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CASE 2<br />

Fatal Short-Cut to Using the Gangway<br />

Narrative<br />

A small passenger vessel was alongside a berth<br />

it used regularly on its scheduled service to<br />

an off-lying island. The crew were waiting<br />

for the arrival of provisions and additional<br />

crew members before departure when a shore<br />

worker, whose job was to handle the vessel’s<br />

mooring lines from the quay, boarded via the<br />

vessel’s gangway for a cup of coffee with the<br />

crew.<br />

The vessel was fitted with a shell door on each<br />

side of the main deck and an external belting<br />

that ran most of the length of the hull (Figure<br />

1). When there were no passengers on board,<br />

the shell doors would normally be left open<br />

in port to improve lower deck ventilation.<br />

There were no barriers to guard the resulting<br />

openings.<br />

The berth was close to the harbour entrance,<br />

and after the shore worker had boarded, the<br />

gangway was withdrawn as the vessel was<br />

rolling moderately at<br />

the berth in the swell.<br />

shore worker alone in the main deck saloon.<br />

A few minutes later they heard a cry from the<br />

side of the vessel and looked down to see that<br />

the shore worker was trapped on the belting,<br />

between the vessel’s side and a quayside fender<br />

(Figure 2). He had apparently decided to leave<br />

the vessel through the shell door and walk<br />

along the belting to an area where he would<br />

have been able to step across onto the quay.<br />

The crew went to the man’s assistance but were<br />

unable to recover him back onto the vessel<br />

and they had to lower him into the water. One<br />

of the crew jumped into the water to keep<br />

the man afloat and conscious until a lifeboat<br />

arrived. The lifeboat was quickly on scene<br />

and recovered the man ashore for medical<br />

assistance.<br />

Tragically, despite the best endeavours of the<br />

crew and the emergency services, the shore<br />

worker died in hospital a short time later.<br />

When the crew had<br />

finished their drinks<br />

they returned to<br />

deck to continue<br />

preparations for<br />

departure, leaving the<br />

Handrails<br />

Shell door<br />

Belting<br />

Figure 1: Shell door, ship’s side belting and handrails<br />

6<br />

MAIB Safety Digest 1/2017

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