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TonyMurphy  
#1 Posted : 16 January 2012 07:54:52(UTC)
Rank: Forum user
TonyMurphy

I never would have believed that another Titanic type disaster could happen again. Admittedly the death rate is lower but the tragedy is a sharp reminder to all Safety Professionals that no matter what we learn from previous incidents, it only takes one simple error and we are back to square one. I heard one comment that the emergency procedures practice run was due to take place on Saturday...the day after the tragedy. There is a lesson for all of us.
johnmurray  
#2 Posted : 16 January 2012 09:04:37(UTC)
Rank: Super forum user
johnmurray

Don't sail onto rocks ?
Jake  
#3 Posted : 16 January 2012 09:08:47(UTC)
Rank: Super forum user
Jake

It'll be interesting to see what the investigation identfiies as the root cause. Was it navigational error? Were the rocks actually unchartered? Seems the blame is being palced with the Captain at the moment.
tonymurphy wrote:
I heard one comment that the emergency procedures practice run was due to take place on Saturday...the day after the tragedy.
Very shoddy indeed. And watching the news report it appears the evacuation did not run smoothly at all, with confusion amock! Highlights the importance of practiced drills etc.
ianjones  
#4 Posted : 16 January 2012 09:14:58(UTC)
Rank: Forum user
ianjones

What I found most interesting about this and it reflects on our work is how quickly conclusions were jumped too. The captain was arrested on possible manslaughter the owners denounced the captain as being responsible the press blamed the captain (interestingly a very small piece on sky news yesterday, Italy has the 2nd highest volcanic incident rate in the world and it is entirely possible that a rock was forced upwards by volcanic activity which was not charted and that the entire event following the grounding was a excellent piece of seamanship in getting the cruise liner to shallow waters and saving possible thousands of lives) all of this within 24 hours, and the investigation will have barely started. How often have we seen knee jerks reaction to incidents both large and small before a proper investigation is in place to determine what happened, what controls were in place and did they fail and what human behaviours were involved
Invictus  
#5 Posted : 16 January 2012 09:16:49(UTC)
Rank: Super forum user
Invictus

You only have one practice and that is at the beginning of the cruise. How can you have more people are getting on and off throughout the cruise. I wouldn't be happy if everytime someone else got on they had another drill. Each drill lasts about half an hour.
BuzzLightyear  
#6 Posted : 16 January 2012 10:50:20(UTC)
Rank: Forum user
BuzzLightyear

ianjones wrote:
What I found most interesting about this and it reflects on our work is how quickly conclusions were jumped too. The captain was arrested on possible manslaughter the owners denounced the captain as being responsible the press blamed the captain (interestingly a very small piece on sky news yesterday, Italy has the 2nd highest volcanic incident rate in the world and it is entirely possible that a rock was forced upwards by volcanic activity which was not charted and that the entire event following the grounding was a excellent piece of seamanship in getting the cruise liner to shallow waters and saving possible thousands of lives) all of this within 24 hours, and the investigation will have barely started. How often have we seen knee jerks reaction to incidents both large and small before a proper investigation is in place to determine what happened, what controls were in place and did they fail and what human behaviours were involved
Absolutely. I remember the Kings Cross fire when the news media seemed fixated on finding the person who dropped the cigarette that caused the fire. Whereas later investigations revealed many management systems failings.
RayRapp  
#7 Posted : 16 January 2012 11:08:41(UTC)
Rank: Super forum user
RayRapp

An yes, the blame game. One journalist following a spate of disasters in the 1980s described the process as 'ritual damnation'. Sagan illustrates the process post accident where the investigators 'round up the usual suspects: the control room operator, the pilot or capatin who committed an error.'
Bob Shillabeer  
#8 Posted : 16 January 2012 12:15:50(UTC)
Rank: Super forum user
Bob Shillabeer

I have sailed from this port myself. but looking at the map of the area and the depth of water which has been reported as 50-60 feet while the draft of the ship was 25.8 feet, enough depth for the safe passage of the ship. The main concern is however, the ship was off course by quite a bit. The ship was supposed to sail to the left (port) of the island not to the right (starboard). The ship was about twenty five miles out and it has been reported that he was not on the bridge at the time of the incident and the first officer was in control. This I believe is quite normal as the captain has duties welcoming his passengers so may not have known the ship was off course, only time will tell on that issue. The ship actually struck the rocks to the south of the Island some three or four miles short of the place of capsize but the water tight doors were not closed in time to save the ship. Only time will tell who was at fault or what went wrong, but to prempt the case with knee jerk reaction like arresting the captain and the company passing the buck within a day or so is somewhat a case of protecting ones back, just like the Potters Bar rail crash where there was supposed to be a phantom maintenance crew on site near the points but were never identified. Lets wait and see what comes of the inquiry before making rushed judgements.
Bob Shillabeer  
#9 Posted : 16 January 2012 12:17:45(UTC)
Rank: Super forum user
Bob Shillabeer

