STEP CHANGE FOR SAFETY GLOBAL SHARING JUL 2013 - THE FIRST 100 STEPS | Page 4

INJURY – FACE
S. No. 6 Date 14-Jan-2013 Occurrence 06 - INJURY BY CAUSTIC SODA "While completing 1P/S cargo line blowing (making line empty), Pump man got splashed with Caustic Soda. Blowing of lines at 1 P/S had been completed and Pump man was required to transfer blowing air hose from 1 P/S to 7 P/S. On basis of Crew statements, Pumpman’s interview and photographs of accident site, following is the sequence of incident:? Pump man disconnected air hose from cargo line side with the valve in open position and with Airline pressurized. ? Caustic soda remaining in line and air at pressure of about 6 bar from the air hose/ airline sprayed pump man’s Face and Eyes. ? The pump man had been wearing Helmet and eye goggles which got blown away due to air pressure from Air Hose. ? AB at Manifold area got alerted by cries of help by Pump man and responded. Loose end of air hose was noted to be flaying / dancing on arrival at scene. AB called CCR to shut off air to airline from supply end so that incident scene could be safely approached. AB from Manifold area was first one to arrive on scene, and to splash his eyes and face with vinegar, than bringing him to manifold area under decontamination shower. ? Duty Off Alarmed Master. Emergency station were called and Chief Officer proceeded to manifold and chemical decontamination shower area. First aid ensured to Pump man. Affected areas on pump man body and eyes were flushed with copious amounts of running water. ? Shore personnel also gathered near on ship decontamination shower area, with their own material helping as well. ? Shore Emergency Team arrived 04:00 hrs, and took Pump man to Hospital. ? Upon receipt in Hospital, and examination, Pump man transported in Darwin for further eyes exam and treatment. this fast action by the crew has prevented permanent damage to pump man who is presently undergoing treatment" Type Impact Primary Accident Personnel Severity Impact Secondary Significant

Lessons learnt • Valve Cock from Cargo Line to Airline Noted in open Position after Incident. This valve was in open position while disconnecting the pressurized air hose from cargo line blowing connection. • Attempt to disconnect air hose without depressurizing Air Line and without shutting off Air Supply. • No Confirmation sought; given or verified that airline being disconnected is depressurized and that the valve on the cargo line side was shut Photographs of the pipeline fittings and surrounding area of the No. 1 cargo tanks were provided by the ships Master. From the photo it can be noted that there is no isolating valve or switch cock near the end of the air supply pipeline to which the blowing hose was connected. This indicates that the air supply to the pipe end fitting cannot not be isolated. This further implies that that air was constantly available into the blowing line if the air supply line from the engine room was opened. Message to the Industry account for Lighting, Rest Periods & the location of Refreshments