Summary
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 recognized 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.
Safety Issues
- The third engineer’s decision to act autonomously without informing either the OOW or CEO was contrary to documented standing orders but was commensurate with the onboard culture of regular lone working
- The fact that sparks generated by using fixed and portable angle grinders produce a hot work hazard is not currently acknowledged in marine industry guidance
- The contents of International Maritime Organization (IMO) circular MSC. 1/Circ.1321, which recommends a 6 monthly inspection of fuel system pipework to be included in a vessel’s SMS, had not been formally promulgated to the UK shipping industry
- Merchant Shipping Notices relating to personal protective equipment in engine rooms are inadequate, suggesting that cotton garments could provide fire protection
- The Ship Captain’s medical guide gave confusing and inconsistent advice on the treatment of serious burns
Recommendations
The Maritime and Coastguard Agency has been recommended
(2016/136) to more widely promulgate the contents of IMO
Circular MSC.1/Circ.1321 and Bureau Veritas has been recommended (2016/138) to
advise its surveyors of the contents of the circular.
Hanson Aggregates Marine Limited has been recommended
(2016/137) to review and, as appropriate, amend its safety management system to
ensure, inter alia, that manning levels, watch keeping duties and communication
procedures provide for safe engine room operations at all times.
The investigation report published may be downloaded at,
Circular MSC.1/1321 may be downloaded at,
http://www.mardep.gov.hk/en/msnote/pdf/msin0913anx1.pdf
Additional links related to the issue may be downloaded at,
http://www.gard.no/Content/20651289/Gard%20LPC%20Fire%20prevention%20in%20engine%20rooms.pdf
https://www.dnvgl.com/news/enhancing-fire-safety-awareness-66109
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