Investigation Report
Accident during pilot transfer between general cargo vessel Sunmi and pilot transfer vessel Patrol with loss of 1 life
Accident during pilot transfer between general cargo vessel Sunmi and pilot transfer vessel Patrol with loss of 1 life
- MAIB
- Investigation Report
- Marine Operations
- Crushing and pinch pointsRisk managementSlips, trips and falls
- Personnel transfer
- Ladder
- Competence and trainingFitness assessmentOperational supervisionRisk assessment
- Marine industry
- Vessel
Summary
Investigation of a fatal pilot transfer between Sunmi and Patrol on the River Thames. The pilot fell while stepping across and sustained crushing injuries between the vessels. Analysis examines unsuitable deck-gate access, ladder arrangements, omitted crush risks, training, fitness assessment and officer supervision; the initiating cause was not witnessed.
Classifications: Crushing and pinch points; crush hazards; pinch points.
Classifications: Risk management; risk evaluation.
Classifications: Slips, trips and falls; same-level falls.
Classifications: Personnel transfer; crew transfer.
Classifications: Ladder; ladders.
Classifications: Competence and training; competency assurance; safety training.
Classifications: Fitness assessment.
Classifications: Operational supervision.
Classifications: Risk assessment; hazard assessment.
Classifications: Marine industry; shipping industry; maritime sector.
Classifications: Vessel; aboard ship; onboard vessel.
Themes: marine operations.