SEVEN ISLANDS SHIPPING LTD. ‘Authorized By DPA INCIDENT AS ACCIDENT —ITS INVESTIGATION AND ROOT CAUSE ANALYISIS ‘VESEEL— M.T. Kestrel ‘ACCIDENT NO. REPORTED ON DATE: 09/06/2021 INCIDENT TYPE INCIDENT AS ACCIDENT / DESCRIPTION: During starting of cargo operation, it wes noted | “that the IG main line temperature (after IG blower) was high, The IG blower tripped twice and boiler uptake valve automatically shut. ARter resetting. 1G blower again started and the problem persisted Atmospheric valve was opened to reduce the temperature, due to which the IG line pressure was ot maintaining, | Fa NEAR MISS /INCIDENT’S ACCIDENT. ANALYSIS / ROOT CAUSE: WHAT WAS THE DIRECT CAUSE Suspected non-return valve on the IG line was stuck in one position (partially open position) as the deck IG isolation valve was checked and found to be open and IG flow was also checked ‘before and afier the deck seal through the cocks and was found to be sufficient, WHAT WERE SOME INDIRECT CAUSES ‘None WHAT WERE SOME UNSAFE ACTS AT THE | None TIME OF INCIDENT WHAT ARE SOME OF THE UNSAFE High IG temperature. CONDITIONS. WHAT ARE SOME OF THE PERSONAL None FACTORS CONTRIBUTING 'SPMF — 09 - 02-03 0170172020 REVISEVEN ISLANDS SHIPPING LTD. CONTRIBUTING TO THE INCIDENT ‘Authorized By DPA INCIDENT AS ACCIDENT ~ ITS Page 2 of 3 INVESTIGATION AND ROOT CAUSE. ANALYISIS WHAT ARE SOM E JOB FACTORS — | None ROOT CAUSE FROM ABOVE CONCLUSION The Non-Reluma valve on the 1G deck line was shuck in partially open position, due to which the deck line pressure was not rising and the temperature of the IG was high and IG blower. tripping on high temperature CORRECTIVE ACTION FOR OWN SHIP /PREVENTIVE ACTION FOR OTHER SHIPS ‘The Non-Retura valve was hammered slightly and it was found that the temperature came down and 1G pressure raised to normal IG line Non-Retum valve to be opened inspected and overhauled, INVESTIGATOR 1 Name: AVITT HALDER Rank: Chief Engineer, TNVESTIGATOR 2 Name : SATWIK BISWAS Rank: 2” Engineer DATE = 09.06.2021 MASTER CAPT ANIL KADAM VERIFICATION BY DPA/ INSTRUCTIONS TO VESSELS FOR FUTURE : E : L DATE DPA SIGNATURE SPMF — 09— 02-03 0170172020 REVISEVEN ISLANDS SHIPPING LTD. Authorized By DPA | INCIDENT--ACCIDENT INVESTIGATION AND ROOT CASUE ANALISIS Page 3 of 3 SUMMARY OF THE INCIDENT AND ANY WITNESS STATEMENT IF REQUIRED During starting cargo operation, it was observed that the IG temperature after the IG blower was high and was near IG tripping temperature. After 5 mins, IG tripped on high temperature and boiler uptake valve also shut automatically. All the valves on IG line and scrubber line were rechecked and after resetting the alarms, IG blower was sterted again. But iG blower again tripped due to IG high temperature, To reduce the temperature of 1G the atmospheric valve was opened 50% and IG was started. It was also confirmed from CCR that all IG valves on deck were open. Since the atmospheric valve was now open, the IG temperature reduced but the IG deck line pressure was not rising. The atmospheric valve was operated manially severai times to raise the IG line pressure and aso to ensure that it did not trip on high temperature. AILER valves double checked on IG line and found all were normal. All valves on IG deckline was also checked and found to be notmal, The inlet and outlet of the deck seal was checked by openirg the cocks and it was found IG flow and was normal, It was then suspected that the non= retum valve may be malfunctioning and may be stuck in partially opened position. The non-return valve washammered lightly and it was observed that the IG temperature ceme down. As soon as the temperature reduced, atmospheric valve was again shut and IG deckline pressure graduslly increased to normal level. The non-retum valve has to be opened, inspected and overhauled at the earliest. SPMF — 09-02-03 L 1 SEPT 2019, REVO