Background: Fishing is a risky occupation as injuries and fatalities in fishing vessels are quite common. This paper investigates the pattern of injuries aboard fishing vessels in Denmark to get a better understanding of areas where further action is needed to reduce the number of injuries and fatalities in Danish fishing vessels. Materials and methods: Data for this study, extracted from the Danish Fishermen’s Occupational Health Service’s database (in the period 1998–2012) and the Danish Maritime Authority’s accident report from 2013 to 2016, include 1840 injuries in Danish fisheries. Result: The results showed decreased injuries in the study period from 45 injuries and deaths per 1000 fishermen reported to the authorities to 12 injuries and deaths per 1000 fishermen in 2016: 2.1% (n = 39) of all reported injuries in the study period resulted in the death of a fisherman and the remaining injuries resulted in sick leave of more than one day; 52.5% (n = 600) of reported injuries involved fishermen who have less than one year’s experience of employment; 29% (n = 407) of injuries took place between 12:00 and 16:00, and the second largest number of injuries, 23.3% (n = 324), took place between 8:00 and 12:00. The incident rate of slip/fall injuries has decreased from 10.06 per 1000 fishermen in 1998 to 3.84 in 2016. The incidence rate of injuries caused by crushing also decreased, from 9.32 accidents per 1000 fishermen in 1998 to 2.56 in 2016. Most of the injuries, 74.5% (n = 1307), happened on the deck of the vessel. Sprain/strain was among the most common injuries (34.2%; n = 538) followed by fracture (24.8%; n = 391). Conclusion: This study indicated that the number of injuries had been gradually decreasing in Danish commercial fishing vessels in the period from 1998 to 2016. The rate of injuries had been declining due to several initiatives such as the establishment of The Danish Fishermen’s Occupational Health Services, training, safety campaigns, technological improvement and structural changes in fisheries management. However, there are still places for improvement.
Fault-tolerance is crucial to maintain safety in offshore operations. The objective of this paper is to show how systematic analysis and design of fault-tolerance is conducted for a complex automation system, exemplified by thruster assisted Position-mooring. Using redundancy as required by classification societies' class notations for offshore position controlled vessels, the paper shows how violations of normal behaviour of main components can be detected and isolated. Using a functional service philosophy, diagnosis procedures are auto-generated based on provable correct graph analysis methods. Functional faults that are only detectable, are rendered isolable through an active isolation approach. Once functional faults are isolated, they are handled by fault accommodation techniques to meet overall control objectives specified by class requirements. The paper illustrates the generic methodology by a system to handle faults in mooring lines, sensors or thrusters. Simulations and model basin experiments are carried out to validate the concept for scenarios with single or multiple faults. The results demonstrate that enhanced availability and safety are obtainable with this design approach. While methods are introduced at a tutorial level, the paper is original by providing a total Position-mooring system design that ensures resilience to any single fault and to selected multiple faults.
The sea ice in the Arctic has shrunk significantly in the last decades. Partly as a result, the transport pattern has changed with more traffic in remote areas. This change may increase the risk of accidents. The critical factors are harsh weather, ice conditions, remoteness and vulnerability. In this paper we look into the risks of accidents in the Atlantic Arctic based on previous ship accidents and the changes in maritime activity. The risk has to be assessed to ensure a proper level of response in emergency situations. As accidents are rare, there are limited statistics available for Arctic marine accidents. Therefore, in this study a mostly qualitative analysis and expert judgement is the basis for the risk assessments. Implications for the emergency preparedness system of the region are discussed. The consequences of incidents depend on the incident type, scale and location,
BACKGROUND: Fishery is a hazardous occupation and fatigue may contribute to the observed risks. This study aims to investigate the association between workload and fatigue among Danish fishermen.
