Offshore Supply Vessel Engine Fire: NTSB Report

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Questions and Answers

What was the primary factor that led to the mechanical failure of the no. 3 main engine?

  • A failure in the fuel injection system causing uneven combustion.
  • The installation of an incorrectly sized main bearing during a previous overhaul. (correct)
  • Overheating of the engine due to a malfunctioning cooling system.
  • Normal wear and tear on the engine components, exacerbated by prolonged use.

The incorrectly sized main bearing primarily led to which of the following immediate consequences?

  • Increased friction and wear on the crankshaft.
  • A reduction in fuel supply to the engine.
  • Elevated exhaust gas temperatures.
  • Leakage of lubricating oil and subsequent drop in oil pressure. (correct)

What was the direct result of the loss of lube oil supply pressure to the connecting rod journal bearings?

  • Increased vibration throughout the engine block.
  • A decrease in engine RPM and eventual stall.
  • A surge in electrical power generation from the engine.
  • Rapid temperature increase in the connecting rod bearings and fracturing of bearing cap bolts. (correct)

Which of the following actions taken by the crew was most critical in preventing the fire from spreading?

<p>Stopping the running engines and isolating fuel supplies. (C)</p> Signup and view all the answers

Besides isolating fuel and stopping the engines, what other action did the crew take to control the fire by removing a key element?

<p>Shutting down ventilation systems and closing air dampers to reduce oxygen. (C)</p> Signup and view all the answers

What specific system did the crew activate as a final measure to extinguish the fire?

<p>The vessel’s fixed CO2 fire extinguishing system. (C)</p> Signup and view all the answers

What is the most important lesson learned from this incident regarding machinery maintenance?

<p>Correct replacement of machinery components is critical ensuring safe and reliable vessel operation. (C)</p> Signup and view all the answers

To prevent similar incidents, what type of system is recommended for tracking replacement parts?

<p>A computerized maintenance management system (CMMS) for record-keeping. (A)</p> Signup and view all the answers

What was the primary cause of the fire on the offshore supply vessel, according to the safety flash?

<p>A catastrophic mechanical failure of the no. 3 main diesel generator engine. (C)</p> Signup and view all the answers

Why was the no. 6 main bearing replaced with a standard-sized bearing during the maintenance period?

<p>Because the technicians mistakenly assumed it was standard-sized, lacking a record of its part number. (B)</p> Signup and view all the answers

What was the estimated financial impact of the engine failure on the offshore supply vessel?

<p>Around $1.1 million in damages to the vessel. (A)</p> Signup and view all the answers

Which factor most directly contributed to the technicians' error in replacing the no. 6 main bearing?

<p>The absence of a documented part number for the original undersized bearing. (A)</p> Signup and view all the answers

What operational phase was the offshore supply vessel in when the engine failure occurred?

<p>Sea trials after a maintenance period. (C)</p> Signup and view all the answers

What immediate action did the crew take after the mechanical failure and fire?

<p>They extinguished the fire before it could spread. (B)</p> Signup and view all the answers

Why is the NTSB’s 'Safer Seas Digest 2023' relevant to IMCA members?

<p>It includes incidents that offer learning opportunities to improve safety practices. (B)</p> Signup and view all the answers

What load conditions were present on the vessel's systems at the time of the engine failure?

<p>Two stern thrusters at 75% load, and the no. 3 main engine at 30% load. (C)</p> Signup and view all the answers

Flashcards

Engine Room Fire Cause

Mechanical failure of a diesel generator engine leading to a fire.

Incident Context

Offshore supply vessel, post-maintenance sea trials.

Root Cause

Incorrectly sized bearings were installed during maintenance.

Incident Cost

Damage to the vessel estimated at $1.1 million.

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Service Company Practice

Standard practice was to replace any removed bearings with new bearings.

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Incident Result

No injuries or pollution were reported.

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Sea Trial Purpose

Ensure proper operation of engines, propulsion, and power management.

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Missed Part Number

The technician likely did not identify and record the part number of the main bearing.

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Root cause of engine failure?

Using the wrong size bearing in the engine's crankshaft.

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What was a direct result of the incorrectly sized bearing?

Loss of oil pressure in adjacent Connecting Rod Bearings.

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What followed the loss of lube oil pressure?

Rapid temperature increase of the connecting bearings and subsequent fracturing of the bearing cap bolts on the nos. 9 and 10 connecting rods.

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Crew's fire response included:

Stopping engines, isolating fuel, shutting down ventilation, and closing air dampers/watertight doors.

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Why shut down ventilation?

To deprive the fire of fuel and oxygen.

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Suppression Method

The vessel’s fixed CO2 fire extinguishing system.

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Critical maintenance step?

Carefully identifying and documenting part numbers of all components removed from shipboard equipment.

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Tracking systems for parts?

Systems used to ensure proper replacement part selection for reinstallation.

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Study Notes

  • National Transportation Safety Board of the United States (NTSB) published "Safer Seas Digest 2023", which includes a number of incidents which may be of interest to IMCA members.

Incident Details

  • An offshore supply vessel experienced a mechanical failure in its no. 3 main diesel generator engine, leading to an engine room fire during sea trials after maintenance.
  • The fire was extinguished without injuries or pollution, but the vessel sustained approximately $1.1 million in damages.

Cause of the Incident

  • A standard-sized connecting rod bearing on the no. 3 main engine did not meet specifications, leading technicians to replace all connecting rod bearings with standard-sized bearings.
  • The no. 6 main bearing was unknowingly undersized with a smaller inner diameter but was not identified or recorded by the technician.
  • Technicians replaced the no. 6 main bearing with a standard-sized bearing, expecting main bearing journals and connecting rod bearing journals to be machined simultaneously.
  • The incorrectly sized no. 6 main bearing allowed lube oil leakage, reducing oil supply pressure to adjacent connecting rod journal bearings, leading to increased temperature and fractured bearing cap bolts.
  • Several engine components broke free, causing hot oil and gas to start a fire in the engine room.

Crew's Response

  • The crew responded effectively by stopping running engines, isolating fuel supplies, shutting down engine room ventilation, and closing air dampers and watertight doors.
  • Tugboats returned to assist, and the crew activated the vessel's fixed CO2 fire extinguishing system.

Probable Cause Conclusion

  • The mechanical failure and fire were likely caused by replacing a crankshaft main bearing with an incorrectly sized bearing during an engine overhaul.
  • Engine service technicians failed to correctly identify the removed bearing's part number, leading to the loss of lube oil pressure in adjacent connecting rod bearings.

Lessons Learned

  • Correct replacement of machinery components is critical for safe and reliable vessel operation during maintenance.
  • Vessel crews and technicians should carefully identify and document part numbers of all removed components.
  • Tracking systems should be used to ensure proper replacement part selection for reinstallation.

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