Investigation Report
Fall from height on bulk carrier Equinox Seas with loss of 1 life
Fall from height on bulk carrier Equinox Seas with loss of 1 life
- MAIB
- Investigation Report
- Working at Height
- Falls from heightLeadership and safety cultureRisk management
- Inspection and maintenanceWorking at height
- Fall preventionPermit to workRisk assessmentSafety communication
- Marine industry
- Vessel
Summary
This investigation examines a fitter’s fatal fall of approximately 10 m through an engine room ventilation trunk aboard Equinox Seas during shipyard maintenance. It identifies inadequate barriers, unassessed fan-removal risks and poor safety coordination, and discusses permit systems, hazard communication and improvements to ship repair safety management.
Classifications: Falls from height; fall from height.
Classifications: Leadership and safety culture; safety culture; safety leadership.
Classifications: Risk management; risk evaluation.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Working at height; work at height.
Classifications: Fall prevention; edge protection; guardrails.
Classifications: Permit to work; PTW; work permit.
Classifications: Risk assessment; hazard assessment.
Classifications: Safety communication; toolbox talk; toolbox talks.
Classifications: Marine industry; shipping industry; maritime sector.
Classifications: Vessel; aboard ship; onboard vessel.
Summary
The report examines a fatal fall from height aboard a bulk carrier.
Themes: working at height.