MATERIALS AND METHODS: The cross-sectional survey of demographic characteristics and self-reported exposure and health data was performed on a random sample of 270 active fishermen. We applied the validated Multidimensional Fatigue Inventory (MFI-20) to assess the degrees of the different dimensions of perceived fatigue. We estimated physical workload using questions regarding the frequency of seven physical work activities and analysed the association between fatigue and workload using multiple linear regressions.
RESULTS: The mean fatigue scores were 9.18 (SD 3.58) for general fatigue, 9.05 (SD 3.36) for physical fatigue, 7.57 (SD 3.03) for reduced activity and 7.16 (SD 3.07) for mental fatigue. Highest levels of fatigue were observed among fishermen at Danish seiners (mean 10.21), and fatigue scores decreased with more days at sea. However, none of these results were significant. Adjusted analyses showed that physical workload was significantly related to general fatigue (b = 0.20, 95% CI: 0.12-0.28), physical fatigue (b = 0.10, 95% CI: 0.04-0.16) and mental fatigue (b = 0.09, 95% CI: 0.01-0.16). Reduced activity was unrelated to work exposures.
CONCLUSIONS: General fatigue was the dominant fatigue dimension among Danish fishermen and it is mostly associated with physical workload. Physical workload was additionally significantly associated to the levels of physical and mental fatigue. Fishermen had a lower average score for all fatigue dimensions compared to those seen in general Danish working population. Prospective studies are required to assess whether the identified associations are causal.
Aims and objectives: Seagoing employees must undergo medical examinations every second year. Even though International Organisations issued guidelines for these pre-employment medical examinations there is a lack of an internationally accepted continuous training programme for the maritime doctors who perform these examinations. The aim of this survey was to examine the Danish maritime doctors perceived training needs as part of a planned comprehensive maritime occupational health prevention programme.
Methods: A questionnaire based on international standards was distributed to all the maritime doctors (110) electronically in May 2017. The completed questionnaires were 46.4%. STATA was used for the statistical analysis of the data and correlations among the self-rated needs as dependent variables and the doctors characteristics were performed with Fisher exact test, with significance level at α=0.05%.
Results: The maritime doctors considered very important to receive training in “Fitness evaluation and medical examinations guidelines” (76.47%) followed by “Rules and regulations within maritime medicine” (68.63%) and “Working conditions and health risks on board” (62.75%). The number of examinations influenced their preference with those with more than 20 patients to express a more pressing need for training. Age, gender and years of practice did not have any influence in their self-rated needs. Furthermore, they pointed out flexible ways of training including distance learning and
the establishment of a webpage by the respective Authorities as one stop-shop.
Conclusion: Maritime doctors are in favour of continuous education and training. The survey may help the respective Authorities to organise such short courses on targeted topics in the country.
Seafarers sail the high seas around the globe. In case of illness, they are protected by international regulations stating that the employers must pay all expenses in relation to repatriation, but very little is known about the cost of these repatriations. The objective of this study was to estimate the financial burden of repatriations in case of illness. We applied a local approach, a micro-costing method, with an employer perspective using four case vignettes: I) Acute myocardial infarction (AMI), II) Malignant hypertension, III) Appendicitis and IV) Malaria. Direct cost data were derived from the Danish Maritime Authority while for indirect costs estimations were applied using the friction cost approach. The average total costs of repatriation varied for the four case vignettes; AMI (98,823 EUR), Malignant hypertension (47,597 EUR), Appendicitis (58,639 EUR) and Malaria (23,792 EUR) mainly due to large variations in the average direct costs which ranged between 9560 euro in the malaria case and 77,255 in the AMI case. Repatriating an ill seafarer is a costly operation and employers have a financial interest in promoting the health of seafarers by introducing or further strengthen cost-effective prevention programs and hereby reducing the number of repatriations.
