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“K” Line RoRo Bulk Ship Management Co., Ltd. Regional Operating Headquarters.

TYPE OF INCIDENT. Over due date of CMS items found during NK annual survey Date of accident: November 24, 2022.

DETAILS / OUTLINE OF INCIDENT. aassNK NK-SHIPS ATHENS HIGHWAY.

DETAILS / OUTLINE OF INCIDENT. In advance preparation of Class NK Annual Survey, Tech. S/I received C/E’s report for Continuous Machinery Survey (CMS) from the vessel and he submitted survey application with C/E’s report to Class NK Nagoya office. The day before the survey, Class NK Surveyor checked the survey application with C/E’s report in his office and he noticed that the date of inspection recorded on the report was exceeded from the due date of CMS. Unfortunately, the surveyor did not accept C/E’s report due to the above situation and Tech S/I decided to withdraw the survey application. Only cargo gear survey was accepted to carry out at this time..

DETAILS / OUTLINE OF INCIDENT. What is CMS ?? – Refer below as part of GUIDANCE OF CONTUNUOUS MACHINERY SURVEY (CMS) published by Class NK. The Continuous Machinery Survey (CMS) System is to aim to grasp the general condition of the whole machinery and equipment by opening up a part of the machinery and equipment through reasonable procedures in a continuously and systematically planned manner. This, of course, can only be achieved when the attending Surveyor is provided with accurate information on the ship’s side (Ship-Owner or Ship Management Company, here-in-after to call “Shipping Company”) maintenance at every occasion of CMS..

DETAILS / OUTLINE OF INCIDENT. The points of CMS system are as follows: (1) The survey items of CMS specified in Chapt . 9, Part B of the Rules may be overhauled and examined according to the ship’s maintenance schedule in such a manner that all of them are opened up for survey once within a cycle not exceeding 5-year period..

LOSSES. 1) Cancellation of CMS at Nagoya ..

POSSIBLE CAUSE. IMMEDIATE CAUSE: It was recognized that relevant equipment and machineries were overhauled, there would be no problem even the date of inspection exceeded due date of CMS..

POSSIBLE CAUSE. B) Root Cause 1) Inadequate supervision by PIC 2) Incorrect procedure for the CMS report. 3) Inadequate familiarization of CMS requirement.

ACTION TAKEN BY VESSEL. Tech S/I postponed CMS survey at next port, New Westminster, Canada with corrected C/E’s report. 2) Master sent Deficiency report to Tech S/I of what deficiency was found with C/E’s clarification. 3) SMS occasional audit was conducted at Nagoya on 27th December 2022 to investigate the planned maintenance procedure onboard and practical job maintenance interviewed to Master and C/E..

RECURRENCE PREVENTION. Prevention of Recurrence ashore When a machinery and equipment specified in CMS was overhauled, C/E should prepare the inspection report for next Class NK survey and send it to Tech/ S/I in advance of CMS due date. For machinery and equipment overhauled more than one time according to PMS ( e.g. M/E piston, or emergency overhaul of machinery due to trouble) Tech. S/I shall decide submission to Class NK on next scheduled survey in consideration of due date in CMS schedule..

RECURRENCE PREVENTION. The next due date of the item will be 5 years from the date of the inspection regardless the date of Confirmatory Survey. The due date will be set up as the end of the month of 5 years from the month of the Confirmatory Survey..

RECURRENCE PREVENTION. Sample case : the date of the inspection by the Chief Engineer is “14 May 2008”, the next due date will be set up as “31 May 2013”..

RECURRENCE PREVENTION. 2. Tech. S/I should notify C/E which machinery / equipment will be nominated for CMS inspection at next annual survey.Strictly comply the due date of of CMS by Class NK web site and inform to C/E in advance preparation..

RECURRENCE PREVENTION. Also, CSV (Excel file) can be exported from the function of CSV File Download button and able to use for monitoring Due Date if necessary..

RECURRENCE PREVENTION. 3. SMS-DE-09-F23 (KRBS From-411) will be revised to include CMS DUE. The CMS DUE and relevant machinery / equipment shall be well discussed with C/E in advance preparation..

RECURRENCE PREVENTION. 4. C/E should inform to the TS/I in-charge in advance if the CMS DUE cannot be complied due to some ship’s circumstance. 5. Before submitting the report to NK, Tech. S/I should ensure to check the vessel's overhaul date against the CMS DUE DATE. 6. Tech S/I should provide updated NK SHIPS(SURVEY STATUS) to in charge vessel in January, April, July, and December of each year (At least every 4 month)..