When I say he I mean the Captain was not on the bridge which is quite normal when the first officer is present.
Graham Bullough  
#10 Posted : 16 January 2012 12:49:36(UTC)
Rank: Super forum user
Graham Bullough

Tony M Though you conclude your opening post about the recent cruise liner major incident with the comment that "There is a lesson for all of us." I'm unsure myself as to what the lesson is at present. Though I might have misunderstood some aspects of the incident as reported, what does seem clear at this stage is that the media have gone into overdrive as usual with snippets of information about the incident. The various voids of factual information have been filled by speculation from various quarters, no doubt to sate the public clamour for information. Some of the reports that the liner's captain had been arrested (a fact) seem to insinuate (i.e. speculate) that he was at fault or even totally to blame for the incident. Therefore, rather than emulate the media by indulging in speculation on this forum, isn't it best to wait for publication of a report, perhaps even an interim one, of the detailed investigation which is likely to have started? I referred to the cruise liner event as a major incident rather than a tragedy. Though the death toll is currently six (though more may be found inside the liner), the media & public interest seems to stem from the fact that the event was unusual and involved a large ship and lots of people on holiday. By comparison, if a similar number of people are killed during a motorway pile-up the circumstances tend to receive local/regional media coverage for a short time. National media coverage seems to occur only if a pile-up has unusual aspects and/or there are few other stories to report at the time. In case my comment about the small number of fatallities in the liner incident appeared to be callous, I should add that it was definitely a tragedy for each of the persons killed, plus their respective relatives and friends. The same applies to anyone killed at work or by work activities, as those of us who have dealt with work-related fatalities tend to know only too well.
John M  
#11 Posted : 16 January 2012 13:00:20(UTC)
Rank: Super forum user
John M

The Master would be expected to on the Bridge (or within call) if the safe navigation of his vessel was in jeopardy or in any other potentially precarious situation. He cannot delegate that responsibility to the First or oany other watchkeeping officer In my day there was no substitute for a proper lookout. Today, huge vessels sail with totally enclosed bridges and wheel houses, with darkened windows, heating and a complete reliance on electronic wizadry. The "wing" of the Bridge is now of a bygone era. Navigation by radar alone and a diminuition of competence illustrated by the requirements of the 1995 STCW are often advanced as contributers to marine accidents. Of course we ought not to crucify this Master just yet! Jon
colinreeves  
#12 Posted : 16 January 2012 13:19:30(UTC)
Rank: Super forum user
colinreeves

As a professional mariner with a Master's CoC I have been horrified at the knee-jerk reaction from the media and, it would seem, the Italian authorities. However, my main concern is that the incident has happened, what then occurred. It seems that there were problems launching some of the lifeboats due to the exccessive list. Modern ships should be designed with sufficient cross-flooding arrangements to ensure that any list is minimal. I would also point out that the contact and hull penetration was some time before the vessel finally grounded (news reports vary from 2 to 4 hours) and in this time the Master managed to get the vessel close to shore so that it would not sink - there is an old adage that "your ship is the best lifeboat" and he appeared to be working on this principle. Accordingly, it is far, far too early to make any reasoned conclusions. I just wish the media thought the same!
TonyMurphy  
#13 Posted : 16 January 2012 13:21:45(UTC)
Rank: Forum user
TonyMurphy

Graham re your initial comment. Though you conclude your opening post about the recent cruise liner major incident with the comment that "There is a lesson for all of us." I'm unsure myself as to what the lesson is at present. I was referring to the fact that a punter on the ship explained that there was to be an Emergency Evacuation exercise on the Saturday and it was too late. This type of reaction is common I feel when dealing with tragedies or major incidents. There always appears to be a lot of learning but then we end up back at square one. Without pre judging what did or did not happen or who was at fault there always appears to be a culture of Complacency or Lack of Planning to these things. No matter how the ship got to be in such a position I would think that implementation of correct Emergency Planning and rescue would result in safe and timely evacuation for all. The general posting on here is correct though. we should wait for the inquest and subsequent facts before pre judging.
Lawlee45239  
#14 Posted : 16 January 2012 13:33:46(UTC)
Rank: Super forum user
Lawlee45239

RIP to those who have lost thier lives, and thoughts are with the families at the minute.
David H  
#15 Posted : 16 January 2012 14:03:19(UTC)
Rank: Super forum user
David H

