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Step Change for Safety A Shell Marine Initiative

Volume 1, Issue 02 1st March 2013

GLOBAL SHARING
INSIDE THIS ISSUE: Eye Injury Finger Injury Burn Injury Contact Damage 2 2 2 3 The Safety Conference held at Singapore on 28 t h and 29 t h Nov. 2012, and officiated by Dr. Grahaeme Henderson, resulted in formation of Seven ACTION POINTS to support Shell Safety Initiative for the Marine Industry. These were -

Shell Maritime Contractor Safety Conference in Singapore


6) 7)
External promotion collective Industry voice Global sharing and saving.

Bulkhead Damage 3 Near Miss - STS 3

1) 2) 3)

Leaders create change in Safety Create Safety unified Culture

a as

step the

NM - Environment 4

NUMBERS
fro m the Shell Marine Safety Se minar Singapore

Look to include safety criteria in business evaluation and recognition Revamp retention training and For further details please visit www.stepchangeforsafety.com

4) 5)

129
104

To streamline and simplify procedures, processes to drive safety improvements.

Participants

ONE INDUSTRY, ZERO INCIDENTS: GOAL ONE-ZERO


SHIPPING TO BE SEEN AS A ROLE MODEL LEADERSHIP TALK WALK THE ACTION POINT SEVEN
The involved participants share their experiences, good or bad, so that all others can learn from these.

Companies

40
Submissions rcvd

PASSION FOR SAFETY THROUGHOUT THE MARITIME INDUSTRY SAFETY CULTURE ACROSS THE ENTIRE ORGANISATION AND INDUSTRY EMPOWERED, MOTIVATED, PROUD, COMPETENT AND TRAINED STAFF COLLECTIVE CARE - TAKING SELF PRESERVATION TO
Mr. Dinesh Sultan applauds the initiative

7
Actions Groups

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.

1
Industry

OUR COMMUNITY LESS NEED FOR POLICING AND MICRO MANAGEMENT


Capt Vinay Patwardhan voices his points.

0
Accident Goal

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GLOBAL SHARING

Injury: Eye injury from Caustic Soda


THE INCIDENT Pump Man on Chemical tanker suffered eye injury in the process of changing a pressurized air hose from one tank to another during line blowing process. The air pressure had not been released and the caustic soda remaining inside sprayed from the thrashing air hose which also took of the pumpmans helmet and eye goggles. Prompt attention by Deck AB working nearby and removal to medical facility at Darwin prevented permanent damage. LESSONS LEARNT 1) There was no shut off cock for the airline in vicinity which tempted the pumpman to take shortcuts. 2) Proper ship specific procedures and RA for the job must be done when handling line blowing process.
SUBMITTED BY
Name withheld as agreed.

Photo (taken from the net) shows Chemical burn by Caustic Soda.

Injury: Finger Injury during routine maintenance


THE INCIDENT Vessel was at sea preparing for port arrival when a leak was noted on the flange of one steam valve on deck. It was decided to remove the valve to renew the gasket. After completing the RA and tool box meeting the job to dismantle a valve was undertaken. The OS started removing the bolts. One bolt in a difficult position was being hammered when the mallet hit the OSs left hand. On removing the glove, left hand ring finger tip found crushed. First aid administered and the seaman along with some rest. The job completed safely after conducting further RA. LESSONS LEARNT Due to the awkward location of the bolt, requiring hammering with left hand, the job could have been better handled by a left handed person.
SUBMITTED BY: Name withheld as agreed.

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.

Injury: Scalding burns from steam


THE INCIDENT
The vessel had experienced excessive fresh water consumption in the Exhaust Gas boiler. An internal inspection was planned after anchoring at Sandheads. During the inspection a cadet and a trainee wiper suffered scalding burns ranging from 25 to 45% on various parts of body.

Lessons learnt
Risk assessment, Tool Box meeting and Permit to work are all integral to doing any work on vessel. Maintenance of drain valve and their proper functioning should be verified.

The trainer wiper and the cadet were relatively inexperienced for the job and this should have been identified as one of the hazards during risk analysis.
RIGHT PERSON FOR THE RIGHT JOB.

SUBMITTED BY: Name withheld as agreed.