Background:
The metabolic syndrome (MS) represents a cluster of risk factors related to insulin resistance. Metabolic syndrome is a strong risk factor for chronic metabolic and cardiovascular diseases and is related to nutritional factors, sleep patterns, work-related stress, fatigue, and physical activity — all of which are critical issues at sea. We have previously demonstrated a MS prevalence of 24.2% in Danish seafarers. This study aimed to follow the trend of MS after 2 years’ intervention.
Materials and methods:
Out of 524 Danish seafarers (mean age 37.7 years) who underwent medical fit-for-duty examination by seamen’s doctors at baseline, 141 seafarers (mean age 41.3 years) were tracked and re-examined after 2 years. At baseline all participants received general advice regarding lifestyle issues. Seafarers with MS were additionally given specific advice regarding treatment. The seafarers provided questionnaire information about their workplace on board, about treatment of hyperlipidaemia, hypertension, and about previously diagnosed type 2-diabetes. In order to define MS, we collected data about waist circumference, blood pressure, triglycerides, HDL-cholesterol, and fasting plasma glucose.
Results:
Out of 35 (26.5%) seafarers who fulfilled the criteria for MS at follow-up, 18 had MS at baseline while 9 were incident cases. Two seafarers with MS at baseline ceased to qualify for this condition at follow-up. The prevalence of seafarers with MS at follow-up represents a minimal estimate because a proportion could not be assessed due to missing fasting blood tests. Smoking and alcohol consumption was not reduced.
Conclusions:
In spite of the intervention, the prevalence of MS increased in this group of seafarers. This study indicates the limitations of individual health promotion and the need for corporate actions.
Piracy has unfortunately become a health and safety risk for seafarers in the maritime industry today. However, little do we know about the impact of a pirate hijacking situation and how seafarers cope. Focusing on negotiation communication, the analysis debouches in a discussion of the dynamics of coping strategies, by investigating 173 authentic audio recordings of communication sequences recorded during a pirate hijacking situation that were donated voluntarily by a shipping company. The Captain assessed and reflected on the course of events in the situation, to which the negotiator responded appropriately, with acknowledging brief responses or psychological aid. This is similar to other highly dynamic decision-making settings, where decision-makers tend to continuously reflect and revise their view of the situation (Eraut 2000). The data is also consistent with the “reflection-in-action” concept by Schön (1983) used by van den Heuvel et al. (Cogn Technol Work 16: 25–45, 2014) in their investigation of communication of police officers in hostage situations. However, the coping dynamics changed when the negotiator’s responses became too minimal. This shows how the context and the individual’s cognitive appraisal of the encounter co-shapes the coping dynamics in the situation. It is urged that pre-piracy care and seafarer training involves practical examples and information about roles and coping dynamics in negotiation communication as part of an orchestrated approach to the scourge of piracy.
Background
The aim of the study was to examine occupational accidents reported from non-passenger merchant ships registered in the Danish International Ship Register in 2010-2012, with a focus on analysing nationality differences in the risk of getting injured in an accident.
Methods
Data about notified occupational accidents were collected from notifications sent to the Danish Maritime Authority and from records of contact with Danish Radio Medical. Events were matched by personal identification and accident data to create a unified database. Stratified cumulative time spent on board by seafarers was used to calculate accident rates. Incidence rates of different nationalities were compared by Poisson regression.
Results
Western European seafarers had an overall accident rate of 17.5 per 100000 person-days, which proved to be significantly higher than that of Eastern European, South East Asian and Indian seaman (adjusted incidence rate ratio 0.53, 0.51 and 0.74, respectively), although differences decreased over the investigated period. Smaller but in most cases still significant discrepancies were observed for serious injuries. The back injury rate of Western European employees was found especially high, while eye injuries seem to be more frequent among South East Asian workers.
Conclusions
The study identified substantial differences between nationalities in the rate of various accidents reported from merchant ships sailing under the Danish flag. The differences may be attributed to various factors such as safety behaviour. Investigation of special injury types and characterisation of effective elements of safety culture can contribute to the improvement of workplace safety in the maritime sector