The Inspections and Compliance Directorate issued Marine Safety Alert 05-19, “Man Overboard! An unusual fatality calls for reassessment of hazards and risks,” to educate owners and operators of deep draft vessels on the circumstances surrounding a tragic incident that left one mariner dead.
Last fall, an 1,100-foot container ship was arriving in the Port of New York/New Jersey in 40-knot winds, 13-foot swells and 60 degree seawater temperatures. As the vessel maneuvered at about 10 knots to make a lee in preparation to embark a ship’s pilot via a side shell access port, it was hit by heavy seas that forced the side shell hatch door open, resulting in flooding of the embarkation space. At the time of the casualty, the vessel was on a west-northwesterly course and the seas were on the vessel’s starboard quarter.
The ship’s Boatswain and Ordinary Seaman (OS) were manning the port side shell access port and pilot embarkation space behind a hydraulically operated bi-fold hatch door and were preparing for the pilot’s arrival. The port was located forward of the house and approximately 13-feet above the waterline. The Boatswain and OS were unable to monitor the seas from their position behind the hatch door. As the two crew members were in the process of opening the door, seas unexpectedly struck and violently forced it open, flooding the space. The OS was not wearing a harness or safety line nor a personal flotation device; he was subsequently swept out to sea. The Boatswain was forced onto the deck whereby the pilot ladder fell on him, fracturing his leg. The side shell door also sustained structural damage during the incident. Coast Guard Sector New York launched an extensive search and rescue mission that was terminated with no success after 28 hours. The OS was lost and presumed dead.
This casualty reiterates the dangers of personnel exchanges at sea, especially in heavy weather conditions. Even though the side shell hatch door was located on the port side and was being brought onto the vessel’s lee, the crew’s inability to observe and assess the sea conditions, combined with the ship’s roll and sea state, presented significant risks.
The Coast Guard strongly recommends owners and operators of deep draft vessels:
• Review vessel Safety Management Systems, procedural manuals and guidance that relate to pilot transfers and update as appropriate, considering risks revealed by this casualty;
• Reinforce the importance for crew members to wear personal protection devices and safety lines when working over the side of a vessel, when exposed to the elements or when there is an absence of a barrier that prevents an accidental water entry;
• Ensure officers and crew identify potential hazards and conduct a risk assessment, to include consideration of weather conditions, prior to opening the side shell port hatches;
• Ensure crew communications between Navigation Watch Officers and crew are clear and provide suitable supervision of activities, considering sea state and other changing conditions.
This safety alert is provided for information purposes only and does not relieve any domestic or international safety, operational, or material requirement. This was developed and distributed by the Investigations Division at Sector New York and the Office of Investigations and Analysis. Questions may be sent to HQS-PF-fldr-CGFINV@uscg.mil.
This blog is not a replacement or substitute for the formal posting of regulations and updates or existing processes for receiving formal feedback of the same. Links provided on this blog will direct the reader to official source documents, such as the Federal Register, Homeport and the Code of Federal Regulations. These documents remain the official source for regulatory information published by the Coast Guard.
Categories: Investigations & Casualty Analysis, Safety
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