In UK P&I Club’s latest ‘Lessons Learned’ series, Captain David Nichol presents a case of improper ventilation after maintenance operation, which could have led to fatality of two surveyors during a third party survey on the emergency fire pump.
The incident
During a third party survey, the surveyor made a request to test the emergency fire pump, which was arranged with the assistance of the chief engineer. The emergency fire pump was located in a recessed well in the steering gear compartment, approximately 3 metres deep and accessed by an inclined stairway. At the commencement of the test, the surveyor asked to observe the pump being started locally and operating before proceeding on deck to check the hoses rigged fore and aft.
Shortly after descending into the fire pump well, the chief engineer urgently ordered the surveyor to get out and by the time both men reached the steering compartment deck, they were experiencing symptoms of dizziness, with the chief engineer in a state of near collapse. They were taken on deck into fresh air by other crew members and recovered soon afterwards.
Analysis
Investigation revealed that maintenance had recently been carried out on the provision store refrigeration machinery located in the steering flat. During this work, Freon refrigerant gas from the plant must have been released into the space and, being heavier than air, had migrated into the pump well displacing breathable air. Both men were very fortunate to escape from the space unharmed. If the ladder had not been inclined but vertical, as is more usually the case, they may not have exited the well before passing out. The chief engineer was possibly more affected due to being of shorter stature than the surveyor and thus inhaling a higher concentration of the gas.
Lessons Learned