Tonymurphy - you are correct that the emergency briefing is normally held the next day after sailing. I understand this to be so that the ship can embark passengers / crew / provisions and get back to sea quickly. so if something happens during that first night at sea then people may not be aware of procedures or muster areas. I have also noticed that there is an awful lot of staff training during these exercises and while I fully appreciate they need to be trained, I would be interested to hear how the crew responded and performed. I bet a lot of cruise lines are now looking at their passenger safety briefings - staff training including how to launch a life boat from a sloping hull. My thoughts with all affected by this incident David
David Bannister  
#16 Posted : 16 January 2012 14:51:53(UTC)
Rank: Super forum user
David Bannister

Over 4000 people evacuated and rescued from a fatally holed vessel sound like a success story to me. I will not speculate on causes or anything else to do with this incident.
Terry556  
#17 Posted : 16 January 2012 14:58:04(UTC)
Rank: Super forum user
Terry556

We will have to see what the report says, what you got to remember is the passengers, they will panic, and do anything in a life or death situation, would they have listened to the crew, maybe not, they will just want to get of the boat. The captain is like a director at work, has the full responsibility of the ship,
johnmurray  
#18 Posted : 16 January 2012 18:59:04(UTC)
Rank: Super forum user
johnmurray

You jest ? "like a director at work" Penny-pinching, blaming others, refusing to be held responsible.....and those are the good parts of directors. The captain however is solely responsible for the correct and legal operation of the ship. Exactly the opposite of most directors. Oh, and a video shot by a passenger shows calm passengers. Not many crew though.
David H  
#19 Posted : 16 January 2012 19:06:20(UTC)
Rank: Super forum user
David H

Just goes to show how important the "human factors" are. The ship was probably launched with inherent safety devices built in, state of the art positioning, stabalising and communication gear as well as sonar etc. Senior management will have centuries of experience between them and the trip was done weekly - so should not have been any surprises. And then calamity - with the weak link being suggested as human error. How can we manage that then? David
BuzzLightyear  
#20 Posted : 17 January 2012 11:05:05(UTC)
Rank: Forum user
BuzzLightyear

quote=David H]Just goes to show how important the "human factors" are. The ship was probably launched with inherent safety devices built in, state of the art positioning, stabalising and communication gear as well as sonar etc. Senior management will have centuries of experience between them and the trip was done weekly - so should not have been any surprises. And then calamity - with the weak link being suggested as human error. How can we manage that then? David
Hi David, I agree that human factors are important. However, as indicated in earlier responses, I am not sure that this "just goes to show" anything at this stage as the investigation has not been completed. I think it's fair enough to speculate on a forum but we have to be careful we are not complicit in the media circus that always quickly and often wrongly points a finger of blame on an innocent person or an unconfirmed cause before investigation or trial.
TonyMurphy  
#21 Posted : 17 January 2012 11:40:03(UTC)
Rank: Forum user
TonyMurphy

You are right we should not point the finger....but have you read what the owners have stated so far? I hope the Captain knows a good lawyer.
pete48  
#22 Posted : 17 January 2012 11:59:44(UTC)
Rank: Super forum user
pete48

I watch the media coverage and the succession of various experts, and now the owners, giving an opinion that the media instantly turns into fact and I find myself thinking that the only lesson to be learnt is that fact is the most unlikely thing to emerge in the early aftermath of any such incident. For example, last night I watched two completely different accounts of the route taken by the vessel. p48
John D C  
#23 Posted : 17 January 2012 12:04:03(UTC)
Rank: Super forum user
John D C

To those commenting on what 'may' have happened and the reaction of the media and possibly the Italian Authorities may I give you a quote from the Duke of Wellington from his time as head of the army in the war against Napoleon - "As soon as an accident happens, every man who can write, and who has a friend who can read, sits down to write his account of what he does not know, and his comments on what he does not understand." Take care John C
Clairel  
#24 Posted : 17 January 2012 13:09:46(UTC)
Rank: Super forum user
Clairel

tonymurphy wrote:
I never would have believed that another Titanic type disaster could happen again. Admittedly the death rate is lower but the tragedy is a sharp reminder to all Safety Professionals that no matter what we learn from previous incidents, it only takes one simple error and we are back to square one. I heard one comment that the emergency procedures practice run was due to take place on Saturday...the day after the tragedy. There is a lesson for all of us.
That's a bit OTT isn't it? Ships hit submerged objects and non-sumberged objects from time to time. Passenger vessels have sunk from time to time (think Zeebrugge). So comparing it to the Titanic is a bit sensationalist IMO. There are no lessons to be learnt as yet as the investigation hasn't been completed. Of course the owners are blaming the Captain! I am suprised so many of you are so quick to judge and so quick to believe what the press are reporting - quite ironic when so many on here are so quick to jump on the inaccurate reporting of H&S stories! I'm disheartened by this thread. I could make many assumptions but I prefer to wait for the facts. So far the only facts are that the ship hit a rock and sank.
colinreeves  
#25 Posted : 17 January 2012 13:11:18(UTC)
Rank: Super forum user
colinreeves

