This report is based on a safety investigation conducted by the Marine Safety Investigation Unit (MSIU) into a fatal accident that occurred on board a bulk carrier anchored off Tianjin, China, on 16 January 2017. The purpose of the investigation was to identify the circumstances and safety factors contributing to the fatality and to prevent similar occurrences in the future.
What Happened
The vessel had departed Tianjin in ballast and was anchored outside port limits awaiting orders. At approximately 0540, the chief mate, while on the bridge wing, noticed a person lying motionless on the port boat deck. Upon investigation, the individual—an ordinary seaman—was found unresponsive near a staircase, with a mobile phone nearby. Despite immediate assistance, the crew member was later pronounced deceased.
The autopsy revealed that the cause of death was blunt head trauma, consistent with a fall from height. No narcotic or psychotropic substances were detected, but the toxicology report indicated the presence of ethanol in both blood (1.9 ‰) and urine (2.2 %).
Why It Happened
The investigation found that the deceased crew member was off duty at the time of the incident and had taken sufficient rest, eliminating fatigue as a contributing factor. The autopsy confirmed that the cause of death was blunt head trauma consistent with a fall. Although the exact sequence of events could not be established, several contributing factors were identified. It was considered possible that the crew member lost his footing while using or carrying a mobile phone, leading to a fall down the staircase. The steps may have been slippery due to condensation on the cold metal surface, and the footwear worn could have provided insufficient grip. Furthermore, the presence of alcohol in the crew member’s blood and urine suggested that impaired coordination or reduced awareness may have played a significant role in the accident.
Actions Taken
Following the investigation, safety recommendations were issued to prevent similar incidents. The ship operator was advised to conduct unannounced and regular alcohol testing on board and to circulate the investigation report among all vessels under its management to reinforce adherence to the company’s drug and alcohol policy. The flag State Administration was also recommended to issue a Merchant Shipping Notice to all Maltese-registered vessels, highlighting the safety risks associated with excessive alcohol consumption on board.
Lessons Learned
- Strict adherence to shipboard alcohol policies must be continuously monitored and enforced.
- Stairways, ladders, and decks should be kept dry and slip-resistant, especially in cold weather conditions.
- Crew members should avoid using mobile devices while navigating stairways or ladders.
- Masters should ensure that all crew understand the personal and operational risks linked to alcohol consumption.
- Regular safety briefings and random alcohol testing can reinforce a culture of responsibility and prevent similar incidents.
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Source: MSIU
