Poor inspection regime leads vessel to sinking says MAIB finding from its Safety Digest

In its 2017 Safety Digest report, the UK MAIB published its findings into the sinking of an unmanned survey vessel due to a defective butterfly valve that was not fully closed, providing a description of what happened and the lessons learnt in an attempt to prevent similar accidents from occurring. Mistakes like this should have been picked up in safety inspection leading to concerns over poor inspection regime.

The incident
A fisheries survey vessel sank while alongside a marina berth. The vessel, a 17m long aluminium catamaran, had two independent engine rooms, each located in the port and starboard side hulls. The vessel was unmanned at the time of the accident.

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Osprey RIBs collision report published by MAIB

The MAIBs report of the collision between the rigid inflatable boats (RIBs) Osprey and Osprey II resulting in serious injuries to one passenger in the Firth of Forth, Scotland on 19 July 2016 has been published. The report contains details of what happened, subsequent actions taken and recommendations made.

Summary
At 1252 on 19 July 2016, two passenger carrying rigid inflatable boats (RIBs), Osprey and Osprey II, collided in the Firth of Forth. A passenger who was sitting on an inflatable tube of Osprey II was crushed between Osprey’s bow and Osprey II’s helm console, resulting in her sustaining serious injuries.

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MAIB published its report on the Love for Lydia carbon monoxide deaths tragedy

Photograph of motor cruiser Love For Lydia
Photograph of motor cruiser Love For Lydia

Between 7 and 9 June 2016, the two occupants of the motor cruiser Love for Lydia died from carbon monoxide poisoning. The boat was moored alongside Wroxham Island, River Bure, Norfolk, and their bodies were found during the afternoon of 9 June in the boat’s forepeak cabin.

The MAIB investigation identified that:
• The source of the carbon monoxide was exhaust fumes from the boat’s eight-cylinder petrol engine, which contained high levels of the gas even when the engine was ‘idling’.
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MAIB contracts with BMT Ship & Coastal Dynamics for their REMBRANDT simulator

REMBRANDT simulator will aid the MAIB in future investigations
REMBRANDT simulator will aid the MAIB in future investigations

BMT Ship & Coastal Dynamics (BMT), a subsidiary of BMT Group Ltd, has announced a new contract with the UK’s Marine Accident Investigation Branch (MAIB), acknowledged as a world leader in ship electronic evidence gathering, including VDR data recovery and interpretation. BMT has installed its industry leading marine navigation and manoeuvring REMBRANDT simulator and will provide ongoing specialised training, to allow MAIB personnel to benefit from its unique attributes.

Richard North, Technical Manager at MAIB comments: “REMBRANDT simulator is a well-regarded and trusted solution, widely used by a broad spectrum of stakeholders including pilot organisations, shipping companies on-board and ashore, naval architects, civil marine engineers and port authorities, therefore it was a natural choice for us. A key and unique attribute of REMBRANDT is its ability to automatically input a broad range of VDR data including 3D, Radar and bridge audio to deliver a more enhanced and accurate visual Continue reading “MAIB contracts with BMT Ship & Coastal Dynamics for their REMBRANDT simulator”

MAIB releases a Safety Digest featuring 25 case studies

Upturned hull of the Cemfjord
Upturned hull of the Cemfjord

The UK MAIB has released a seventy page Safety Digest, which is free to read regarding twenty five cases it has investigated in recent times.

This Safety Digest draws the attention of the marine community to some of the lessons arising from investigations into recent accidents and incidents. It contains information which has been determined up to the time of issue.

The sole purpose of the Safety Digest is to prevent similar accidents happening again. The content must necessarily be regarded as tentative and subject to alteration or Continue reading “MAIB releases a Safety Digest featuring 25 case studies”

Consultation open on a new MGN 458

The MAIB would like to consult on a new Marine Guidance Note to replace MGN 458. This note describes the process and the information required for reporting marine casualties and marine incidents to the MAIB.

MAIB would welcome your comments on the proposed MGN 458 which should be forwarded by email to Helen Johnston. This consultation will be open for 30 days and will close on Wednesday 19th April 2017.

This consultation and the comments received will be posted on the consultations page of Gov.uk.

