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Ajang Safa Fatality

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Ajang Safa Fatality

Yusri bin Baha 36 years old Lawas, Sarawak.

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Ajang Safa Fatality Cargo had been secured collectively Cargo lashing was removed - unloading by crane on starboard side of FPSO. Weather and seas were considered marginal but still safe for offloading - Wind was 10 knots - Swell was 1.5 2 meters. Waves 1.8 2.5 meters

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Ajang Safa Fatality

Captain positioned boat to deal with the strong current which was affecting their holding position.

Wind and swell were now on port bow


She was rolling as much as 80 by the Captains estimate.

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Ajang Safa Fatality

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Ajang Safa Fatality There were four personnel on the deck. Captain saw a larger than normal swell approaching from the port side

VHF to Banksman for crew to clear the deck Banksman heard the order and called out to the crew to clear the deck All the crew moved to a safe position but Yusri did not

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Ajang Safa Fatality

AB Silas was close to Yusri at the stern Silas had clearly heard the order and repeated it to Yusri. Yusri made eye contact with Silas but did not escape to safety. Ajang Safa rolled heavily - A tote container slid from starboard to port side crushing Yusri between them

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Ajang Safa Fatality

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Ajang Safa Fatality Underlying Causes 1. There was inadequate assessment of risk

2. Deceased positioned in the line of fire between the two tote tanks
3. Cargo was not lashed at time of incident.

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Ajang Safa Fatality Underlying Causes 4. Deteriorating sea conditions during offloading operation. 5. A Clear the Deck instruction was not followed by the deceased. The reason why the deceased did not respond is unknown.

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Ajang Safa Fatality Root Causes 1. Inadequate procedures and work instructions in relation to cargo handling operations and lashing of cargo.

2. Stop Work Policy was not applied on the morning of the incident in a timely manner by the Master

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Ajang Safa Fatality 3. Stop Work Policy was not imposed in the months preceding the incident.

The Captain was concerned about cargo operations on Ajang Safa during Monsoon season. Other professional marine personnel within Murphy also held the same concern. Although the topic was discussed, it was never documented or investigated. The job was never stopped!
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Ajang Safa Fatality Recommendations 1. Ajang Safa to be restricted to line / hose handling and certain specific cargo. Cargo handling to be specifically risk assessed.

2. Review and update the relevant JHA (Ref. No. JHA002) to include hazards of cargo shifting and weather conditions.

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Ajang Safa Fatality

3. Murphy to commission an independent audit of its marine operations - suitability of individual vessels to operate offshore particularly during monsoon season, cargo handling operations and securing of cargo. 4. Conduct refresher training for Ajang Shipping crews on hazard identification, risk assessment and control as well as Stop Work Authority.

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Ajang Safa Fatality

5. Communicate the Stop Work Authority requirements and lessons learned from this incident to all Murphy facilities and contractors.

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Dale Bradford Murphy General Manager

Personal pride in the accomplishments of the Murphy Malaysian Operations Team. Extremely valuable members of the Murphy Family. 1st fatality Not acceptable

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Dale Bradford Murphy General Manager

The authority, the right and the obligation Unsafe act or condition Unsure of the plan or you see someone else who isn't sure

If conditions change
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Dale Bradford Murphy General Manager

Ever reprimanded or punished for stopping a unsafe act or operation I would ask you to contact me directly

+603-7490-7446 dale_bradford@murphyoilcorp.com Strictest confidence.

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