Step Change for Safety – A Shell Marine Initiative Volume 1, Issue 03 15 th April 2013
GLOBAL SHARING One industry Zero accidents
Shell Maritime Contractor Safety Conference in Singapore INSIDE THIS ISSUE: Finger Injury
2
Finger Injury
2
Head Injury
2
Pollution Averted
3
Pollution Alleged
3
Pilot Ladders
3
Best Practice –
4
( Good example of an Incident Analysis)
STEP CHANGE FOR SAFETY The movement initiated by Dr Grahaeme Henderson continues to gathers steam in Singapore. We have surpassed our target of submissions (of 10 per month) by 50% and, in the last three months, have 48 submissions coming from the Industry. A big thanks to all of you supporting this initiative and we look forward to your continued involvement.
ONE INDUSTRY, ZERO ACCIDENTS GOAL ONE-ZERO ACTION POINT SEVEN
Special points of interest:
SHIPPING TO BE SEEN AS A ROLE MODEL LEADERSHIP - WALK THE TALK
Please visit
PASSION FOR SAFETY THROUGHOUT THE MARITIME INDUSTRY
www.stepchangeforsafety.com
SAFETY CULTURE ACROSS THE ENTIRE ORGANISATION AND INDUSTRY
Click “VIEW SUBMISSIONS” button on the home page to view full details.
The involved participants share their experiences, good or bad, so that all others can learn from these.
EMPOWERED, MOTIVATED, PROUD, COMPETENT AND TRAINED STAFF COLLECTIVE CARE - TAKING SELF
PRESERVATION COMMUNITY
TO
OUR
LESS NEED FOR POLICING AND MICRO MANAGEMENT
Action Point Seven Team Members Mr. John Krousouloudis from Shell UK and team members Capt Prashaant Mirchandani, Gurcharan Sachdeva, Matthew Alexander, Alex Chow, Capt Rohit Sindhwani, Capt Surendra Dutt, Capt Rajalingam Subramaniam and Mr. T Miyamoto.
page 2
GLOBAL SHARING Injury: Finger Injury during manual handling of cargo hose.
Photo (taken from the net) SAFETY TIPS TO AVOID FINGER INJURIES DURING EQUIPMENT HANDLING USE TAGLINES, WEAR SUITABLE HAND GLOVES, NEVER PLACE YOUR HAND ON TOP OF LOAD OR BETWEEN THE LOAD AN OBJECT, INSPECT HOOKS AND CHAIN SLINGS BEFORE USE, NEVER HANG A LOAD FROM THE HOOK TIP.
THE INCIDENT
LESSONS LEARNT
On one of the vessels, the deck seaman / OS suffered lacerations when his finger got caught between the flexible hose and aft bulwark during manual transfer of the hose. The OS lost his footing and tried to hold onto the bulwark to balance himself, when his finger got caught. Prompt first aid was administered and he returned to work shortly thereafter.
Poor risk assessment led to improper usage of hand protection as the OS was using ordinary cotton gloves instead of heavy duty work gloves provided to vessel.
SAFETY TIPS TO AVOID HAND AND FINGER INJURIES KNOW the hazards and dangers in the job to be done. BE AWARE of pinch points, hot areas, rotating or moving surfaces. BE ALERT on the line of fire, avoid clothing and jewellery which may get caught in moving machinery NEVER remove machine safeguards or operate machinery without guards.
Submitted by: withheld.
Injury: Finger Injury during routine maintenance a task.
workshop.
The wiper suddenly put his right hand near drill rotating parts for assistance without care. After a short while, his cotton work glove got jammed in rotated drill and he unfortunately lost tip of his index finger.
The No.1 oiler had lifted the
LESSONS LEARNT
3) Regular education for encouragement of safety consciousness shall be strictly carried out for seamen.
THE ACCIDENT A wiper assisted a No.1 oiler to drill a hole on the steel plate in the engine room
drill up still keeping on rotation
for
adjusting
position of the steel plate.
1) Company’s working procedures shall be well acquainted with and strictly followed before carrying out
Injury: Head injury from UFO
“Routine
jobs done routinely still require a fresh risk assessment and hazard identification. Having done similar jobs many times before does not make them any safer”.
2) The workers in short career were relatively inexperienced for his task and this should have been identified as one of potential hazards during risk analysis
Submitted by: withheld.
