Investigation Report
Crush incident after collapse of portable bulkhead on general cargo vessel Neermoor with loss of 1 life
Crush incident after collapse of portable bulkhead on general cargo vessel Neermoor with loss of 1 life
- MAIB
- Investigation Report
- Unknown
- Line of FireStructural and Asset Integrity
- Crushing and pinch pointsMechanical failureStructural and asset integrity
- Inspection and maintenanceMarine operations
- Competence and trainingOperating and work proceduresOperational supervisionPositive retention and reliable securing
- Marine industry
- Vessel
Summary
Investigation synopsis of a fatal crushing during cargo-hold cleaning aboard Neermoor. A portable bulkhead toppled while being raised with separate hand-powered jacks. Analysis examines disengaged securing pins, defective latches, likely asymmetric jacking and gaps in inspection, procedures, training and supervision. Recommendations address company management and regulatory oversight of portable bulkhead systems.
Classifications: Crushing and pinch points; crush hazards; pinch points.
Classifications: Mechanical failure; equipment failure.
Classifications: Structural and asset integrity; asset integrity; structural integrity.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Marine operations; maritime operations.
Classifications: Competence and training; competency assurance; safety training.
Classifications: Operating and work procedures.
Classifications: Operational supervision.
Classifications: Positive retention and reliable securing.
Classifications: Marine industry; shipping industry; maritime sector.
Classifications: Vessel; aboard ship; onboard vessel.
Summary
A portable bulkhead collapsed on a cargo vessel, resulting in a fatal crush incident.
Themes: line of fire, structural and asset integrity.