Investigation Report
Crush incident involving power operated watertight door on passenger cruise ship Royal Princess with 1 person injured
Crush incident involving power operated watertight door on passenger cruise ship Royal Princess with 1 person injured
- MAIB
- Investigation Report
- Line of FireMachinery and Equipment
- Crushing and pinch pointsFatigueHuman factors
- Operator displays and control interfaces
- Competence and trainingFatigue managementOperating and work proceduresRisk assessment
- Marine industry
- Vessel
Summary
Investigates an engineer’s arm injury involving a closing hydraulic watertight door aboard Royal Princess, subsequently requiring amputation. The report examines uncertain passage circumstances, inconsistent instructions, control mechanisms, escape-door interlocks and possible fatigue. Recommendations address practical operating rules, watchkeeping changes and risk assessment of escape-door operation.
Classifications: Crushing and pinch points; crush hazards; pinch points.
Classifications: Fatigue; worker fatigue; alertness impairment.
Classifications: Human factors; human performance; ergonomics.
Classifications: Operator displays and control interfaces.
Classifications: Competence and training; competency assurance; safety training.
Classifications: Fatigue management.
Classifications: Operating and work procedures.
Classifications: Risk assessment; hazard assessment.
Classifications: Marine industry; shipping industry; maritime sector.
Classifications: Vessel; aboard ship; onboard vessel.
Themes: line of fire, machinery and equipment.