Marine safety investigations & reports

Independent investigation into the serious crew member injury on board the Panamanian registered bulk carrier Universal Gloria, at sea off Eden, NSW on 11 October 2011

Investigation number:
Status: Completed
Investigation completed


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At about 1450 on 11 October 2011, the third mate on board the Panama registered woodchip carrier Universal Gloria suffered burns to his hands and face when the air compressor he was using to fill an oxygen breathing apparatus (OBA set) cylinder exploded.

The ATSB investigation found that the explosion occurred as a result of a fire that started within the compressor when oil ignited in the hot oxygen-rich environment.

The investigation identified three safety issues. The crew were not appropriately trained or drilled in the operation and maintenance of the ship's OBA sets; the ship's safety management system did not provide the crew with appropriate guidance in relation to the operation and maintenance of the OBA sets; and there were no engineering controls in place to prevent the inadvertent connection of an OBA cylinder to the air compressor.


Download Final Report
[Download  PDF: 502KB]
Alternate: [Download  DOC: 2.96MB]


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General details
Date: 11 October 2011   Investigation status: Completed  
Time: 1450 (UTC+11)    
Location   (show map): at sea off Eden   Investigation type: Occurrence Investigation  
State: New South Wales    
Release date: 05 April 2012    
Report status: Final   Occurrence category: Serious Incident  
  Highest injury level: Serious  

Vessel details

Vessel details
Vessel Universal Gloria  
Flag Panama  
IMO 9286877  
Type of operation Bulk carrier  
Damage to vessel Nil  
Departure point Iwakuni, Japan  
Destination Eden, NSW  
Last update 14 November 2018