Investigation Report
Collapse of portable hold bulkhead on combi-coaster Nordstrand with 1 person injured and loss of 1 life
Collapse of portable hold bulkhead on combi-coaster Nordstrand with 1 person injured and loss of 1 life
- MAIB
- Investigation Report
- Line of FireStructural and Asset Integrity
- Crushing and pinch pointsHuman factorsStructural and asset integrity
- Marine operations
- Competence and trainingOperating and work proceduresPositive retention and reliable securingPre-use checks
- Marine industry
- Vessel
Summary
Investigates a fatal portable bulkhead collapse aboard Nordstrand in Seville while crew cleared accumulated wheat. Jacking without adequate upper securing bolt engagement trapped two crew members, killing one. The report examines securing arrangements, instructions, checks and familiarisation, and records revised procedures introducing safety wires before hold entry.
Classifications: Crushing and pinch points; crush hazards; pinch points.
Classifications: Human factors; human performance; ergonomics.
Classifications: Structural and asset integrity; asset integrity; structural integrity.
Classifications: Marine operations; maritime operations.
Classifications: Competence and training; competency assurance; safety training.
Classifications: Operating and work procedures.
Classifications: Positive retention and reliable securing.
Classifications: Pre-use checks; pre-use inspection.
Classifications: Marine industry; shipping industry; maritime sector.
Classifications: Vessel; aboard ship; onboard vessel.
Summary
A portable hold bulkhead collapsed, causing a crush incident with one injury and one fatality.
Themes: line of fire, structural and asset integrity.