Singapore Urges Near-Miss Reporting

 accident reporting  Comments Off on Singapore Urges Near-Miss Reporting
Apr 032015

Singapore’s Maritime and Port Authority, MPA, is asking for near-misses to be reported under a confidential reporting scheme. A form is available from the MPSA’s website. As with similar schemes the MPS assures reporters that their identity will remain confidential and that information provided will not be used for prosecution or litigation.

Near-miss reports can enable safety problems to be identified before they cause an accident. It has been estimated that for each accident there are some 100 near-misses. Those near-misses can also be symptomatic of wider safety problems: Many accident reports include a range of safety concerns unconnected with the incident itself. Continue reading »

Queenland Pilotage – “Systemic Issues” Says ATSB

 grounding, maritime safety news, pilot, pilotage  Comments Off on Queenland Pilotage – “Systemic Issues” Says ATSB
Jan 032013

The grounding of Atlantic Blue sparked the investigation

An investigation into Queensland pilotage operations has revealed “systemic safety issues” says Australian Transport Safety Bureau, ATSB. Under coastal pilotage regulations, no organisation, including the pilotage provider companies, has been made clearly responsible and held accountable for managing the safety risks associated with pilotage operations. This has meant that responsibility for managing the most safety critical aspects of pilotage has rested with individual pilot contractors instead of an organisation that systematically manages safety risk.

The investigation also identified systemic safety issues surrounding pilot training, fatigue management, incident reporting, competency assessment and use of coastal vessel traffic services. Continue reading »

Nov 172010
scaffolding_fig 5

The deadly scaffold

Three key lessons arise from the Australian Transport Safety Bureau investigation into the fall of a scaffold in a cargo hold aboard the Panama-registered bulk carrier United Treasure: Make sure all safety-critical parts of the structure are in place; ensure the the scaffold is properly secured against falling over; don’t attach fall preventers to the scaffold.

On 7 July 2009, while United Treasure was anchored off Port Kembla, New South Wales, two seamen fell about 8 metres in a cargo hold after the scaffolding on which they were working toppled over. Both men suffered compound fractures and were evacuated from the ship by helicopter and taken to hospital.

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Bow De Jin Fatality: Checklists Make Great Condoms

 Accident, Accident report, confined space, enclosed space, SafeSpace  Comments Off on Bow De Jin Fatality: Checklists Make Great Condoms
Nov 132010

Checklists make good condoms

Checklists are like condoms: Used properly they’ll protect you against deadly hazards, if not used properly they give a false sense of security. That is, perhaps, the key lesson to be learned from the death of a chief mate aboard the New Golden Shipping-owned chemical tanker Bow De Jin in Hong Kong on 22 November 2009..

The incident also re-enforces the basic brutal truth that confined spaces kill regardless of experience, rank or age. In this case the victim was 41, had been a seafarer since 1993. He had sailed as a ship’s officer since November 1995 and first sailed as chief mate in September 2003. He joined Bow De Jin in Singapore on 26 May 2009.

Says the just-released report from the Australian Transport Safety Bureau: “22 November 2009: “The ATSB investigation was unable to determine why the chief mate, who had sailed on tankers for most of his seagoing career, did not follow industry standard and specific company safety procedures before he entered the cargo tank. Continue reading »

Oct 222010

image Discrepancies between procedures and shipboard practice may have contributed to the death of an integrated rating aboard the floating storage and offloading tanker Karratha Spirit while untying from a buoy off Dampier, Western Australia says Australia’s Transport Safety Bureau, AMSA. Concern is also raised that vagueness regarding precisely when such a vessel can be termed ‘navigable’ means that there are times when a vessel falls outside the jurisdictions of Australia’s National Offshore Petroleum Safety Authority and AMSA.

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APL Sydney Gas Pipeline Rupture – Comms The Snag

 Accident, Accident report, Anchorage, anchoring., contact, containership  Comments Off on APL Sydney Gas Pipeline Rupture – Comms The Snag
Apr 282010

Ethane bubbles to the surface, potential for explosion

What you see in the photograph is the result of a ruptured ethane gas pipe in Port Phillip, Australia. It was the result of poor communications, culture gap, key players kept out of the information loop and a pilot’s unchallenged decision to try and dredge the anchor of a drifting containership, APL Sydney.

It is an excellent example of a holistic accident and perhaps a timely reminder, with typhoons on the way to brush-up on anchoring in bad weather.

At 1428 on 13 December 2008, the Hong Kong registered container ship APL Sydney’s starboard anchor was let go in Melbourne anchorage. Four minutes later, the pilot left the bridge and by 1436, he had disembarked the ship. The 35 knot south-southwest wind was gusting to 48 knots. A submarine gas pipeline lay 6 cables (1.1 km) downwind.

By 1501, after dragging its anchor, the ship was outside the anchorage boundary. The master advised harbour control he intended to weigh anchor and was instructed to maintain position and wait for a pilot. At 1527, when weighing anchor was started after receiving permission from harbour control, the ship was within 50 m of the pipeline. While weighing anchor, the anchor dragged across the pipeline, snagged it at about 1544 and, subsequently, the anchor windlass failed.

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Shen Neng 1: Fatigue, Inexperience, Wrong Chart

 Accident, Accident report, ATSB, Australia, fatigue, grounding, oil, oil pollution, oil spill  Comments Off on Shen Neng 1: Fatigue, Inexperience, Wrong Chart
Apr 142010

“A succession of errors grounded the Shen Neng 1”

In essence, a simple succession of errors on the part of a very tired crew member resulted in the grounding of Shen Neng 1 on Douglas Shoal, part of the Great Barrier Reef about 50 miles north of the entrance to the port of Gladstone, Queensland.

on 3 April 2010 says Australia’s Transport Safety Bureau. ATSB warns that the report, released on 15 April 2010 is only preliminary and further investigations leading to the final report may differ.

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Spirit of Esperance Fatality – Routine Violations

 Accident report, Crane, Safety Alerts, safety flash  Comments Off on Spirit of Esperance Fatality – Routine Violations
Apr 132010

imageCrew aboard the Maltese-registered containership Spirit of Esperance “routinely violated the working aloft procedure by climbing the emergency ladder adjacent to the hook’s cradle without a permit or appropriate personal protective equipment” says Australia’s Transport Safety Bureau.  The result was that a seafarer fell 4 metres to his death.

Although ATSB identified a number of serious issues, the incident highlights the critical importance of following working aloft procedures and wearing personal protective equipment such as fall arrestors even if the job seems simple.

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Flash Backs and First Aid – Saldanha

 Accident report, engine room, explosion, fire  Comments Off on Flash Backs and First Aid – Saldanha
Oct 222009

image On 18 November 2008, while the Maltese registered bulk carrier Saldanha was anchored off Newcastle, NSW, a ship’s engineer was burned when the auxiliary boiler furnace ‘flashed back’ during a routine boiler oil firing unit burner exchange.

The ATSB investigation into the incident found that the ship’s crew was not aware of all of the hazards associated with maintaining the boiler burner; was not aware of previous flashbacks involving similar burners; and not aware of the appropriate first aid treatment required for burn injuries. The investigation also found that the safety bulletin that had been previously issued by the manufacturer did not inform operators that the oil firing unit could be modified.

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