Investigation Report
Entry to enclosed space on fishing vessel Sunbeam with loss of 1 life
Entry to enclosed space on fishing vessel Sunbeam with loss of 1 life
- MAIB
- Investigation Report
- Confined Space
- Confined space hazardsCorrosionLeadership and safety cultureLoss of containmentOxygen deficiency
- Confined space entryInspection and maintenancePressure testing
- Breathing apparatusGas detectorStorage tanksValve
- Evacuation, escape and rescueAtmospheric gas testingRisk assessmentVentilation
- Commercial fishing
- Port and quaysideVessel
Summary
Investigates a fatal tank entry aboard Sunbeam in Fraserburgh. Leaking refrigerant from corroded evaporator tubes displaced air in a refrigerated salt water tank. The report examines inadequate repairs, non-gastight isolation valves, normalised unsafe entry, absent atmospheric precautions, rescue arrangements and gaps in machinery survey oversight.
Classifications: Confined space hazards; confined-space hazards.
Classifications: Corrosion; corrosion damage.
Classifications: Leadership and safety culture; safety culture; safety leadership.
Classifications: Loss of containment; containment loss.
Classifications: Oxygen deficiency; oxygen deficient; oxygen displacement; oxygen depletion.
Classifications: Confined space entry; tank entry; enclosed space entry.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Pressure testing; hydrostatic testing; pneumatic testing.
Classifications: Breathing apparatus; SCBA; self-contained breathing apparatus.
Classifications: Gas detector; gas monitor; gas detection instrument.
Classifications: Storage tanks; atmospheric tanks.
Classifications: Valve; valves.
Classifications: Evacuation, escape and rescue; EER; escape and rescue.
Classifications: Atmospheric gas testing; gas testing; atmosphere testing.
Classifications: Risk assessment; hazard assessment.
Classifications: Ventilation; forced ventilation.
Classifications: Commercial fishing.
Classifications: Port and quayside; quayside; harbour; harbor.
Classifications: Vessel; aboard ship; onboard vessel.
Summary
The report examines a fatal entry incident involving an enclosed space on a fishing vessel.
Themes: confined space.