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SECTION 4 - Marine Accident Investigation Branch

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1.20 ACCESS TO TENDERS ON BOARD Saga ruby<br />

Access to the bowsing tackle arrangements fitted to the tenders/lifeboats on board<br />

Saga Ruby required the lifeboat preparation/ lifeboat crews to climb onto the coach<br />

roof. There were no readily accessible strong points on the lifeboats/tenders to<br />

which to attach a safety harness tether. To overcome this, webbing jacklines,<br />

running fore to aft, were fitted to the glass reinforced plastic (GRP) coach roof to<br />

which a safety tether was attached (Figure 21). The jacklines were secured to<br />

shackles fitted to eyebolts which passed through the roof. The shackles were fitted<br />

to the eyebolts with, what appeared to be, a standard nut and bolt arrangement<br />

which had been prevented from slackening by a split pin (Figure 22). The issues<br />

relating to this arrangement are discussed at Section 2.10.<br />

1.21 SIMILAR ACCIDENTS<br />

1.21.1 MAIB’s Safety Study 1/2001 – Review of Lifeboat and Launching Systems’<br />

<strong>Accident</strong>s<br />

The MAIB published its Safety Study 1/2001 6 following a review of its accident<br />

database. The subsequent analysis showed that, over the preceding 10-year period,<br />

12 professional seafarers lost their lives in accidents involving lifeboats and their<br />

launching systems. This represented 16% of the total lives lost on merchant ships<br />

during the period. These accidents all happened during training exercises or testing,<br />

with experienced and qualified seafarers either performing or supervising the<br />

operations.<br />

The executive summary identified that the root cause of many of the accidents was:<br />

and<br />

“…the over-complicated design of the lifeboat launch system and its component<br />

parts, which in turn required extensive training to operate…”<br />

“…training, repair and maintenance procedures fell short of what was necessary,<br />

….”<br />

The study identified that during the review period there were 10 incidents, resulting<br />

in five injuries and the loss of two lives that were directly related to tricing and<br />

bowsing arrangements.<br />

Section 2.2 – Bowsing and Tricing - of the study covers the operational and design<br />

aspects related to bowsing and tricing arrangements. A copy of the section is at<br />

Annex k. In particular, it identified the dangers associated with not using bowsing<br />

tackles and those related to taking the full passenger loading jointly on the tricing<br />

pennants and the davit falls.<br />

6 The publication is available on the MAIB’s website at www.maib.gov.uk<br />

39

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