Stored pressure release near-miss: Small part expelled from hydraulic winch
- Safety Flash
- Published on 4 July 2016
- Generated on 15 January 2026
- IMCA SF 18/16
- 2 minute read
A Member has reported an incident in which a part was expelled from a hydraulic system under pressure, causing a leak of hydraulic oil.
What happened?
The incident occurred when the hydraulics were activated to turn the winch drum to install a new wire rope. There was a loud bang from the hydraulic pack as a sensor was forced out of the unit. The sensor hit the bulkhead to the right. Approximately 2 litres of hydraulic oil was also expelled from the winch onto the deck and bulkhead.
Our member’s findings were as follows:
- Company safe system of work had not been followed – there had been no permission or sanction to test this equipment.
- The hydraulic system had not been commissioned properly. The hydraulic hoses had been fitted the wrong way around.
- The handover between technicians following crew change had not identified these issues.
Our member's recommendations were:
- Improve communication between crews at handover especially at crew change.
- Formal ‘sanction to test’ should be completed before it is handed over to the responsible person in charge.
- Suitable and sufficient risk assessment and pre-use check list to be created and used for this work and equipment.
- Status and condition of equipment should be clearly defined before planned maintenance is carried out.
Related Safety Flashes
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IMCA SF 22/15
15 December 2015
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IMCA SF 22/15
15 December 2015
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