AB Mariner Meninggal terimpit grab
grab berada di dek kiri dan harus dipindah
AB meminta operator memindahkan grab ke kanan
Operator tidak melihat AB
Kondisi malam hari dan cahaya terbatas
Operator tak punya radio komunikasi, AB menggunakan senter memberi untuk menarik perhatian dari jauh
Cahaya senter menghalangi pandangan operator dari dalam kabin crane
Grab tidak stabil saat diangkat
Grab rest dalam posisi tertutup dan duduk miring karena hanya satu sisi cengkram, sementara wire tidak lurus antara ujung jib dengan center grab
Operator kemungkinan teralihkan menggunakan handphone
AB berada dalam radius operasi crane
Coverall AB tanpa reflective
No risk assessment was conducted before the job was carried out. The crew were not familiar with the crane operating procedures. Despite receiving aforecast of deteriorating weather, the ship's crew proceeded with the crane operation, ignoring the hazard.No precautions were taken to avoid the hook swinging as a result of the ship rolling and pitching in the heavy swell. The crane operator's cabin structure failed to provide sufficient protection to the operator inside.There were no specific instructions in the safety management system other than that the chief officer was to supervise the work on deck.What can we learn?The importance of the risk assessment prior to work commencing.All crane operations should be closely monitored. Crane operations should not be allowed during heavy weather. Crane operations should be covered in the ship's safety management system.
Internal audits of all company ships should be carried out to ensure full compliance with the safety management system on the safe operation of cranes. Crane operating crew need to be fully briefed and familiar with operating limitations.The structure of a crane operator's cabin should be sufficiently reinforced or protected
Operator tidak waspada akibat pergerakan tidak stabil grab
Safety precautions in operation area
Familiarities sts operation
keinginan untuk menunjukkan cara kerja ke awak baru
Operator kemungkinan mengalami kelelahan, hilang konsentrasi dan teralihkan
operator bllm beristirahat sejak subuh
Belum terdapat pengawasan waktu istirahat pekerja TKBM
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informasi posisi istirahat grab tidak diteruskan dari foreman ke operator derek
pergantian regu jaga tan[a hand over
Ketika diangkat dalam posisi miring, maka grab tidak stabil dan mengayun menyentuh railing dan memantul ke arah AB
Meskipun pengalaman operator dinilai cukup