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Marine casualty synopsis On 11 April 2014 M/T ROYAL OAK was at Piraeus anchorage where she had arrived in order to be delivered to a new owner and managing company. The new owner had registered ROYAL OAK to Marshall Islands’ Registry and a provisional Certificate of Registry was issued on 10 April 2014. Also, vessel was undergoing surveys by her new Classification Society and the Flag Administration for issuance of statutory Certificates. At 1400, the technician boarded on M/T ROYAL OAK, in order to inspect and re-program the GMDSS radio equipment of the ship. As soon as he finished his job and approximately at 1650, during his disembarkation from the vessel’s starboard side main deck accommodation ladder and whilst attempting to board on the fore deck of the launch boat DRAKON TAXIARXIS, he fell into the water. At that moment he was conscious and he tried to swim. At the same time, crew members from ROYAL OAK and the launch boat threw life rings with line, in order to assist him. Few seconds later, the Chief Officer of ROYAL OAK, who had already embarked the launch boat, noticed that the technician was unconscious and immediately jumped into the water to rescue him. He used a life ring and managed to catch him, however he was not able to get him on board the launch. ROYAL OAK’s crew lowered the accommodation ladder further, to assist the technician’s body to be placed on the ladder’s lower platform. As soon as he was placed on the platform Chief Officer immediately started providing CPR (Cardiopulmonary resuscitation). Thereafter, with ROYAL OAK crew’s assistance, the technician was placed on board the launch boat which immediately sailed for the port of Keratsini, while Chief Officer continued providing CPR. At the same time Port Authority, Company’s DPA and Agents were informed and requested an ambulance to be on standby at Keratsini port to transfer the technician to the hospital immedi- ately upon arrival. Once the launch boat arrived in dock, the technician was carried ashore and the ambulance’s crew confirmed his death. According to the coroner’s report, his death was caused by cardiac arrest. Additional information With regard to the cause of the fall limited information was provided due to the fact that nobody from the vessel and the launch boat had seen how the technician fell into the water . Technician’s body type limited his movements during the disembarkation. He also limped on his left foot due to a past surgery. Technician was carrying a bag with tools on his back . During disembarkation, the launch boat was pitching and rolling due to a slight swell. HBMCI conducts the safety investigation of the above mentioned marine casualty. The content of this Interim Report is based on current available information and data collected and analyzed during the safety investigation process into captioned marine casualty. The completion of the procedure as defined in relevant legislation may reveal or identify new information, data or evidence and consequently cause changes or amendments in data provided by this Interim Report. Time referred in the text is local time. Investigation The safety Investigation and analysis has highlighted contributing and underlined fac- tors that resulted to the examined marine accident. Such factors include the risk during embarkation from ships on launches, espe- cially for people who carry luggage and face physical difficulties. Such risk should be evalu- ated and lead to additional measures to en- hance the safety of such a procedure. A draft safety Investigation re- port is under preparation and is expected to be finalized shortly and circulated to involved and interested parties for consulta- tion. INTERIM REPORT Art. 16.2 Law 4033/2011 (art. 14.2 Directive 2009/18/EC) MARINE CASUALTY SAFETY INVESTIGATION Loss of life of technician during disembarkation from M/T “ROYAL OAK” Marine casualty Safety Investigation Law 4033/2011 as amended and applies (summary extract of art. 1.b, 4.1.a & 4.1.b) The conduct of Safety Investiga- tions into marine casualties or incidents is independent from criminal, discipline, administrative or civil proceedings whose purpose is to apportion blame or determine liability. The sole objective of the conduct of a safety investigation is to ascertain the circumstances that caused the marine accident or incident through analysis, to draw useful conclusions and lessons learned that may lead, if necessary, to safety recommendations or proposals addressed to parties or stakeholders involved in order to take remedial actions, aiming to prevent or avoid future marine accidents. Final safety Investigation Report Points of Interest This Interim Report has been prepared by virtue of art. 16.2 Law 4033/2011, as applies (art. 14.2 Directive 2009/18/EC) as the full investigation report will not be published within 12 months of the marine accident date. The Interim Report has been published for the sole purposes of the safety investigation process with no litigation in mind and should be inadmissible to any judicial or other p r o c e e d i n g s (administrative, discipli- nary, criminal or civil) whose purpose is to attribute or apportion blame or liability. The Interim Report only aims to present a concise summary of the events occurred on 11 April 2014 that led to a very serious marine casualty. The Interim Report does not constitute legal advise in any way and should not be construed as such. Very serious marine casualty April 2015

