Investigation Report
Inadvertent release of on-load release hook causing lifeboat to fall from bulk carrier Hoegh Duke with 6 people injured and loss of 6 lives
Inadvertent release of on-load release hook causing lifeboat to fall from bulk carrier Hoegh Duke with 6 people injured and loss of 6 lives
- MAIB
- Investigation Report
- Evacuation, Escape and RescueLifting OperationsWorking at Height
- CorrosionHuman factorsMechanical failure
- Inspection and maintenanceMarine operations
- LifeboatLifting accessories
- Competence and trainingFunctional testingPositive retention and reliable securingPreventive maintenance
- Marine industry
- Port and quaysideVessel
Summary
Investigation of Hoegh Duke’s fatal lifeboat accident during a drill alongside in Surabaya. Improper resetting of the Mills Titan on-load release mechanism defeated its safeguards; cable seizure and neglected maintenance contributed. The report examines hook testing, maintenance deficiencies and crew understanding, and recommends design review, improved instructions and qualified servicing.
Classifications: Corrosion; corrosion damage.
Classifications: Human factors; human performance; ergonomics.
Classifications: Mechanical failure; equipment failure.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Marine operations; maritime operations.
Classifications: Lifeboat; survival craft.
Classifications: Lifting accessories; lifting gear; rigging gear.
Classifications: Competence and training; competency assurance; safety training.
Classifications: Functional testing; function test.
Classifications: Positive retention and reliable securing.
Classifications: Preventive maintenance; preventative maintenance; planned maintenance.
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 lifeboat falling after an on-load release hook operated unintentionally, causing injuries and fatalities.
Themes: evacuation, escape and rescue, lifting operations, working at height.