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Peggotty was not sea ready revealed in MAIB report after she collided with Petunia Seaways

At 0450 (UTC+11) on 19 May 2016 the Danish registered ro-ro freight ferry Petunia Seaways and the historic motor launch Peggotty collided on the River Humber while in dense fog. As a result of the collision the motor launch suffered severe structural damage and began to take on water. The crew of a local pilot launch responded to Peggotty’s skipper’s VHF2 “Mayday” call and were able to reach the motor launch and rescue the skipper and the one other person on board before it sank. There were no injuries and no significant pollution.

Petunia Seaways’ bridge team remained unaware that the two vessels had collided until after they had left the river, when they were informed by VTS Humber.

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MAIB releases its report into the loss of life onboard Joanna C during cargo operations

Photograph of the vessel Johanna C taken by Marc Piché, shipspotting.com
Photograph of the vessel Johanna C taken by Marc Piché, shipspotting.com

On 11 May 2016, the chief officer on board the UK registered general cargo ship Johanna C fell from a large steel cargo unit that was being repositioned in the vessel’s forward hold. The chief officer was moved ashore and taken to a local hospital by ambulance, but he died shortly after arrival.

The investigation identified that:
• It was inherently unsafe and unnecessary for the chief officer to stand on top of the cargo while it was being lifted; the risks of standing on a load under tension were not recognised.
• The chief officer lost his balance and fell onto the deck following the sudden and unexpected movement of the cargo and/or its lifting slings as the cargo was lifted.
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MAIB looks into carbon monoxide poisoning fatality

vasquez_web_imageMAIB is conducting a preliminary assessment of a fatal carbon monoxide poisoning accident that occurred on a privately owned cabin cruiser at Cardiff Yacht Club on Saturday 12 November 2016. Shortly after midday the boat’s owner was found collapsed on the boat and despite the efforts of fellow club members and emergency services he did not regain consciousness.

At the time of the accident the boat was secured to a club pontoon. The inboard petrol engine was running and the canvas cockpit canopy was fully closed except for one zip that was undone.

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MAIB report into the grounding and capsize of berthed trawler Saint Christophe 1

On 9 March 2016, three French fishing vessels sought shelter from bad weather in Dartmouth harbour, on the south-west coast of England. One of the vessels, Saint Christophe 1, was directed to berth alongside a quay wall and when the tide went out it grounded and capsized alongside. Saint Christophe 1 subsequently flooded and sank with the incoming tide, and was declared a constructive total loss.

Safety issues
The lack of effective communication between harbour authority staff and vessel’s crew failed to ensure a common understanding of the fact that the boat would ground at low water
The assumption that the crew understood the information provided by the harbour staff, prevented further safety checks from being made
Continue reading “MAIB report into the grounding and capsize of berthed trawler Saint Christophe 1”

UK MAIB issues its second Safety Digest of 2016

The UK MAIB has announced the publication of the second issue for 2016 of its Safety Digest which includes lessons learned from maritime accidents. This latest edition of the Safety Digest contains 25 articles which are examples of poor risk awareness demonstrated by the crews of vessels from the merchant, fishing and recreational sectors.

Steve Clinch, Chief Inspector of Marine Accidents states:
“The procedures and safe working systems that lie at the core of all safety management systems are there for a reason – invariably mariners have been hurt, ships and/or their cargoes have been damaged or lost, or the environment harmed. MAIB investigations into marine accidents consistently identify cases where mariners chose to ignore the instructions and guidance contained in companies’ safety management systems.“

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MAIB issues its report into the Arco Avon engine room fire

Photograph of Arco Avon at anchor
Photograph of Arco Avon at anchor

This reports the MAIB’s investigation into a fire in the engine room of the dredger Arco Avon while the vessel was loading a sand cargo approximately 12 miles off Great Yarmouth, UK. The fire claimed the life of the vessel’s third engineer, who was attempting to repair a failed fuel pipe when fuel, under pressure in the pipe, ignited.

Statement from the Chief Inspector of Marine Accidents
The sad death of an experienced officer serving on a UK registered ship serves as a salient reminder of the risks that crews can be exposed to when policies and procedures designed to mitigate such risks are not followed, and recognised safe systems of work are allowed to lapse. Robust risk assessments and safe systems of work are important barriers that prevent marine accidents. Everyone, from the individual seafarer to the senior company executive ashore, needs to develop shared company safety cultures that make the use of risk assessments and safe systems of work an unquestioned part of life when working on board UK registered vessels.

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