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MSF: Air Cylinder – High Pressure Discharge

The Marine Safety Forum (MSF) have published Safety Alert 23-10 relating to a pillar valve failure.

What happened

During preparations to land a leaking breathing apparatus bottle ashore, a crew member was draining the remaining pressure from the bottle when the pillar valve broke off from the top. On inspection of the damaged valve, it was found that there was a fracture of the threaded end which had resulted in failure along a crack likely caused by metal fatigue.  The MSF notes that “although this could not have been foreseen, the potential for serious injury was very high if the bottle had been fully pressurised. In this case there were no injured persons.”

What was the cause

The cylinder and associated fittings were sent for further investigation, and the investigator noted that there was evidence that the pillar valve had “seen a heavy impact, the nut retaining the handwheel has been pushed through the handwheel itself and …what is left of the spindle has also seen a heavy impact along with the valve itself.” It was the opinion of the investigator that the cylinder had been dropped onto the valve causing it to break. This was considered a very serious incident that ultimately could have caused a fatality.

Actions

The MSF report notes that there was an extremely high potential for this incident to have caused harm. The vessel owner recommended the following actions:

  • When moving pressurised cylinders around the vessel extreme care should be exercised;
  • When decanting cylinders for transportation, the cylinder should be held securely with the valve being slightly cracked open with the contents being released in a slow and controlled manner;
  • Always make sure that the valve end of the cylinder is pointing away from yourself and any colleagues;
  • When conducting this operation full PPE should be worn;
  • The vessel owner is investigating the fitting of Excess Flow Valves when individual cylinders pass through the   maintenance workshop.

Members may wish to refer to:

Safety Event

Published: 29 August 2023
Download: IMCA SF 21/23

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