Scald injury (photo from the net)

GLOBAL SHARING

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Property damage: Damage to barge during River transit


THE INCIDENT
A tanker-barge being towed stern first downstream along the river and assisted by two tugs, hit the underside at South side of the bridge. The voyage plan was to pass at the deepest part under the bridge giving a 2-3 mtrs passing distance, but seeing the angle of approach Master ordered the aft assisting tug to HOLD which resulted in a sharp tug and 20 deg deviation to intended course and contact which damages sidelight rack, p/p room blower and p/v valves.

FINDINGS
The tide table showed tide was slack from ebb during transit. Vessel draft was 1.50 mtrs F and 2.30 mtrs aft. As per Master, the aft tug was ordered HOLD instead it abruptly pulled the vessel starboard. The towing line was maintained 30 mtrs and not shortened. The tug Master handled the wheel, engine control and radio communication solo.

LESSON LEARNT
A pre-meeting between barge and tug Masters should have taken place. Shorter towing line could have given better control of the barge. Safe speed for the barge and tug pull power had not been set prior undertaking this transit.

SUBMITTED BY
Name withheld by request.

Property damage: Bulkhead damage


THE INCIDENT One of our vessel suffered damage inside tank due to frozen PV pipes. The vessel had loaded Phenol in USA for a trip to discharge port Ulsan. As the vessel moved into colder region, one of the PV lines froze at the bend near main deck level and remained undetected despite daily checks done on PV Valves. The vessel had dual PV valves on a common line and no pressure sensors. At anchor Ulsan, a popping sound was heard followed by slight distortion on deck and damage to tank internals. FINDINGS Company Procedures were not detailed and specific about checking for blocked lines leading to PV valves. The vessel was not fitted with tank pressure sensors which would have indicated the falling pressure in the tank.
SUBMITTER info with held by request

The procedures, where provided should relate to actual situations than could be faced onboard and not theoritical and lengthy for the sake of filling paperwork

Property damage: STS during swell conditions (Near Miss)


THE INCIDENT The vessel was asked to transfer water base mud to the rig by snatching. It was ordered that the current was strong and maneuvering with hose connected could result in damages. The operation was suspended till weather subsided. LESSONS LEARNT Good judgment by shipstaff in deferring the job was appreciated by the company. The company has empowered its staff to take critical decisions keeping safety about commercial pressures.
SUBMITTED BY
Name withheld by request

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GLOBAL SHARING Environment Damage Averted by prompt actions


THE OCURRENCE
One of our participants in Global Sharing reported an incident recently where a few hiccups were faced when starting transfer of LSFO from Mother Vessel to daughter vessel. Findings revealed damaged internals of flexible hose used on the daughter vessel. The inside lining had blocked the pipe. drained properly.
MESSAGE TO INDUSTRY

FINDINGS The hose had previously been used for Ravi Crude (heated temp 48
deg C) and probably not

POSTED BY G SACHDEVA

G R E E N W AV E SHIPPING PTE LTD


15, HOE CHIANG ROAD, TOW ER FIFTEEN 21-02,

S IN GAP ORE 089316

Always check ALL equipment before undertaking any operation. The other ships equipment may not have been checked and this should be borne in mind always. .
Submitter request info held by

Phone: +65 6223 8553 Fax: +65 6223 8557 E-Mail:


step ch an g efo rsafet y@g mai l . co m

About this Global Sharing Initiative


This is the second issue of Global Sharing Newsletter where we have compiled a brief synopsis of incidents voluntarily reported by the Participants. Photos, where attached, are mostly from the web. The key factors only are reported here but full details can be obtained by

visiting the website www.stepchangeforsafety.com. SUBMITTED BY The Participants have responded sr@wallem.com well and so far we have a database of 40 incidents collected for all to view and share. None of this would be possible without your active participation. We look forward to your continued support and feedback.

Were on the Web!

See us at:
w w w . step ch an g efo rsafety .com
D i s c l a i me r : T h e a r t i c l e s a n d v i e ws p r e s e n t e d h e r e are from contri butions by par tici pants in the Shell Safety Se minar. The author or the c ompany bears no respons ibili t y for wha t is state d herein. This n e ws l e t t e r i s f o r i n f o r ma t i o n o n l y a n d a n e f f o r t t o s h a r e i n c i d e n t s wi t h a v i e w t o p r o mo t e s a f e t y a c r os s t he i n dus tr y.

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.

GOAL ONE-ZERO
A SHELL MARINE

INDUSTRY

SAFETY INITIATIVE

INCIDENTS

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