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Hazardous occurrence related to engine room step ladder

Challenges faced and Lessons to be learned Confidential Hazardous Incident Reporting Programme (CHIRP) has received a report regarding an engine room step ladder incident.Report text:A crew member was working in the engine room using a step ladder. He was standing on the third step when, without warning, the ladder suddenly gave way. He fell backwards onto the adjacent platform. Fortunately his injury was limited to bruising.The incident was investigated by the ship's staff. Examination of the step ladder showed that the plastic hinges at the top of the ladder had failed, resulting in its collapse. It was noted that a previous breakage of the hinges had been repaired using glue, a steel plate and pop rivets. This set of step ladders should have been disposed of prior to this incident, as they were clearly not fit for purpose. Pre-use inspection of the ladder took place but the obvious defect was not noticed.With no traceable record of purchasing the ladder it is assumed that this was part of the vessels original outfit. The ladder has been removed from service and marked as broken. A new more suitable ladder is being purchased at first opportunity.The cause of this incident was the fact ...

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Hazardous occurrence related to margin of safety

Challenges faced and Lessons to be learned Confidential Hazardous Incident Reporting Programme (CHIRP) has received a reportfrom the officer of the watch of a large commercial vessel in the Baltic.Report text:"At. 10:30 UTC, My attention was drawn to a tanker calling Sound pilot repeatedly on channel 16. I took the vessel under closer surveillance. Since the vessel was calling for Sound pilot, I figured that she will continue to route D from the Anholt crossing. I noted that her CPA was going to be close if she did not change her course. Keeping in mind that she was the give away vessel, I monitored her progress and kept my course and speed."At 10.56 when our TCPA was 9 minutes and CPA 0,4 miles, I gave the vessel a call on ch. 16 and then changed to Channel 6."From XXXX: Vessel YYYY, this is XXXX on channel 6. I am just wondering what is your intention. Are you going to turn to starboard soon and pass me from my stern? From YYYY:No I am going to keep my course and speed."From XXXX: No, this is very dangerous, our CPA is only 0,4 miles. You have to turn to starboard now, I ...

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Hazardous occurrence related to pilotage problems

Challenges faced and Lessons to be learned Confidential Hazardous Incident Reporting Programme (CHIRP) has received a report regarding pilotage problems.Report Text:A manager has sent CHIRP two reports of incidents regarding pilotage in different parts of the world.In the first, the Master was concerned that the pilot was making excessive use of his mobile phone whilst piloting the vessel. This was compounded by the pilot's refusal to take advice on his behaviour from the Master.In the second report, the Master of another vessel was concerned that the pilot was apparently under such time pressure thatHe did not initially wish to spend time discussing the proposed plan for departure from the port.He was initially reluctant to the order to the tug to make fast to the ship "There's no time for that!"The vessel passed too close to another moored ship.The pilot disembarked before the vessel was clear of the port entrance.In both cases, the Masters, with the full support of the manager, had reported the incidents to the appropriate local authorities. On subsequent visits to the ports, significant improvements have been noted.CHIRP CommentWillingness to intervene is a key attribute to improving safety. It is pleasing to note that these Masters, supported by ...

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