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Lifeboat Lowered Unintentionally

On one of our vessels, a dangerous occurrence (near miss incident) happened during the annual servicing and inspection of the lifeboat and its launching gear in port.

The class surveyor and the authorised representative of the launching equipment manufacturer were in attendance during the survey, with the technical superintendent. After the survey was completed, the manufacturer's representative informally asked the fourth engineer to open up the port side unit brake assembly the next day so that he could take pictures for his records.

Early the next morning, the fourth engineer, along with the bosun, wrongly assumed that the job was officially assigned to them and proceeded to open up the brake unit on the port lifeboat davit. On opening the cover bolts, the boat went down rapidly under gravity until it got stuck between the gangway and the jetty. Fortunately, there was no one inside the boat or on the gangway in way of the davits. The superintendent, who was on the jetty inspecting the ship side at that time, had a narrow escape.

Root cause/contributory factors

1. Breach of safe working practices: a critical task was undertaken without the knowledge or approval of responsible senior ship's officer/head of department;

2. The harbour pins were not in place;

3. The two crew members involved were not sufficiently experienced in the task.

Corrective/preventive actions

1. Incident report circulated throughout the company and fleet.

2. Company procedures amended to require that all critical tasks be planned and supervised by senior officers. No one should enter the life boats or carry out any maintenance work on lifeboats and associated launching appliances without clear instructions and the presence of a senior officer. Senior officers assigning jobs must take full responsibility for all jobs that are being carried out by their subordinates.

1. Answer the questions:

1. When and where did the near miss incident take place?

2. What were the reasons of the representative’s requirement?

3. What happened on opening the cover bolts?

4. What are the root causes of the incident?

5. What preventive actions must be taken to avoid such incidents in future?

2. Are these statements true or false? Correct the false ones:

1. After the survey was completed, the manufacturer's representative gave order to the fourth engineer to open up the port side unit brake assembly the next day.

2. The boat got stuck between the gangway and the jetty.

3. The job of opening up the portside unit brake assembly was officially assigned to the fourth engineer and the bosun.

4. No one has the right to enter the life boats or carry out any maintenance work on lifeboats and associated launching appliances.

5. Senior officers are exempted from any responsibility for all jobs that are being carried out by their subordinates if the subordinates are experienced enough.

3. Read a near miss report (see a sample in annex).

Complete a near miss report covering the following items:

1. Description of the situation;

2. Possible cause of situation (root cause) and possible consequences;

3. Which preventive measures have been taken;

4. Master's decision (plan for further handling of above incident)

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