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Page 1: INTERIM REPORT - hbmci.gov.gr › js › investigation report › interim... · fore deck of the launch boat DRAKON TAXIARXIS, he fell into the water. At that moment he was conscious

Marine casualty synopsis On 11 April 2014 M/T ROYAL OAK was at Piraeus anchorage where she had arrived in order to be delivered to a new owner and managing company. The new owner had registered ROYAL OAK to Marshall Islands’ Registry and a provisional Certificate of Registry was issued on 10 April 2014. Also, vessel was undergoing surveys by her new Classification Society and the Flag Administration for issuance of statutory Certificates. At 1400, the technician boarded on M/T ROYAL OAK, in order to inspect and re-program the GMDSS radio equipment of the ship. As soon as he finished his job and approximately at 1650, during his disembarkation from the vessel’s starboard side main deck accommodation ladder and whilst attempting to board on the fore deck of the launch boat DRAKON TAXIARXIS, he fell into the water. At that moment he was conscious and he tried to swim. At the same time, crew members from ROYAL OAK and the launch boat threw life rings with line, in order to assist him. Few seconds later, the Chief Officer of ROYAL OAK, who had already embarked the launch boat, noticed that the technician was unconscious and immediately jumped into the water to rescue him. He used a life ring and managed to catch him, however he was not able to get him on board the launch. ROYAL OAK’s crew lowered the accommodation ladder further, to assist the technician’s body to be placed on the ladder’s lower platform. As soon as he was placed on the platform Chief Officer immediately started providing CPR (Cardiopulmonary resuscitation). Thereafter, with ROYAL OAK crew’s assistance, the technician was placed on board the launch boat which immediately sailed for the port of Keratsini, while Chief Officer continued providing CPR. At the same time Port Authority, Company’s DPA and Agents were informed and requested an ambulance to be on standby at Keratsini port to transfer the technician to the hospital immedi-ately upon arrival. Once the launch boat arrived in dock, the technician was carried ashore and the ambulance’s

crew confirmed his death.

According to the coroner’s report, his death was caused by cardiac arrest.

Additional information

With regard to the cause of the fall limited information was provided due to the fact that nobody

from the vessel and the launch boat had seen how the technician fell into the water. Technician’s body type limited his movements during the disembarkation. He also limped on

his left foot due to a past surgery.

Technician was carrying a bag with tools on his back .

During disembarkation, the launch boat was pitching and rolling due to a slight swell.

HBMCI conducts the safety investigation of the above mentioned marine casualty. The content of this Interim Report is based on current available information and data collected and analyzed during the safety investigation process into captioned marine casualty. The completion of the procedure as defined in relevant legislation may reveal or identify new information, data or evidence and consequently cause changes or amendments in data provided by this Interim Report. Time referred in the text is local time.

Investigation

The safety Investigation and analysis has highlighted contributing and underlined fac-tors that resulted to the examined marine accident. Such factors include the risk during embarkation from ships on launches, espe-cially for people who carry luggage and face physical difficulties. Such risk should be evalu-ated and lead to additional measures to en-hance the safety of such a procedure.

A draft safety Investigation re-port is under preparation and is expected to be finalized shortly and circulated to involved and interested parties for consulta-tion.