(unrecognized flying object)
THE INCIDENT
Lessons learnt
While assisting the provider to unload stores on the wharf, an IR was struck on the head and knocked to the ground by the removable door of the container which FLEW off the truck with wind gust. The IR was wearing a hard hat which prevented bigger injury.
The incident highlights the need for proper PPE at work at all times A thorough TAKE 5 missed out the potential of door blowing off the truck. Always ask yourself – “WHAT CAN GO WRONG” and “WHERE IS THE POTENTIAL FOR SOMETHING TO FALL, PINCH, STRAIN, FLASH, TRIP ETC.”
Submitted by: withheld.
page 3
GLOBAL SHARING
Pollution averted: Lining damaged inside flexible hoses THE INCIDENT
FINDINGS
During start of transfer of LSFO through hose from mother ship to daughter ship the high back pressure along with no flow was investigated. The line-up was found correct. Further investigation revealed choking of flexible hose of daughter ship. Operation suspended. The hose has last been used for transfer of Rabi Crude heated at 48 deg C. Submitted by: withheld
The inner lining of flexible hose of daughter ship was torn about 2 feet from flange end.
MESSAGE TO INDUSTRY CHECK equipment prior to operation. ENSURE all hoses are flushed and drained dry after use. IMPLEMENT stop work policy PAY caution with heated cargo
HOSE INTERNAL LINING DAMAGED
Pollution alleged: Hose connection / disconnection in USA THE INCIDENT
FINDINGS
Alleged Oil Pollution during Hose Disconnection at one of Oil Major Terminal in USA.
Investigations revealed that the Crane Operator had reported to USCG. He claimed that the Blank on the Hose was not fully tightened even though the entire Hose disconnection operation was conducted under direct supervision of the Berth Master. No Spill or Oil Sheen was noted in the water by all Ship and Shore crew or Pilot on the Bridge.
An MR Tanker completed discharging, sailed from the Berth to anchor on Roads for Bunkering. While Bunkering, vessel received a notice from USCG alleging that the MR Tanker had caused minor spill during Hose disconnection.
LESSONS LEARNT
1. During Hose connection / Disconnection, pay attention to the Hose till fully connected on board or until swung out and landed on the berth. 2. Ensure that the packing is in good condition before putting the blank and all Bolts are tightened appropriately before the hose is lifted from the vessel's Manifolds. 3. Repeated Training to the crew for all aspects of Oil Transfer procedures including the Cargo Hoses connection / Disconnection must be followed and recorded.
MESSAGE TO INDUSTRY
1.Vessel can still be held responsible for any negligence during the Oil Transfer Operations including Connecting / Disconnecting of Hoses. 2. Even a minor incident like this can tarnish the image of an Operator towards the world class Charterers and the Oil Majors whose terminals are being used or whose cargo is being carried on board.
Property damage: Wet Rot in Pilot Ladders THE INCIDENT During 2012, there were three cases of pilot ladder failures at a major port in Asia.
where ladders were kept covered under canvas allowed “DAMP ROT” to set in and destroy the ropes.
MESSAGE TO INDUSTRY FINDINGS Investigations revealed that the failures were caused by degradation of the fiber rope at the point where the rope goes through the wooden battens. The ropes had perished in this area due to damp conditions
Ship Masters should ensure that Pilot ladders are laid out to dry after use. Inspect Inner cores for “WET ROT” regularly by twisting apart the ropes prior use.
FINDINGS communication solo.
LESSON LEARNT
SUBMITTED BY –Name withheld by reques
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GLOBAL SHARING
Best Practice – Importance of good analysis of Incidents etc. This submission from one of the participants deserves to be on the back cover of this newsletter due to its thoroughness, simplicity of presentation and findings. I am sure you will agree with me. Cheers.
This Safety Bulletin is circulated with the sole purpose of sharing of incidents, Near Misses, good practices and lessons learnt across the marine and off-shore industry. Submissions are voluntary. No information given here is to be used for any commercial gains or for any derogatory purposes.
The views expressed here are from the contributors and do not represent the official view of their company or Shell Marine in any way.
Please feel free to send your feed-back.
The above is a small selection of submissions from participants. Please visit the web-site www.stepchangeforsafety.com for full details and to submit your entries or send us your much valued feedback. INDUSTRY
GOAL ONE-ZERO A SHELL MARINE SAFETY INITIATIVE