Case Studies

Case Study: Incorrectly Installed Section Of Engine Causes Fire Aboard Containership

An incorrectly installed section of main engine fuel oil return tubing led to an engine room fire aboard a containership…

Captain Leaving Wheelhouse While On Autopilot Led To Grounding Of Fishing Vessel

A captain’s decision to leave the wheelhouse unattended while transiting the St. Marys River on autopilot led to the grounding…

Case Study: Hydraulic Hose Failure Led To An Engine Room Fire

A hydraulic hose failure led to an engine room fire aboard a fishing vessel off the coast of Massachusetts, the…

Real Life Incident: Crewmember’s Fatal Fall Into A Hold

A bulk carrier in ballast was underway. The deck crew were washing the cargo holds, as clean holds were necessary…

Case Study: Captain’s Sleep Inertia Led To Tow Striking Lock Gate

A captain assuming a watch immediately after waking led to a tow striking a lock gate in the Gulf Intracoastal…

Engine Start Issues Led To Contact Of Oil Tanker With Loading Dock

An incorrect solution to address a main engine start issue led to the contact between an oil tanker and a…

Real Life Incident: Abdominal Pain Lands Seafarer In Medical Mayhem

On a vessel on an extended anchor stay in an isolated port, a crew member began suffering from severe abdominal…

Real Life Incident: Engine Cadet Loses Life Due to Phosphine Gas Leak in Cabin

On a handy-sized bulk carrier, the engine cadet did not appear at muster, so two crew went to his cabin…

Real Life Incident: Gantry Crane Improvisation Leads To One Fatality

A small cargo vessel with eight crew on board had berthed in port and was carrying out deck maintenance. The…

Case Study: Maintenance Error Led To $3.8 Million Marine Casualty In Washington

An improperly tightened fastener led to a diesel engine failure on the passenger and car ferry Wenatchee near Bainbridge Island,…