Thermal Oil Heater Explosion Onboard Oil Tanker – Investigation Report

This investigation report refers to the explosion of two oil-fired thermal oil heaters onboard an oil tanker. The explosion seriously injured three crew members and severely damaged the thermal oil heater and surrounding equipment and fittings. The injured crew members received only rudimentary first aid on board. Shore-based emergency paramedics attended the ship and the injured crew members were evacuated by helicopter for treatment and recuperation.

2013.12.16 - Thermal Oil Heater Explosion Onboard Chemical Tanker - Investigation Report Figure 1

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Australian Shipping Safety Incidents Statistics

The information contained in this post are extracts from The ATSB “Australian Shipping Occurrences Statistics 2005 to 2012” which provides information on what accidents and incidents have happened during the analysis period, how often they have happened, and what can be learnt from them. Incidents, and injuries happen more often than is widely believed. Some of the most frequent accident types are preventable, particularly fatalities to crew and shipboard workers. Lessons learned from the experiences of others in the industry can help identify the safety risks in their operation that could lead to a similar accident or serious incident. Analysis of reported occurrences helps to understand why accidents and incidents happen, and where the major safety risks are.

2013.10.02 - Australian Shipping Occurrences Statistics 2005 to 2012 Figure 1

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Foundering of the General Cargo Ship Tycoon – Investigation Report

On the morning of 8 January 2012, one of the permanent mooring lines holding the general cargo ship Tycoon in position in the inner moorings at Flying Fish Cove, Christmas Island, came free from its anchor. As a result, the ship moved forward and closer to the nearby terminal rock face, eventually making contact with the rock face as the weather and sea conditions deteriorated. Despite attempts to move it away, Tycoon continued to pound against the rock face. Eventually, the ship’s engine room began to flood through a tear in the hull. Shortly afterwards, the crew safely abandoned the ship. At about 1100 on 9 January, Tycoon suffered a catastrophic failure of its hull and the contents of the ship’s number two cargo hold, about 260 tonnes of bagged phosphate, were exposed to the sea.

2013.07.22 - Foundering of the General Cargo Ship Tycoon - Investigation Report Figure  1

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‘No-blame’ Investigations

Last December a very interesting article has been posted in ATSB’s Blog In Focus by Martin Dolan, Chief Commissioner of ATSB addressing the fact that investigation reports aim in identifying what went wrong in an incident and not to play the role of a judge. According to Martin Dolan it is not a function of the ATSB to apportion blame or determine liability. At the same time, an investigation report must include factual material of sufficient weight to support the analysis and findings.

2013.05.29 - No Blame Investigations

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Inadequate Bridge Resource Management Leads to Collision – Investigation Report

At about 1450 on 8 October 2010, the partially loaded Liberian registered bulk carrier Grand Rodosi collided with the Australian fishing vessel Apollo S in Port Lincoln, South Australia. As a result of the collision, Apollo S, which was unmanned, was crushed against the wharf and sank shortly afterwards. Grand Rodosi sustained several relatively small holes in its bow shell plating.

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Vessel Grounded Due to Rudder Angle Transmitter Failure – Investigation Report

At 1706 on 29 April 2011, the Panama registered bulk carrier Dumun grounded while departing the port of Gladstone, Queensland. Prior to the grounding, the ship’s steering appeared to stop responding to bridge commands when the linkage between the tiller and rudder angle transmitter became detached. The steering gear continued to operate normally, but the transmitter lost its input signal and, as a result, the bridge mounted rudder angle indicator stopped working.

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