

Have you a horror story about dysfunctional leaders aboard or ashore? Tell us in confidence at mac@maritimeaccident.org, we’d like to hear what you have to say – and do share the post with your friends in the industry. Just click the share button.

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Toxic Leader – Toxic Culture: The Death of the Bow Mariner Part 1

 Accident, Accident Investigation, Accident report, Toxic Leadership  Comments Off on Toxic Leader – Toxic Culture: The Death of the Bow Mariner Part 1
Mar 262017
 

The second of our case studies of toxic leadership at sea looks at the sinking of the Bow Mariner. When the firm hierarchy aboard ship meets dysfunctional leadership and cultures with large power gradients the result can be a toxic culture that maximises dangers to the vessel and its crew in a crisis.

We present a transcript with the podcast. The podcast opens with the original desperate emergency call by a junior officer.

Have you a horror story about dysfunctional leaders aboard or ashore? Tell us in confidence at mac@maritimeaccident.org, we’d like to hear what you have to say – and do share the post with your friends in the industry. Just click the share button.

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Maria M Grounding – Confusion, Culture and Toxic Leadership

 Accident, Accident report, Toxic Leadership  Comments Off on Maria M Grounding – Confusion, Culture and Toxic Leadership
Mar 222017
 
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Maria M Bridge – bad attitude, poor communications

We are republishing some of our posts on Toxic Masters. Have you a horror story about dysfunctional leaders aboard or ashore? Tell us in confidence at mac@maritimeaccident.org, we’d like to hear what you have to say – and do share the post with your friends in the industry.

Confusion between rate of turn and rudder indicators, cultural insensitivity, the master’s insufficient English, a non-functioning AIS and VTS operators that did not react to the developing situation were key factors in the 12 July 2009 grounding of the Italian-registered chemical tanker Maria M says the Swedish Transport Agency report on the incident.

It was not a good start to the master’s first day in command of the vessel.

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Feb 212016
 

Norway’s Petroleum Safety Authority, PSA,  says an improperly adjusted winch brake, which it refers to as ‘vulnerable’, led to the unintentionally launch of a lifeboat from the mobile unit Mærsk Giant at about 05.10 on Wednesday 14 January 2015.

This incident occurred during testing of the lifeboat systems.

During testing, one of the lifeboats unintentionally descended to the sea. Efforts were made to activate the manual brake on the lifeboat winch, but it was not working. The lifeboat entered the water and drifted beneath the unit. The steel wires holding it were eventually torn off.

After the incident, the lifeboat drifted away from Mærsk Giant, accompanied by a standby vessel. The lifeboat eventually reached land at Obrestad south of Stavanger.

Nobody was in the lifeboat when the incident occurred, and no personnel were injured.

The PSA conducted an investigation which established that the direct cause of the incident was a reduction in the braking effect of the brake on the lifeboat winch owing to faulty adjustment. If the manual brake failed during maintenance with people in the lifeboat, or during an actual evacuation, serious personal injury or deaths could have resulted.

Should the lifeboat have descended during an actual evacuation, a partially filled lifeboat could have reached the sea without a lifeboat captain on board. The PSA also considers it likely that people would have been at risk of falling from the lifeboat or the muster area should a descent have started. The potential consequence could be fatalities.

Five nonconformities were identified by this investigation. These related to

  • maintenance routines for the lifeboat davit system
  • training
  • procedures relating to lifeboats and evacuation
  • periodic programme for competent control and ensuring the expertise of personnel carrying out maintenance work
  • qualification and follow-up of contractors.

Mærsk Giant is operated by Maersk Drilling Norge.

PSA Report (Norwegian)

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Feb 212016
 

In this week’s SafeSpace Replay: A ship filled with wheat, a seafarer dead in his cabin, fumigants in the holds but the holds were sealed. Weren’t they?

You might not smell trouble but you might see it coming, even if it wears a mask

 

Listen To The Podcast

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Flag Gangos: Dirty Doings Led To Threesome

 Accident, Accident Investigation, Accident report, collision, contact  Comments Off on Flag Gangos: Dirty Doings Led To Threesome
Feb 172016
 

At 2215 local time on 12 August, 2014, the outbound bulk carrier Flag Gangos collided with the berthed oil tanker Pamisos on the Mississippi River at Gretna, Louisiana. Flag Gangos then made contact with a pier at the facility where the Pamisos was berthed, and the pier struck and damaged a fuel barge, WEB235, berthed behind the Pamisos. No one was injured, but about 1,200 gallons of oil that was being transferred at the time spilled from the transfer lines, and some of the oil entered the river. Damage amounts were reported as $16 million for the terminal, more than $500,000 each for the Flag Gangos and the Pamisos, and about $418,000 for the fuel barge.

Yet moments before the steering vanished it appeared to be working fine.

US National Transportation Safety Board, NTSB, investigators discovered the dirty secret of the Flag Gangos,

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SafeSpace Replay 1: The Confined Space That Wasn’t

 Accident Investigation, Accident report, confined space, enclosed space, SafeSpace  Comments Off on SafeSpace Replay 1: The Confined Space That Wasn’t
Feb 152016
 

Do you know what a confined space actually is? Can you identify one by looking at it? When is a confined space hazardous? And when does a non-hazardous space become a dangerous one?  This week MAC is looking at no-so-obvious confined spaces and hazards, threats that may go unrecognised.

We start with the Jo Eik incident.

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Araz River Fatality -Yet Another Confined Space Victim

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Feb 112016
 

Toxic fumes killed a 24 year old seafarer aboard a Russian flagged chemical products, Araz River, in the Adriatic. Reports say that the seafarer and two others, who were hospitalised, had been cleaning a tank after unloading a cargo of canola oil at the port of Vasto.

Italian media say that residues of canola oil reacted with detergent being used for cleaning producing fumes that led to respiratory failure.

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