Jul 082014
 
tundra

A man apart: Fatigue and both physical and cultural differences played key roles in the grounding of the bulker Tundra.

Take one fatigued pilot, add cultural power distance, loss of situational awareness, a dash of unimplemented Bridge Resource Management , inadequate master-pilot exchange and passage planning and there’s a very good change of something unpleasant happening. TSB Canada’s investigation report into grounding of the bulker Tundra off Sainte Anne-de-Sorel, Quebec, is an interesting collection of what-not-to-does.

Groundings in which pilots are involved are among the most expensive. A study by the International Group of P&I Clubs estimated that although groundings only account for 3 per cent of incidents resulting insurance claims of more than $100,000 they accounted for 35 per cent of the cost of claims at a cost of $7.85m for each incident. That compares with collisions, which accounted for 24 per cent of incidents and costs, and fixed and floating object claims which accounted for 64 per cent of incidents but 33 per cent of claims.

There’s money in them thar ills.

When the pilot boarded the Tundra he did not have up-to-date information regarding the buoys he intended to use for navigation. One buoy has been removed, which was not necessarily going to be problem since the next buoy had distinctly different characteristics than the missing device and the pilot would have recognised the situation and adjusted accordingly. He did not have a documented passage plan – his was in his laptop. Continue reading »

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Maersk Kendal – Complacency, BTM, Culture And VDRs

 Accident report, containership, grounding, maritime safety  Comments Off on Maersk Kendal – Complacency, BTM, Culture And VDRs
Mar 212010
 
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Reef - 1, Maersk Kendal - 0, teaamwork might have been the answer

MAIB’s report on the grounding of the containership Maersk Kendal on the Monggok Sebarok reef in the Singapore Strait on 16 September 2009 presents some all-too familiar problems and a package of lessons to learn. Complacency, lack of voyage planning, failure of bridge teamwork and inadequate awareness of the information being provided by the Singapore Vessel Traffic information service, were contributory factors.

Two items in the report in particular caught MAC’s attention. The first is the role of cultural factors in the bridge team which were also covered in the report on the grounding of chemical tanker Maria M. In that case a abrasive and abusive Italian master resulted in a bridge team that was afraid to challenge, question or advise him. On Maersk Kendall the situation between the British master and an Indian chief officer was very different, they appeared to be on good terms and the master’s standing orders required the bridge team to question the master if in any doubt concerning his actions yet it still didn’t happen.

Continue reading »

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