Accident Investigation Report 8/2016
Investigation report into marine accident including what happened, safety lessons and recommendations:
Video summarising the accident and lessons identified by our investigation:
On 2 January 2015 and when fully laden, the Cyprus registered cement carrier Cemfjord capsized in extremely violent sea conditions in the Pentland Firth. The rapid nature of the capsize denied the crew an opportunity to issue a distress message or the chance to conduct a controlled abandonment of the vessel.
Passage planning requires that all hazards are taken into account and avoided; the extraordinarily violent and fatal sea conditions encountered in the Pentland Firth were predictable and could have been avoided
As well as insufficient passage planning, the master’s decision to press ahead with the voyage, rather than seek shelter, was almost certainly influenced by an underestimation of the severity of the conditions, his personal determination to succeed and an unwillingness to turn the vessel across the heavy sea
It is likely that Cemfjord’s stability condition did not meet the required criteria making the vessel more vulnerable to capsize. An accurate stability assessment is vital for every passage
Cemfjord was at sea with significant safety shortcomings; there is no evidence that any consideration was given to delaying departure until these problems were fixed; instead, Flag State exemptions from safety regulations were approved to allow the ship to proceed to sea
The MAIB has made a series of safety recommendations to the vessel’s managers, Flag State and the Maritime and Coastguard Agency intended to improve the safety management of cement carriers and also review the safety arrangements in the Pentland Firth.