Confidential Human Factors
Incident Reporting Programme
The Charity
Aviation
Maritime
Fire in LNG carrier compressor room?
Unsafe access!
Machinery breakdown results in allision
M1970 – Fall from height
M1969 – Inattention leads to high-speed grounding
M1968 – Tender grounds on (charted!) submerged rock
M1974 – One person cannot safely do two jobs at once!
M1973 – Imprecise language leads to critical misunderstanding
M1971 – Unauthorised access to upper deck at night
Accommodation ladder fails after pilot embarkation
Poor safety standards on floating armoury vessel
Poor choice of knot puts pilot in jeopardy
Fall from vertical quayside ladder has near-fatal consequences
Unsafe lifting points for RIB Work Boat
Touching bottom while berthing causes rudder damage
Fatality: crew member caught by rope during mooring operations
Smoke inside Bosun’s Store on LPG tanker
Deck layout: hazardous by design!
Breach of the Collision Regulations Rule 15
Steering gear malfunction
Cargo damage due to water ingress into cargo hold No. 5
Handover follow up
Personal injury – Burn to body and face
Pilots Corner – failures to comply with pilot ladder regulations
Lifeboat on-load cable release unit defect
Fatigue in the international towage sector
Pilots Corner – More engine issues
Flooding cofferdam during speed log maintenance
Failure to declare reportable cases on entering port
Fire and sinking of a motor yacht
Sailing boat propeller fouled
Ship to Ship mooring incident
Engine issues in bad weather
Engine fails to start upon sailing
Correspondence received (1) – Regarding the article published in MFB61, Superyacht – crew working outboard without PPE.
Pilots Corner – Why do we get so many pilot ladder reports?
Pilots Corner – Changes can be made
Is it safe?
Unsafe practice while working over the side
Colregs Rule 10 Incident
Substitution of simulator time for sea time
Accommodation fire – two fatalities
Alleged MARPOL contravention and MLC non-compliance
Correspondence received (2) – Regarding accident prevention
Distraction results in allision
Mooring incident on an LPG tanker
Flooding of a superyacht
Superyacht – crew working outboard without PPE