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On the morning of 26 January 2007, British Mallard berthed at the BP Kwinana oil refinery jetty, Western Australia, to discharge its cargo.

At about 1750 on 27 January, the ship's engineers attempted to rectify an elevator fault that had been reported earlier in the day. After making some adjustments to the second deck elevator landing door switches, the electrical technician stepped onto the ladder in the elevator shaft. He then asked the second engineer to let the doors close behind him.

Soon after the doors closed, the elevator car travelled upwards and after a few seconds it stopped.

The second engineer could not open the second deck elevator landing doors. He called the third engineer, on his hand held radio, and told him to come to the second deck. The two men tried, unsuccessfully, to open the elevator doors.

The two men then went upstairs and opened the upper deck elevator landing doors. They looked down and saw the electrical technician. He had been trapped by the elevator car and he appeared to be unconscious. Shortly afterwards, the second engineer activated the general alarm.

The master reported the accident to the refinery operator while the crew tried to free the electrical technician.
Assistance arrived from ashore and, at about 1920, the refinery doctor examined the electrical technician and determined that he was deceased.

The report identifies a number of safety issues, safety action already taken, makes one safety recommendation and issues two safety advisory notices with the aim of preventing similar events.

Marine Recommendations [ MR20070023 ]

Marine Safety Advisory Notices [ MS2007005 ] [ MS2007006 ]

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[ Download PDF: 1.24MB]
General details
Date: 27 January 2007 Investigation status: Completed 
Time: UTC + 8 hours  
Location:Kwinana Investigation type: Occurrence Investigation 
State: Western Australia Occurrence type: Fatality 
Release date: 22 June 2007  
Report status: Final Occurrence category: Incident 
 Highest injury level: Fatal 
Vessel details
Vessel: British Mallard 
Flag: IOM 
IMO: 9282479 
Type of Operation: Tanker 
Damage to Vessel: Nil 
Fatal: 1001

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Last update 19 May 2016