Otro accidente de río y chapa, si el anterior era una maniobra arriesgada del práctico, esta vez faltó «entendimiento» en el puente. Mientras desatracaban del pantalán de Coryton, (sitio infecto) en el Tamesis, el Capitán interpretó al Práctico a su manera y acabaron embistiendo los duques de alba. MAIB del Accidente.
- The Port of London Authority had no method of monitoring pilots’ performance on board vessels.
- The master and pilot pre-departure exchange of information was inadequate.
- Diagrams or sketches were not used in the master pilot exchange.
- Communications were made in Russian, thus isolating the pilot from the bridge team.
- The master and pilot made assumptions concerning each other’s intentions for the planned unberthing manoeuvre.
- The bow thruster was used indiscriminately by the master without instruction from, for communication given to, the pilot.
- Petroplus did not believe it to be necessary to review the terminal’s marine risk assessment on taking over Coryton refinery from BP.
