A collection of vignettes and situations will lead the man to the desired conclusion. This indicates some important latent unsafe conditions contributing to this accident: a less than adequate safety culture and poor safety leadership.Inside a cafe while smoking a whole pack of cigarettes, a man poses an ambitious question: “What is Love?”. Yet this practice had been tolerated for many months and was never identified as a non-conformity or unsafe practice during the course of work or during safety meetings. Note: According to the company, ship’s personnel interviewed during the investigation indicated that the use of a bench to access the incinerator was not a safe practice. Under normal conditions, safety devices such as micro switches should never be ‘tricked’. Ship-specific Job Hazard Analysis should be done for incineration, as for all vessel activities. Incineration on this ship is best undertaken by two persons. Proper training and supervision are critical with operations such as incineration. To do this, the junior wiper had to hold down the incinerator door micro switch (to simulate a closed door) and press ‘start sluice action’, all while trying to push the bag down. Also, in this case he may have tried to push an oversized garbage bag down the incinerator sluice with a long handled poker. It appears the junior wiper, because of his small stature, had always used a bench to better access the incinerator door. The company conducted an investigation and found the following: To all intents and purposes, his seagoing career was over. The junior wiper had to return to his home country for further reconstructive treatment. All five fingers of his left hand were badly burnt and after assessment by doctors, four fingers were amputated. The vessel was diverted to an anchorage and the junior wiper disembarked for medical treatment. The junior wiper was standing outside the incinerator room waiting for the combustion temperature to reduce prior to loading the second garbage pack.Ībout 30 minutes later the junior wiper rushed to the Master’s office he had sustained very deep burns to his left palm. He found all systems in satisfactory condition and so he returned to the control room. A little while later, the fourth engineer went up to the incinerator room to check the safety parameters of the equipment. He was familiar with the job, having done the task for the last seven months. The second engineer distributed the day’s work to the engine room staff, verbally instructing the junior wiper to burn the garbage in the incinerator.
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March 2023
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