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1. Write an Incident Report in your own words from the context described within the format given below: (10 marks) Incident Case Study: Death of Electrician due to Electrocution Published: 27 February 2021 An oil tanker was on passage when the ship's electrician, who had been working alone, was fatally electrocuted while performing maintenance of the inert gas scrubber electrical system, Before starting work in the morning on the day of the incident, the second engineer (2/E) held a Toolbox Talk to discuss the work planned for that day. The electrician mentioned he might work on the inert gas (IG) scrubber pump starter panel, but he did not specify the items to be completed, nor the timeframe for the work. No formal risk assessment, permit to work (PTW) or Lock Out/Tag Out (LOTO) procedures were completed, despite all being specifically required by the Safety Management System (SMS) At about 1130, the electrician told the engine cadet that he would be working on the IG scrubber pump starter panel. The cadet did not question the electrician about the work, nor did he tell any other engineering officer. The IG scrubber pump starter panel was located on the engine room's bottom platform inside a local group starter panel (LGSP) cabinet. Also, the three power cable terminals in the lower section did not have covers over the power terminals to prevent accidental contact. The pump starter panel door could only be opened after turning the main power breaker lever to the off position, which de-energized the equipment in the panel. At 1144, the a low 440V insulation alarm activated in the engine control room (ECR), but the engine team could not identify the cause of the alarm. The cadet was instructed to tell the electrician to investigate the cause of the alarm and proceeded to the bottom platform where he had last seen him. On arriving at the LGSP cabinet, the cadet found the unconscious and unresponsive electrician lying deck with his head inside ower section. The cadet removed electrician from on the LGSP cabinet by pulling on his safety shoes. The door for the IG scrubber pump starter panel was fully open, and the lower panel covering the 440V power terminals had been removed and placed to the left of the cabinet. The cadet alerted the third engineer (3/E) and motorman working nearby. They then moved the electrician further away from the open LGSP cabinet, found he had no pulse and started cardiopulmonary resuscitation (CPR). The master was subsequently advised, a general alarm raised and emergency medical equipment brought to the scene. Despite continued CPR, the electrician could not be resuscitated. The ship diverted to a nearby port, where the electrician was transported ashore the same day and pronounced dead. The cause of death was consistent with electrocution, The lessons learned have been identified based on the information available in the investigation report and are not intended to apportion blame on the individuals or company involved: The electrician was working alone when the incident occurred. A completed PTW would have required another crew member to be present, which could have resulted in an appropriate challenge and stopped the unsafe work. The Company's Stop Work Authority (SWA) policy required all crew members to take action to prevent observed unsafe acts or conditions. Using this authority, 2/E and engine cadet could have prevented the electrician from undertaking the task. An effective and timely scheduled maintenance would have resulted in recording and rectifying the missing physical safety barriers within the LGSP cabinet and prevented the electrician from accidental contact with energized circuits. Incident Report Form Reported to Whom Date Executive Summary: Marks) Introduction: (2 Marks) Incident Description: (2 Marks) The Consequences: (2 Marks) Recommendations: (2 Marks) Prepared by: 3/5 Signature: Date