INTERIM REPORT Art. 16.2 Law 4033/2011 (art. 14.2 Directive 2009/18/EC)

MARINE CASUALTY SAFETY INVESTIGATION

Loss of life of technician during disembarkation from M/T “ROYAL OAK” Marine casualty

Safety Investigation

Law 4033/2011 as amended and applies

(summary extract of art. 1.b, 4.1.a

& 4.1.b)

The conduct of Safety Investiga-

tions into marine casualties or

incidents is independent from

criminal, discipline, administrative

or civil proceedings whose

purpose is to apportion blame or

determine liability. The sole

objective of the conduct of a

safety investigation is to ascertain

the circumstances that caused the

marine accident or incident

through analysis, to draw useful

conclusions and lessons learned

that may lead, if necessary, to

safety recommendations or

proposals addressed to parties or

stakeholders involved in order to

take remedial actions, aiming to

prevent or avoid future marine

accidents.

Final safety Investigation Report

Points of Interest

This Interim Report has been prepared by virtue of art. 16.2 Law 4033/2011, as applies (art. 14.2 Directive 2009/18/EC) as the full investigation report will not be published within 12 months of the marine accident date.

● The Interim Report has been published for the sole purposes of the safety investigation process with no litigation in mind and should be inadmissible to any judicial or other p r o c e e d i n g s (administrative, discipli-nary, criminal or civil) whose purpose is to attribute or apportion blame or liability.

● The Interim Report only aims to present a concise summary of the events occurred on 11 April 2014 that led to a very serious marine casualty.

● The Interim Report does not constitute legal advise in any way and should not be construed as such.

Very serious marine casualty April 2015

Page 2: INTERIM REPORT - hbmci.gov.gr › js › investigation report › interim... · fore deck of the launch boat DRAKON TAXIARXIS, he fell into the water. At that moment he was conscious

Grigoriou Lambraki Street 150

P.C. 185 18 Piraeus, Greece

Tel: 213 1371970

213 1371969

213 1371968 Fax: 213 1371269

Email: [email protected]

Website: www.hbmci.gov.gr

The final safety Investigation report will subsequently be issued following the consultation period.

M/T ROYAL OAK L/B DRAKON TAXIARCHIS

ROYAL OAK’s Accommodation ladder Launch boat’s fore deck

FACTUAL INFORMATION

VESSELS’ PARTICULARS

Name ROYAL OAK DRAKON TAXIARCHIS

Flag Marshall Islands Greece

Registry Majuro Piraeus 10433

Ship΄s type Oil Tanker Passenger Launch

ΙΜΟ 9164213 N/A

Call sign V7FA6 SVA3576

LOA (m) 220.20 15.00

Breath (m) 32.20 3.80

Year of built 1999 2010

Construction material Steel GRP

Gross Tonnage 40705 23.23 (GRT)

Net Tonnage 21529 15.58 (NRT)

Engine / Power WARTSILA 6RTA62U/ 11996 KW 2 x VOLVO PENTA D6 370 A-D / 370 HP

Classification Society DNV-GL (from 12 Apri2014) N/A

Minimum safe manning 16 1

Crew 11 1

Marine Casualty Information

Date & time 11-04-2014, at approx. 16.50

Type of marine casualty Very serious marine casualty

Location of casualty Piraeus anchorage, Greece

Fatalities / injuries One

Weather conditions Clear weather, wind S 4-5 Bf, light swell, daylight

Marine casualty

Safety Investigation

Law 4033/2011 as amended and applies

(Conjunction extract of art. 1.b,

4.1.a & 4.1.b)

The conduct of Safety Investiga-

tions into marine casualties or

incidents is independent from

criminal, discipline, administra-

tive or civil proceedings whose

purpose is to apportion blame or

determine liability. The sole

objective of the conduct of a

safety investigation is to ascertain

the circumstances that caused

the marine accident or incident

through analysis, to draw useful

conclusions and lessons learned

that may lead, if necessary, to

safety recommendations or

proposals addressed to parties or

stakeholders involved in order

to take remedial actions, aiming

to prevent or avoid future marine

accidents.