Stevedores killed on board bulker had no enclosed space training
Three Indonesian men died on board Berge Mawson in June 2022 after entering a cargo hold filled with coal
The UK’s Marine Accident Investigation Branch has recommended InterManager and RightShip develop a minimum safety standard for stevedores conducting cargo operations on their members’ vessels
THREE stevedores who died on board a bulk carrier in Indonesia had not received training on the dangers of enclosed spaces, an investigation by the UK’s Marine Accident Investigation Branch has found.
The incident occurred on board Berge Bulk-owned, Isle of Man-flagged, 2015-built, 181,160 dwt Berge Mawson (IMO: 9738868) at the Bunyu Island anchorage, Indonesia, while it was loading 150,000 tonnes of coal on June 27, 2022.
The cargo was loaded from barges and bulldozers were lifted on to the vessel to trim the coal.
After rain had prompted a pause to loading, a bulldozer operator entered cargo hold eight unsupervised and collapsed.
Two more stevedores entered the hold a short time later and they too collapsed. The three men were recovered to the main deck before being taken ashore, where they were pronounced dead.
Testing of the hold revealed depleted oxygen levels and high levels of carbon monoxide.
Investigating on behalf of the Isle of Man flag registry, MAIB found the atmosphere of the cargo holds had not been tested before anyone entered them. Berge Mawson’s enclosed spaces were not secured while the stevedores were working on board, so unauthorised access to the cargo hold access spaces was not prevented.
But crucially, Chief Inspector of Marine Accidents, Andrew Moll, said it was “evident that the stevedores did not have sufficient understanding of the hazards posed by coal cargoes nor, more worryingly, had they received training about the dangers associated with entering enclosed spaces”.
“Although Berge Mawson’s crew were well trained in their emergency response to enclosed space accidents, their drill scenarios did not involve shore workers who could be on board at the time,” he said.
“In the crew’s rush to collect rescue equipment they left the entry point to an enclosed space containing a noxious atmosphere unguarded, and this oversight tragically led to the second and third stevedores dying in a well-intentioned, but misguided attempt to rescue their colleague.”
The deaths of the three stevedores can be added to what MAIB called a “disproportionate increase in the number of third-party deaths in enclosed spaces” identified by InterManager data since Resolution A.1050(27) was adopted by the International Maritime Organization in 2011, which provides recommendations on entering enclosed spaces.
“Despite international and industry guidance on the training stevedores should receive before working on bulk carriers, InterManager data shows that, of the 257 enclosed space fatalities reported between 1999 and 2023, 67 (26%) were stevedores or shore workers,” Moll said.
“To help prevent further loss of life it is essential that bulk carrier and terminal operating procedures, practices and training equip shore workers to operate safely on board the vessels they attend.”
Alongside from recommending that the port operators provide stevedores with training and personal protective equipment, MAIB also recommended industry bodies InterManager, Intercargo and RightShip develop a minimum operational standard for stevedores conducting cargo operations on board their members’ vessels.