A maintenance error caused an engine room fire aboard the Endo Breeze in 2022, resulting in $1.2 million in damages, the National Transportation Safety Board said on November 29, 2023.
fire containment
On April 29, 2022, the Endo Breeze was transiting outbound through the Raritan Bay West Reach channel near Staten Island, New York, when oil spray from a fuel injector pump on the starboard main engine ignited off nearby hot surfaces, causing a fire.
The crew of the Endo Breeze contained the spread of the fire by removing fuel and oxygen sources and activating the vessel’s fixed fire extinguishing system.
Cause of oil spray
Likely, the engineer did not correctly follow the manufacturer’s procedure for fuel injector pump reassembly
To determine the cause of the oil spray, investigators examined the engine’s no. 1 cylinder fuel injector pump and discovered a slight offset on the banjo tube assembly.
Investigators determined it is likely that the engineer did not correctly follow the manufacturer’s procedure for fuel injector pump reassembly when performing maintenance a day before the fire.
Not following maintenance procedures
The NTSB has investigated several recent casualties involving mechanical or fuel line fitting failures that led to engine fires following the maintenance of shipboard diesel engines.
The Endo Breeze’s engine room fire shows what can happen when equipment manufacturers’ recommended maintenance procedures are not followed.
high risk of fire
It’s critical to carefully follow manufacturer assembly procedures and review manufacturer manuals"
“In this case, not following the tightening sequence described in the diesel engine manufacturer’s manual led to the misalignment and failure of a high-pressure fuel connection on an engine’s fuel injector pump’s assembly,” the report said.
“Due to the high risk of fire associated with pressurized fuel, when working with diesel engine components, it’s critical to carefully follow manufacturer assembly procedures and review manufacturer manuals and guidance regularly to ensure familiarity with correct maintenance procedures.”
mariners' realistic scenario-based training
The NTSB report also emphasized the need for training to prevent and contain engine room fires. “To prevent engine room fires and ensure they are effectively contained, operators should provide mariners realistic scenario-based training, including training that covers engine room emergencies,” the report said.
“This training should also cover procedures for effectively shutting down machinery, fuel oil, lube oil, and ventilation systems, as well as boundary monitoring.”
