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On 7 July 2009, while United Treasure was anchored off Port Kembla, New South Wales, two seamen fell about 8 m in a cargo hold after the scaffolding on which they were working toppled over. Both men suffered compound fractures and were evacuated from the ship by helicopter and taken to hospital.

The ATSB investigation found that the scaffolding had not been properly assembled or secured to the ship's structure. The investigation also found that an appropriate risk assessment for the work had not been carried out and the relevant ship's procedures were not followed.

To avoid a further occurrence of this type on board their managed ships, United Treasure's managers have taken safety action by revising the relevant shipboard procedures. In addition, the ATSB has issued one safety advisory notice.

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Safety issues

MO-2009-005-SI-01 - MO-2009-005-SI-02 -  

Permit system

United Treasure’s permit to work aloft system had not been effectively implemented on board the ship. In addition, the standard form for the permit did not ensure that the officer in charge of the work and its authoriser were not the same person and that a risk assessment was formally undertaken by at least two responsible officers.

Safety issue details
Issue number:MO-2009-005-SI-01
Who it affects:All ship owners, operators, managers, masters and crews
Status:Adequately addressed


Tower assembly

The tower was not assembled as designed. The outriggers and intermediate planks, both key components, were missing and the work platform guard rails were not used. The manufacturer’s instructions were also missing but no attempt was made to obtain them, a parts list or the missing parts.

Safety issue details
Issue number:MO-2009-005-SI-02
Who it affects:All seafarers
Status:Adequately addressed

General details
Date: 07 July 2009 Investigation status: Completed 
Time: 1130  
Location   (show map):Port Kembla anchorage  Investigation type: Occurrence Investigation 
State: New South Wales  
Release date: 17 November 2010  
Report status: Final Occurrence category: Incident 
 Highest injury level: Serious 
Vessel details
Vessel: United Treasure 
Flag: Panama 
IMO: 9286607 
Type of Operation: Bulk carrier 
Damage to Vessel: Nil 
Departure point:Jingjang, China
Departure time:8 June 2009, 1200 UTC
Destination:Port Kembla
Serious: 2002

Safety advisory notice

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Last update 14 November 2018