RECURRENCE PREVENTION. B. Prevention of Recurrence by C/E Request the latest version of the NK SHIP to Tech S/I in preparation of C/E’s turnover. 2. CMS machinery / equipment with due dates within 6 months should be listed in the C/E’s TON. 3. When Tech S/I instructs the C/E to conduct an annual inspection, the C/E should check for any discrepancies in the dates of the CMS equipment examination instruments..

REFERENCE. KRBS Loss Prevention Lesson no. 2022 – 021 – (1).

“K” Line RoRo Bulk Ship Management Co., Ltd. Regional Operating Headquarters.

TYPE OF INCIDENT. Deep cut wound of left leg due to loss of balance. Date of accident: January 26, 2023.

DETAILS / OUTLINE OF INCIDENT. Left leg was hit on edge.

DETAILS / OUTLINE OF INCIDENT. The vessel was en route from Singapore to Guaiba , Brazil in ballast condition. At around 1200 UTC on January 26th, 2023, the wiper was carrying out a task to drain the sump lubricating oil from the No.1 HFO purifier. He had cleaned the floor and was standing up to remove the oil basin when he lost his balance and fell. His left leg hit the edge of the purifier room floor grid plate, causing a deep cut wound with bleeding. Immediate first aid was administered by the Master, Chief Engineer and Second Officer, including cleaning and dressing the wound and controlling the bleeding..

DETAILS / OUTLINE OF INCIDENT. The wiper carried out a task to drain the sump lubricating oil from the No.1 HFO purifier after removing the purifier room floor..

DETAILS / OUTLINE OF INCIDENT. As he stood up and prepared to remove the oil basin, he lost his balance and fell, hitting the edge of the purifier room grid plate on the floor with his left leg. Left leg was hit on edge of the purifier room floor grid plate and the first aid was given. (Cleaning, dressing and controlling the bleeding).

DETAILS / OUTLINE OF INCIDENT. 1230 UTC 26 JAN 2023 : Master reported the situation to KLINE, KRBS-ROHQ, HMC. HMC contacted the contracted doctor on shore of Huayang for remote consultation at the first time and give advice for treatment of the wound. 1400 UTC 26 JAN 2023: Master reported the situation to CIRM ROMA for Radio Medical advice. 1430 UTC 26 JAN 2023: Received CIRM ROMA radio medical advice..

DETAILS / OUTLINE OF INCIDENT. 1440UCT 26 JAN 2023: We give Paracetamol 500 mg 2 table. 1500UCT 26 JAN 2023: Master carried out stitched for Wiper. 1500-1530UCT 26 JAN 2023: Master carry out clean wound again. 1530-1630 UTC 26 JAN 2023: Master stitched wound for Wiper..

DETAILS / OUTLINE OF INCIDENT. The wound was stitched and bandaged by master..

DETAILS / OUTLINE OF INCIDENT. From January 27 to February 1, 2023, we disinfected Wiper wound with indophor every day, applied a dressing to it, and bandaged it. We also gave him two tablets of AMOXICILLIN (0.5g/tablet) every 8 hours and two tablets of vitamin C (500mg) per day to aid the healing process. On February 1, 2023, Wiper reported no pain or swelling in his leg, and he was able to move it slowly. The wound was also progressing well. On February 1, 2023, we removed the stitches from the wound, and its condition continued to improve..

DETAILS / OUTLINE OF INCIDENT. By February 3, 2023, both the CIRM and our Chinese doctor had confirmed that it was not necessary to conduct an evacuation by a local doctor in Brazil. We were concerned about the possible negative effects on Wiper wound from disembarking/embarking our ship, which had a high gangway, as well as from launching and docking the boat to/from the mainland, which could cause rolling and pitching. On February 6, 2023, we assessed Wiper's condition and found that he could walk and move slowly on his own, and his leg bone was in good condition. He had no fever, and the wound was not painful, warm, or surrounded by red skin. The wound was healing well and progressing as expected.

DETAILS / OUTLINE OF INCIDENT. We have scheduled an evaluation for Wiper after he disembarks during the planned crew change at the discharging port, which is expected to take place around March 25, 2023..

LOSSES. Wiper to be absent from work..

POSSIBLE CAUSE. IMMEDIATE CAUSE: The loss of balance while standing up to remove the oil basin, which caused the wiper to fall and hit his left leg on the edge of the purifier room grid plate on the floor, resulting in a deep cut wound with bleeding..

POSSIBLE CAUSE. B) Root Cause Wiper’s lack of experience as only 11 month of total sea service experience and familiarity with the ship's equipment and work environment. This could have led to a lack of situational awareness and increased risk of injury. As a result, it may be necessary to provide more comprehensive training and supervision to new crew members to ensure they are adequately prepared and aware of the hazards associated with their work..

