88% 84% OK
1 3 1.1 1.2 1.3 (1) (1) (1) 1/7/2013 (2) (3) (2) (2) 1/7/2013 (4) (5) (6) (7) (3) (4) (3) (4) (5) 1/7/2013 1/7/2013 1/7/2013 (6) 1/7/2013 2 (7) 1/9/2013 2.1 (8) 1/9/2013 (9) 1/12/2013 2.2 2.3 (1) (1) (10) 1/12/2013 (2) (11) 1/12/2013 (3) (4) (5) (6) (7) (2) (3) (4) (5) 2739 9000 2007 1 2 2010 (WSB)
8 (1) (2)
2.3 3. 3.1
3.2 350 600 300 500 (Lux) (a) (b) (a) 10 (b) 10 15 (c) (d) 10 (e) 10 10 (c) (a) 5 (b) 4. 5 (c) 5 3.3 3.4
Case Study of Marine Industrial Accidents As soon as the third container was being hoisted and transferred towards the OGV by the derrick crane of the DSL, the deceased rushed to the top of the 2nd tier of the 4th row of containers, which was stowed underneath the container being lifted up, to pick up the stacking cones. Unexpectedly, the crane operator quickly returned the hoisted container back to the RTV without first alerting the RTV crews and without any consent or sign from the RTV signalman. The container was lowered immediately to where the deceased was located. He was unable to run away in time and was crushed between the underneath of the container and the top of the container stack. Findings and observations 1. The crane operator claimed that one hook on the wire sling connected to a corner fitting of the 3rd container became jammed, causing the container to become unbalanced. In this critical instant, he had to return the container back to the RTV to fix the hook as quickly as possible for safety purposes. At this time he overlooked his signalman because the boom of the crane and the hoisted container obstructed his view. 2. The crane operator assumed no one could have accessed the scene of the accident in such a short time because he had seen all of the slingers move to a safe place after hooking. 3. The deceased rushed to the top of the container stack to handle the stacking cones as soon as the container was lifted. He likely was not aware of the container s return. Recommendation 1. The DSL crane operator did not carry out his work safely. Although it may have been necessary for him to return the container to the RTV to fixing the jammed lifting hook, he should not have overlooked his signalman s signals. Especially when his view of the landing location of the returning container was restricted. It was unexpected that the container would be returned so suddenly and lowered onto the RTV without any consent or signal given by the signalman onboard the RTV. 2. A 40-ft container restricted the view of the crane operator, but he still assumed that the place where the container was to be lowered was safe. To ensure safety, he should make sure the place where a container will be lowered has been cleared of obstacles, or he should obey signals from the signalman. 3. If in doubt about the safety of a location where a container is to be lowered and without a visible signalman, a crane operator should wait for the signalman to give a signal or use the loud hailer to alert the signalman of his intentions. Application legislation 1. Merchant Shipping (Local Vessels) Ordinance (Chapter 548), section 45 Prohibition against carrying out works in dangerous conditions : (1) A person in charge of works shall not carry out, or cause to be carried out, any works in a condition or manner that does not provide adequately against unnecessary risk of accident or bodily injury. (2) If the Director or an inspector has reasonable grounds to believe that any works are being carried out in a condition or manner that does not provide adequately against unnecessary risk of accident or bodily injury, the Director or inspector may give directions to the person in charge of the works requiring him to take such steps as may be specified in the directions for remedying the unnecessary risk of accident or bodily injury. (3) A person in charge of works who (a) contravenes subsection (1) commits an offence and is liable on conviction to a fine at level 5 and to imprisonment for 1 year; (b) fails to comply with any direction given to him under subsection (2) commits an offence and is liable on conviction to a fine at level 4 and to imprisonment for 6 months, and to an additional fine of $2000 for each day during which such failure to comply continues after notice requiring compliance with the direction has been served by the Director or an inspector on such person.