Tag: lessons learned

Hong Kong Merchant Shipping has published an Information Note to present an incident where a fatal accident happened outside the accommodation block under adverse weather, in order to draw lessons learned. 

The National Transportation Safety Board (NTSB) has issued an investigation report on the fire that destroyed the towboat Mary Dupre while it was under way on the Intracoastal Waterway last year.

Lloyd's Register has released an Engine Room Safety Alert, in order to inform interested parties how to prevent engine room fires such as the one that took place onboard ferry Berlin. 

The United States Bureau of Safety and Environmental Enforcement (BSEE) has published Safety Alert 461 relating to recent tagline entanglements which have resulted in several near misses.

The latest monthly safety scenario by Swedish Club, describes an incident during which a bulk carrier grounded due to restricted visibility.

The Nautical Institute reports an incident where lax safety culture and bad design resulted in man overboard (MOB) fatality, in order to draw lessons learned. 

Peter Videcrantz, Technology Director at Danelec details the maritime accident investigation into the sinking of the merchant vessel SS El Faro, highlighting both the challenges of retrieving VDRs from the ocean floor and the benefits to maritime safety of the data they record and store.

The Bahamas Maritime Authority has issued a safety alert to share lessons to be learned from the death of a subcontractor, working at height on a pipe laying vessel.

Oessur Hilduberg, Head of the Danish Maritime Accident Board (DMAIB), explains that the investigation bodies now use a variety of new data collection strategies and analytical frameworks. This methodological shift is based on the recognition that marine operations are complex in nature, and has a substantial effect on what can be learned from accidents.

Marcelo Covelli who is the National Director of the Marine and Inland Waters Investigations Directorate of the Transport Safety Board (Junta de Seguridad en el Transporte) of Argentina,  highlights the importance of considering the human and organizational factors from a systemic approach in an incident investigation.