At about 0930 on 21 May 2009, a crew member on board the general cargo ship Thor Gitta was fatally injured while attempting to secure lashing bins in the cargo hold. At the time, the ship was about 390 miles northwest of Fremantle, Western Australia.
The investigation found that a risk analysis had not been undertaken before the bins were introduced into service and that the bins had been inadequately secured in an area where there were no dedicated lashing points. It also found that the crew member was probably affected by fatigue as a result of the duty roster and the ship's movement in the heavy seas.
As a result of this accident, the ship's manager has implemented a range of measures on all its vessels to improve the security of bin lashing arrangements and manage the risks of carrying out tasks associated with operation of the bins. The company has also introduced a different rostering system to better manage the fatigue of watchkeepers when the ship is at sea.
The ATSB has issued one safety recommendation to the Danish Maritime Authority relating to the use of the 6 hour on/6 hour off work routine and the effect that that work routine has on a crew member's level of fatigue.
|Date:||21 May 2009||Investigation status:||Completed|
|Time:||0930 (UTC+7 hours)||Investigation level:||Systemic - click for an explanation of investigation levels|
|Location:||At sea, 390 miles off WA coast|
|Release date:||16 December 2009||Occurrence category:||Accident|
|Report status:||Final||Highest injury level:||Fatal|
|Type of operation||General cargo vessel|
|Damage to vessel||Nil|
|Departure point||Fremantle, WA|
|Departure time||14:40 19 May, 2009|
|Destination||Dar Es Salaam, Tanzania|