I read a report the other day about a tanker that had mixed her cargo onboard involuntarily. It’s not the first time a cargo cocktail has happened and probably won’t be the last either. In this particular case there was a valve open that should have been shut, a case of misunderstanding between the mate and the pumpman. The misunderstanding cost a lot of money, wasted a lot of time and used a savage amount of paper for all the report writing which hindsight is so good at. The valve that was left open allowed one grade to mix with another, for example petrol with diesel, ok if you are driving a Soviet WW2 tank but not great for performance cars. On my last ship every valve had an electronic tell tale, so if the valve was open it was green on the control panel, and shut it was white and in between it was a % figure, and any problems there was a warning flashing red alarm. In the above case there was some kind of manual up-dating which was obviously not working. The electronics are not fool proof but they help, there is no idiot proof system, but if the idiots slow down they become normal. When I was cadet about 15 years ago when one of the ships I was on simultaneously pumped diesel up a petrol line and petrol up the diesel line, destroying 2 shore tanks full of their respective products, this incident brought about more control of events and name tags on manifolds and a pre-cargo operations meeting agreeing which pipes were connected to where and what was going to happen when, reducing the likelihood of the same thing happening again.
It happened again in our new report from the other day, on a modern ship. Why? Trying to do things quickly and not in a controlled manner, the pumpman opened a valve that would be needed later, trying to save time, or save himself opening and closing the valve a few times. One of my colleagues a Captain retiring in a week or so after 45 years at sea said of the incident “you never hear them say, take your time boys and get it right, we prefer to have a slow turn around than a load of paper work after an incident” all you do hear is buzz phrase generator speak about quality systems and ISO 5 million and 1. All the quality systems in the world won’t stop incidents due to hasty actions.
Buzz phrase generator, combine one word from each column. Sound familiar?
Marry in haste, repent at leisure.















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