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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