Fatal Fire Happened Because Someone Bought the Wrong Valve

When the part failed, oil started "cascading onto operating machinery."

Transcript

On January 8, 2024, a fire broke out in the engine room aboard the 598-foot-long Stride​ cargo vessel while it was refueling at the Barbours Cut Marine Terminal in La Porte, Texas, about 25 miles east of Houston. Crewmembers cut all ventilation to the engine room to extinguish the fire, but not before two crewmembers, a chief engineer and a third engineer, lost their lives. Another worker was seriously injured in the incident as well.

The vessel was declared a total loss valued at $12 million, and the operating company, Danaos Shipping Company, which is based in Greece, scrapped the entire ship.

According to the NTSB, the fire was traced to an incorrect valve installed in a pipe leading to a diesel oil tank.​

About six weeks before the fire, a replacement valve was ordered for one of the ship's diesel oil tanks. After the fire, NTSB investigators found the installed part was not the same type of valve specified by the vessel's fuel oil system drawing. Rather than an angle stop valve, a similar-looking valve, which only allows diesel oil to flow in one direction, even when open, was ordered and installed.

As a result of the incorrect valve installation, once diesel oil filled one tank, it was sent up the common vent line rather than to a different oil tank. In the common vent line, it flowed from a small cutout section of the vent pipe that had been sealed at an unknown time. The flexible sealing and tape covering the cutout failed, and diesel oil started "cascading onto operating machinery." The NTSB said that, due to the extensive area exposed to the overflowing fuel, it was impossible to identify the ignition source.

The NTSB couldn't nail down when the patch to the cutout section was made. The report said, "At some unknown time in the vessel's 26-year history," a 7" by 11" section of pipe had been cut into the top of the vent. The Panama-flagged ship was made in 1997. 

The NTSB's report stressed that owners, operators, and crews should carefully note all components of a vessel's drawings and diagrams to make sure proper spare or replacement parts are ordered.

Another contributing factor was adequate personnel. The NTSB noted that engine crewmembers were not monitoring the tank levels as they were being filled as required by the operating company.

The company's fueling procedures required a minimum of four crewmembers to be on duty during operations. At the time of the fire, only three crewmembers were present.

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