Marine incident report M/S Tiderose LEGL/9510242 passenger overboard near Vestnes on 16 September 2012
Sjøfart rapport 2013/01 eng
On the afternoon of Sunday 16 September 2012, the high-speed craft Tiderose sailed its ordinary route between Molde and Vestnes. During the crossing, a passenger fell overboard through the side gate (gangway) on the starboard aft deck. The passenger was rescued by the vessel's crew and taken to hospital. The passenger did not suffer any serious physical injuries.
The safety investigation has been carried out in cooperation with Bundesstelle für Seeunfalluntersuchung (BSU), the German investigation board for marine accidents.
Based on the investigation two significant safety problems have been pursued in safety recommendations to the shipping company and the Norwegian Maritime Authority, respectively.
The first safety problem concerns the securing of the gangway on the aft deck. It serves as a side gate during crossings. To prevent passengers from falling overboard, the shipping company had chosen a solution that meant that the ordinary seaman by routine had to lock the gangway in place. In the opinion of AIBN the shipping company had established a weak barrier against this risk, since many circumstances could result in such a task not being carried out as envisaged in an ideal situation. It is also possible that previous maintenance of the gangway had made it easier for the locking mechanism to be released. The shipping company's locking procedures and existing locking mechanism for the gangway did not provide sufficient safety for the passengers on board.
The other safety problem concerns the rescue arrangements for man overboard emergency situations. In principle, the high-speed craft should be equipped with at least one rescue boat to recover persons from the water (MOB boat). For Tiderose and other small high-speed craft, the Norwegian Maritime Authority grants exemptions from this requirement on certain conditions. Instead of a MOB boat, the high-speed craft was equipped with a rescue frame system, davit and a manual winch on the forecastle. This rescue arrangement was not a sufficiently effective means of recovering the passenger from the sea. The limitations of this rescue arrangement are primarily related to vessels with a (relatively) high freeboard, and to the fact that it is not realistic to expect persons in the water to remain still.
Photo: AIBN
Sikkerhetstilråding
Sikkerhetstilråding SJØ nr. 2013/01T
For å sikre landgangen hadde rederiet valgt et arrangement som innebar at lettmatrosen måtte sørge for å låse den. Statens havarikommisjon for transport anser dette som en svak organisatorisk barriere. Det er også mulig at tidligere vedlikehold av landgangen hadde gjort at den var lettere å få ut av lås. Rederiets låserutiner og eksisterende låsmekanisme for landgangen har dermed ikke gitt tilstrekkelig sikkerhet for passasjerene ombord på hurtigbåten.
Statens havarikommisjon for transport tilrår rederiet Norled AS å gjennomføre nødvendige vurderinger og tiltak for å hindre tilsvarende fall over bord.
Sikkerhetstilråding SJØ nr. 2013/02T
Redningsbøylen, davit og vinsj som var installert om bord på hurtigbåten var ikke tilstrekkelig effektivt til å redde passasjeren i sjøen. Dette redningsarrangementet har begrensninger som hovedsakelig knytter seg til fartøy som har (relativt) større fribord, samt at det ikke er realistisk å forutsette at personene som ligger i sjøen skal måtte forholde seg i ro. Statens havarikommisjon for transport mener Sjøfartsdirektoratets vurderinger for å akseptere fritak for MOB-båt ikke har vært basert på tilstrekkelig realistiske nødsituasjoner og erfaringer med bruk av dette utstyret.
Statens havarikommisjon for transport tilrår Sjøfartsdirektoratet, i samråd med bransjen, å revidere kriteriene for fritak fra MOB-båtkravet med formål om å sikre effektiv redning av personer i sjøen og som tar hensyn til utfordringene knyttet til fribord.
Fakta
| Sted | Vestnes, Moldefjord, Norway |
| Hendelsesdato | 16.09.2012 |
| Ulykkeskategori | Øvrig ulykke |
| Område | Norsk territorialfarvann |
| IMO-nummer | 9510242 |
| Fartøyets navn | Tiderose |
| Type hendelse | Fall over bord, Passasjerulykke |
| Type fartøy | 5 - Passasjerskip-ferjer |
| Register | NOR |