Investigation Report
Crush incident between containers on deck of ro-ro cargo vessel Tyrusland with loss of 1 life
Crush incident between containers on deck of ro-ro cargo vessel Tyrusland with loss of 1 life
- MAIB
- Investigation Report
- Line of FireMarine Operations
- Crushing and pinch pointsHuman factorsRisk management
- Cargo transferLifting operations
- Independent audit and verificationOperating and work proceduresRisk assessmentSafety communication
- Marine industry
- Port and quaysideVessel
Summary
Investigation of a fatal container-crushing accident during discharge aboard Tyrusland, berthed in Tripoli. It examines forklift manoeuvres, twistlock removal, closed-corner trailers and failures in signalling and briefing. The report identifies an unsafe system of work, deficient risk assessments and weaknesses in safety-management audit follow-up; no new recommendations were made.
Classifications: Crushing and pinch points; crush hazards; pinch points.
Classifications: Human factors; human performance; ergonomics.
Classifications: Risk management; risk evaluation.
Classifications: Cargo transfer; cargo handling.
Classifications: Lifting operations; load lifting; hoisting.
Classifications: Independent audit and verification.
Classifications: Operating and work procedures.
Classifications: Risk assessment; hazard assessment.
Classifications: Safety communication; toolbox talk; toolbox talks.
Classifications: Marine industry; shipping industry; maritime sector.
Classifications: Port and quayside; quayside; harbour; harbor.
Classifications: Vessel; aboard ship; onboard vessel.
Summary
A person was crushed between containers on a vessel deck, resulting in a fatality.
Themes: line of fire, marine operations.