ACTION TAKEN BY VESSEL. 1. First aid treatment to patient immediately. 2. Contacted CIRM immediately for medical assistance. 3. Report the incident to office and concerned parties immediately for arrange possibly deviation 4. Contract with local agent for medical evacuation. 5. Daily report the situation to CIRM and office. 6. Final by CIRM and our Chinese doctor confirmed not necessary to conduct evacuation by local doctor in Brazil. Due to the wound is progressing on the right track and very well..

RECURRENCE PREVENTION. Prevention of Recurrence ashore 1. Ensure to conduct toolbox meetings to raise safety awareness, especially alert to crew members with less years of onboard work experience. 2. Conducted training amongst crew and reminded to be alert of surroundings. Likewise, stressed to strictly follow safety working procedures and to be always vigilant and observant of the working environment enable to timely identify defect and deficiency and potential hazards and have the opportunity to timely implement control measures to address hazards and risk identified..

RECURRENCE PREVENTION. 3. To enhance crew’s awareness on the issue, a Loss Prevention Lesson will be disseminated across the Fleet as well as to training department and manning source enable to include the topic in the crew’s upgrading training. The same will be discussed during pre-joining briefing and during vessel’s attendance..

REFERENCE. KRBS Loss Prevention Lesson no. 2023 – 002 – (1).

“K” Line RoRo Bulk Ship Management Co., Ltd. Regional Operating Headquarters.

TYPE OF INCIDENT. 1AE SUSTAIN A LEFT EYE INJURY DUE TO HYDRAULIC HOSE SUDDENLY & UNEXPECTEDLY DETACHED FROM THE COUPLING CONNECTION Date of accident: February 11, 2023.

DETAILS / OUTLINE OF INCIDENT.

DETAILS / OUTLINE OF INCIDENT. 11 FEB. 2023（Loading coal at Muara Pantai Loading Anchorage at Indonesia. ） 0645H – Carried-out toolbox meeting at engine control room for overhauling piston No. 5 of M/E 0650H – Took alcohol test with the Engine team member. 0705H – Isolated all necessary accessories FO and LO line and spring airline, then started working on cylinder head. (Reenactment only).

DETAILS / OUTLINE OF INCIDENT. Hydraulic c piing R" oved Hydraue cou lhg.

DETAILS / OUTLINE OF INCIDENT. At 0800 hours, the loosening of the cylinder head nut began using a hydraulic pump.While the nut was being loosened, the pressure reached approximately 1500 bar, and the Chief Engineer operating the hydraulic pump instructed the crew to remove the hydraulic nut. Hydraulic nut and Hydraulic jack attached was tap with hammer due to unable to lose the nut. However, during the process, the hydraulic hose suddenly detached from the coupling and hit the left eye of the First Assistant Engineer (1AE) who was in the process of loosening the nut..

DETAILS / OUTLINE OF INCIDENT. 0802 hrs – Immediately bring 1AE to ship’s hospital for first aid and informed the master. 0810 hrs – The Master of the vessel contacted TSI Poblete to inform them of the incident. Following this, an email was sent to all concerned parties, including the charterer's agent, seeking assistance. 0825 hrs – the foreman onboard contacted the Shipper Medical team, requesting their medical assistance for the injured First Assistant Engineer..

DETAILS / OUTLINE OF INCIDENT. 1037 hrs – the Shipper`s Medical team had boarded the vessel and begun providing medical assistance to the 1AE 1241 hrs – the injured First Assistant Engineer (1AE) Labao disembarked from the vessel for medical check-up, along with six off signers. The Medical Team disembarked at 1248 hours..

DETAILS / OUTLINE OF INCIDENT. Later that day, the attending agent informed the vessel that the doctor had diagnosed 1AE with a nose bone fracture and declared him "unfit to work". The doctor recommended a further medical check-up, including a CT scan to check for any head injuries. The next day, on February 12th, the CT scan results showed no hemorrhage or internal bleeding in 1AE's head, which was a fortunate development..

LOSSES. a) Shorthanded in the part of engine crew, and hence a Dispensation Letter was required prior for departure. b) Agency appointment, launch hire. c) Medical treatment costs d) Anticipated Accommodation and repatriation costs.

POSSIBLE CAUSE. IMMEDIATE CAUSE: Possibility that the coupling was not securely installed properly. 2) Tear and wear of snap-on coupling that it possibly detached when high pressure was applied from the hyd. Pump.Hydraulic Hose & Male adaptor have been used since built（Ship’s age: 12.3 years） 3) Hammer could possibly or accidentally hit the snap on coupling(female) causing to detached on snap on coupling (male)..

POSSIBLE CAUSE. B) Root Cause Possible failure to check that the coupling was securely installed. 2) Not aware of possible hitting by hammer the snap on coupling (female) 3) No additional support like tie wire or small rope attached on coupling for prevention in case accidental detached from the male coupler the female coupler..