Investigation Report
Crush incident on board ro-ro cargo vessel Clipper Pennant with loss of 1 life
Crush incident on board ro-ro cargo vessel Clipper Pennant with loss of 1 life
- MAIB
- Investigation Report
- Line of FireMarine Operations
- Crushing and pinch pointsHuman factorsLeadership and safety cultureLearning from incidentsRisk management
- Cargo transferVehicles and driving
- Competence and trainingExclusion zonesOperating and work proceduresRisk assessment
- Marine industry
- Port and quaysideVessel
Summary
Investigates the fatal crushing of a bosun during semi-trailer loading aboard Clipper Pennant in Liverpool. Reconstructions examined restricted driver visibility and trailer positioning. Analysis addresses unsafe corner-stowage workarounds, a walkway inside the vehicle lane, conflicting duties, inadequate risk assessments and ineffective incident learning, with recommendations for coordinated vehicle-deck procedures and driver standards.
Classifications: Crushing and pinch points; crush hazards; pinch points.
Classifications: Human factors; human performance; ergonomics.
Classifications: Leadership and safety culture; safety culture; safety leadership.
Classifications: Learning from incidents; incident learning; lessons learnt; lessons learned.
Classifications: Risk management; risk evaluation.
Classifications: Cargo transfer; cargo handling.
Classifications: Vehicles and driving; driving; road transport.
Classifications: Competence and training; competency assurance; safety training.
Classifications: Exclusion zones; red zones; restricted access zones.
Classifications: Operating and work procedures.
Classifications: Risk assessment; hazard assessment.
Classifications: Marine industry; shipping industry; maritime sector.
Classifications: Port and quayside; quayside; harbour; harbor.
Classifications: Vessel; aboard ship; onboard vessel.
Summary
The report examines a fatal crushing incident aboard a cargo vessel.
Themes: line of fire, marine operations.