High potential near miss: dropped object – spark arrestor

  • Safety Flash
  • Published on 20 February 2018
  • Generated on 2 December 2024
  • IMCA SF 04/18
  • 2 minute read

An 18kg spark arrestor fell 16 metres from the funnel stack and landed on the FRC deck.

What happened?

No-one was injured but this was considered a serious near miss. The spark arrestor was installed at the direction of the charterer only days before the incident. It was installed by a third-party sub-contractor; it was a requirement for working in the field and was new to the vessel.

18kg Spark Arrestor

What went wrong?

  • The spark arrestor became dislodged due to exhaust pressure and vibration.
  • The clamp was not secured tightly enough.
  • The mechanism of securing was pop rivets.
  • Vessel management did not manage the quality control of the third-party work when the spark arrestor was installed.

What were the causes?

  • A causal factor was:
    • installation (fixing) of the spark arrestor was not adequate or to industry standards and not quality checked by the vessel crew or management.
  • Root causes were:
    • failure of vessel operator to conduct a management of change (MoC) process for spark arrestor being installed.
    • the vessel operator did not follow contractor management procedures as the third-party installer was not contracted by the vessel.

What lessons were learnt?

  • There should be a management of change (MoC) process applied to all significant modifications or additions to vessel plant and equipment. This should include quality control to verify installation meets industry standards.
  • Contractor management principles still apply even if there is no actual contractual relationship between the vessel operator and the third party doing the work.

What actions were taken?

  • Review and update of safety management system (SMS) documentation (management of change (MoC) and Contractor Management processes) to ensure this scenario involving third parties is properly dealt with.
  • Additional MoC training provided to vessel management teams.

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