Shipowner Svitzer and terminal company Essar Oil failed to properly assess the risk before a chief engineer was killed trying to board a tug in the UK.
The Marine Accident Investigation Branch (MAIB) said the officer died on 27 January 2019 when he fell into the cold waters of the River Mersey from the 290-dwt Millgarth (built 1997) at the Tranmere Oil Terminal.
