Investigation Report
Failure of lifeboat launching equipment on ro-ro passenger ferry Norsea with loss of 2 lives
Failure of lifeboat launching equipment on ro-ro passenger ferry Norsea with loss of 2 lives
- MAIB
- Investigation Report
- Evacuation, Escape and RescueMachinery and Equipment
- Human factorsMechanical failureStructural and asset integrity
- Inspection and maintenanceLifting operations
- LifeboatLifting accessoriesWinchWire rope
- Competence and trainingEmergency responseFunctional testingOperational supervision
- Marine industry
- Port and quaysideVessel
Summary
Investigation of a fatal lifeboat launching-system failure during band bowsing acceptance tests aboard Norsea at Hull. It examines davit overload, continuous fall-wire movement, trackway retention and sensitive brake operation. The report assesses approval calculations, test control and rescue operations, recommending vessel-specific system assessment and review of bowsing-system design.
Classifications: Human factors; human performance; ergonomics.
Classifications: Mechanical failure; equipment failure.
Classifications: Structural and asset integrity; asset integrity; structural integrity.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Lifting operations; load lifting; hoisting.
Classifications: Lifeboat; survival craft.
Classifications: Lifting accessories; lifting gear; rigging gear.
Classifications: Winch; winches.
Classifications: Wire rope; steel wire rope.
Classifications: Competence and training; competency assurance; safety training.
Classifications: Emergency response; emergency preparedness.
Classifications: Functional testing; function test.
Classifications: Operational supervision.
Classifications: Marine industry; shipping industry; maritime sector.
Classifications: Port and quayside; quayside; harbour; harbor.
Classifications: Vessel; aboard ship; onboard vessel.
Summary
An investigation examines a launching-system failure during lifeboat operations that resulted in two fatalities.
Themes: evacuation, escape and rescue, machinery and equipment.