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CASE 2<br />

The Lessons<br />

1. The shore worker’s training had not<br />

included shipboard operations and so he<br />

did not recognise the danger of using the<br />

shell door to disembark instead of the<br />

gangway.<br />

2. Owners should ensure that<br />

anyone they allow to access<br />

their vessels unescorted<br />

is trained in the potential<br />

hazards they may encounter<br />

on board.<br />

3. The crew regarded the line<br />

handler as a co-worker rather<br />

than as a visitor to the vessel.<br />

4. Procedures need to be in<br />

place to ensure that crews<br />

understand the importance of<br />

supervising and/or training<br />

visitors.<br />

5. The hazards associated with leaving the<br />

shell doors open and unguarded when in<br />

port, with no passengers embarked, had<br />

not been recognised. Owners and crews<br />

should ensure that risk assessments cover<br />

all aspects of their vessels’ operations.<br />

Vessel’s gangway<br />

in position<br />

(post-accident)<br />

Starboard shell<br />

door opening<br />

Fender at which<br />

shore worker was<br />

trapped<br />

Belting<br />

Quay steps<br />

and platform<br />

Figure 2: Location of entrapment<br />

MAIB Safety Digest 1/2017<br />

7

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