Investigation Report
Accidental release of lifeboat on Nagato Reefer with 1 person injured
Accidental release of lifeboat on Nagato Reefer with 1 person injured
- MAIB
- Investigation Report
- Evacuation, Escape and RescueMachinery and Equipment
- Dropped objectsHuman factorsLeadership and safety cultureMechanical failure
- Inspection and maintenanceMarine operations
- LifeboatLifting accessories
- Competence and trainingFunctional testingPositive retention and reliable securingPreventive maintenance
- Marine industry
- Port and quaysideVessel
Summary
Investigation of a lifeboat release aboard Nagato Reefer in Southampton, injuring the bosun after an abandon ship drill. It examines incorrect resetting of Shigi SRS-37 release gear, defective interlocking, hook contamination and fall preventer devices. Findings address inadequate maintenance, crew understanding, falsified records and fleet safety culture.
Classifications: Dropped objects; falling objects; DROPS.
Classifications: Human factors; human performance; ergonomics.
Classifications: Leadership and safety culture; safety culture; safety leadership.
Classifications: Mechanical failure; equipment failure.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Marine operations; maritime operations.
Classifications: Lifeboat; survival craft.
Classifications: Lifting accessories; lifting gear; rigging gear.
Classifications: Competence and training; competency assurance; safety training.
Classifications: Functional testing; function test.
Classifications: Positive retention and reliable securing.
Classifications: Preventive maintenance; preventative maintenance; planned maintenance.
Classifications: Marine industry; shipping industry; maritime sector.
Classifications: Port and quayside; quayside; harbour; harbor.
Classifications: Vessel; aboard ship; onboard vessel.
Themes: evacuation, escape and rescue, machinery and equipment.