During a routine vessel inspection, crew were observed using a grinder with a selector switch as opposed to a paddle switch, which was contrary to procedures and communication from previous incidents and safety bulletins.
What were the causes? What went wrong?
- Upon investigation, it was discovered that the vessel had the approved (paddle switch) grinders on board, but they were seen as being too bulky for the job; the crew removed the old grinder (smaller size) from the quarantine box and put it back into use.
- On inspection of the quarantine box, it was noticed that there was no manner of securing the box in order to prevent someone from accessing quarantined equipment.
- Inadequate supervision, to ensure equipment designated inappropriate does not re-enter service – crew members deliberately used equipment that had been taken out of service.
- Devices in “quarantine” should be rendered temporarily unusable or put strictly under lock and key;
- A hazard hunt was carried out to ensure that selector switch grinders were no longer in use.
Members may wish to refer to the following incidents. They are at first appearance dissimilar to the above – but they are all as a result of deliberate failure to follow instructions or procedures. In one case a written warning followed.
- Personal Injury Following PPE violation and slip and fall on deck [vessel Master went to the main deck without safety footwear or a safety helmet]
- Short Circuit On 440v Ac Bus Bars – Arc Flash [Crew deliberately ignored safety protocols to expedite what was considered an easy and straightforward task]
- Lost Time Injury (LTI): Fall From Height [senior ROV pilot/tech fell while climbing off an ROV without using a ladder; the JSA identified that a ladder should be used]
IMCA Safety Flashes summarise key safety matters and incidents, allowing lessons to be more easily learnt for the benefit of all. The effectiveness of the IMCA Safety Flash system depends on Members sharing information and so avoiding repeat incidents. Please consider adding [email protected] to your internal distribution list for safety alerts or manually submitting information on incidents you consider may be relevant. All information is anonymised or sanitised, as appropriate.
IMCA’s store terms and conditions (https://www.imca-int.com/legal-notices/terms/) apply to all downloads from IMCA’s website, including this document.
IMCA makes every effort to ensure the accuracy and reliability of the data contained in the documents it publishes, but IMCA shall not be liable for any guidance and/or recommendation and/or statement herein contained. The information contained in this document does not fulfil or replace any individual’s or Member's legal, regulatory or other duties or obligations in respect of their operations. Individuals and Members remain solely responsible for the safe, lawful and proper conduct of their operations.