Investigation Report
Capsize and sinking of cement carrier Cemfjord with loss of 8 lives
Capsize and sinking of cement carrier Cemfjord with loss of 8 lives
- MAIB
- Investigation Report
- Vessel and Mooring
- FatigueHuman factorsLeadership and safety cultureLoss of vessel stabilityRegulation and legislation
- Cargo transferInspection and maintenanceNavigation
- Navigation and positioning equipmentPumpsRescue craftRescue-craft davit
- Evacuation, escape and rescueFatigue managementIndependent audit and verificationOperating and work procedures
- Marine industry
- Marine watersVessel
Summary
Investigation of Cemfjord’s rapid capsize in the Pentland Firth and subsequent sinking, with eight crew assumed lost. AIS, radar, environmental modelling and underwater surveys inform analysis of violent seas, passage planning, cargo stability and probable fatigue. The report also examines rescue-boat incompatibility, bilge pumping deficiencies and ineffective regulatory assurance.
Classifications: Fatigue; worker fatigue; alertness impairment.
Classifications: Human factors; human performance; ergonomics.
Classifications: Leadership and safety culture; safety culture; safety leadership.
Classifications: Loss of vessel stability; capsize; vessel stability.
Classifications: Regulation and legislation; safety legislation; regulatory requirements.
Classifications: Cargo transfer; cargo handling.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Navigation; vessel navigation; passage planning.
Classifications: Navigation and positioning equipment; ECDIS; AIS; chart plotters.
Classifications: Pumps.
Classifications: Rescue craft; fast rescue craft; FRC; fast rescue boat; FRB.
Classifications: Rescue-craft davit; FRC davit; rescue boat davit.
Classifications: Evacuation, escape and rescue; EER; escape and rescue.
Classifications: Fatigue management.
Classifications: Independent audit and verification.
Classifications: Operating and work procedures.
Classifications: Marine industry; shipping industry; maritime sector.
Classifications: Marine waters.
Classifications: Vessel; aboard ship; onboard vessel.
Summary
Investigation into the loss of a cement carrier after it capsized and sank.
Themes: vessel and mooring.