On Oct 04, 2023, an individual boarded a vessel without authorization, leading to a fatal incident during the operation of hatch covers on cargo hold no. 3. The preliminary investigation identified several factors contributing to the incident, including failures in basic seamanship, non-compliance with safety procedures, insufficient manpower, and poor illumination. Recommendations have been provided to prevent similar incidents in the future, reports DG Shipping.
Incident Overview
On Oct 04, 2023, a businessman attempted to board the vessel but was denied access and instructed to leave. The gangway was located near cargo hold no. 3, with the hatch cover extending close to the boarding area in an open condition. The casualty was positioned here during the hatch cover operation.
As the individual started descending the gangway, it began raining. The gangway watchkeeper and a duty hand proceeded to close the hatch covers of hold no. 3 and hold no. 5. The deceased reportedly returned on board to take shelter from the rain under the hatch cover of cargo hold no. 3, starboard side, near the gangway.
Why It Happened
The preliminary investigation identified the root cause and contributing factors of the incident as follows:
1. Failure in Basic Seamanship:
The gangway was left unattended while the two duty hands handled cargo and security duties, violating basic seamanship practices such as giving a verbal call or flashing a torch in the area.
2. Failure in Compliance with Safety Management System (SMS) Procedures:
The hatch cover closing procedure outlined in the safety manual was not followed.
3. Insufficient Duty Hands:
The limited manpower resulted in the gangway being left unattended.
4. Insufficient Illumination:
During the dark hours, the illumination under the hatch covers was inadequate, poorly lit by the forward mast aft-facing floodlight, which was likely obstructed by the rain at the time of the incident.
Recommendations
To prevent the recurrence of such incidents, the following recommendations are provided:
- The gangway should always be manned. During hours of darkness, the gangway can be lifted from the jetty to reduce the need for constant monitoring.
- Ensure an adequate number of personnel on deck to maintain safety, security, and operational efficiency.
- Strict adherence to basic seamanship practices and SMS safety procedures is mandatory.
- Improve the illumination in the area between the hatches and underneath the hatch covers.
- Prohibit entry to unauthorized persons during odd hours at the port.
- Access to enclosed and restricted spaces should be authorized and controlled by ship personnel.
- Seafarers must receive comprehensive training regarding their responsibilities for all security matters.
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Source: DG Shipping