There have been two topics which have exercised the media. 1. Lifeboats not working because the ship was listing. The SOLAS requirements are that lifeboats can work with a list of up to 20 degrees either way and with a trim of up to 10 degrees. If there were problems then this indicates that the list at that time was greater than 20 degrees. As mentioned above, ship design should not have allowed a list beyond that whilst floating - obviously once grounded this may well be exceeded, as can be seen! 2. There have been many comments on "no drills". The rules (UK, but I belive based on SOLAS) are that a passenger muster is required within the first 24 hours. However, if "only a small number of passengers join at a port after the muster has been held" then it is sufficient to merely draw their attention to the emergency instructions. My understanding from the news is that the passengers who were complaining of no drill were the relatively small number who joined at an intermediate port.
johnmurray  
#26 Posted : 17 January 2012 13:25:38(UTC)
Rank: Super forum user
johnmurray

The KNOWN facts are that the ship struck rocks and was grounded. Unless the shipbuilders included a bus-sized lump of rock into the ship. Other know facts are that the ship went the same route dozens of times previously without striking rocks.
HSSnail  
#27 Posted : 17 January 2012 13:32:09(UTC)
Rank: Super forum user
HSSnail

Clarel - well said thank goodness for the voice of reason. That the statements being made on this thread can be made from a few tv and news paper reports is beyond belief - we all know how accurate they can be, let wait for the full facts to emerge. At one stage on Sunday some reports were calling the captain a hero for getting the ship into shallow water and thereby saving lives! Lets not forget that this is not a British Ship and is not subjected to British Law. When Ayrton Senna was Killed racing in Italy I seam to remember there was a worry that the courts would want to find a single person to blame because this is the way the Italian Courts work - any death at work must be someone's fault. Is this ship not Italian?
colinreeves  
#28 Posted : 17 January 2012 13:55:06(UTC)
Rank: Super forum user
colinreeves

Brian Hagyard wrote:
Is this ship not Italian?
Dangerous source I know, but Wikipedia indicates the vessel was registered in Genoa, Italy.
johnmurray  
#29 Posted : 18 January 2012 07:11:54(UTC)
Rank: Super forum user
johnmurray

"Namely, it appears that Large Passenger Ships are vulnerable to extremely large angles of heel during transient stages of flooding, potentially leading to instant capsize. The mechanism responsible for this weakness, not addressed at present by regulations, is demonstrated visually in Figure 16 and discussed in the next chapter" http://www.safety-at-sea...ient_Flooding_on_LPS.pdf http://tinyurl.com/7bfspux Lessons. Not learned. http://news.bbc.co.uk/on...wsid_2515000/2515923.stm Still, it is safer than driving.
johnmurray  
#30 Posted : 18 January 2012 07:17:26(UTC)
Rank: Super forum user
johnmurray

Drat. Forgot the last comment: "Thus, while the current focus is on Capatian Francesco Schettino and his dereliction of duty, perhaps more questions should be asked about why his ship capsized, and about the regulators' dereliction of duty – why they have ignored post-collision stability problems in large cruise ships"
TonyMurphy  
#31 Posted : 18 January 2012 07:53:50(UTC)
Rank: Forum user
TonyMurphy

Sorry for those that are disheartened but my original point was about emergency procedures, and the lessons we could all learn. My experience working on a top tier COMAH site is that we know that things may go pear shaped from time to time: but part of the COMAH culture is that you damn well prepare for the day things do actually go pear shaped, and you make sure that you take it serious and plan for minimising the consequences. Regardless of TV reports, general oppinion, media hype, the boat went this way or that way, I was genuinely shocked that the emergency procedure in this instance resulted in a heavy loss of life. Using the Titanic as a further example may or may not be sensationalist but the fact remains that on the Titanic there was a serious flaw in emergency procedures and I would have thought this failing would never happen again. The reason some people went on to discuss the actual events surrounding the accident is quite obvious but, again, my point was relating to planning for when things go wrong.
johnmurray  
#32 Posted : 18 January 2012 08:58:27(UTC)
Rank: Super forum user
johnmurray

If the Captain of the Titanic had slowed-down in the face of iceberg warnings, and the build had been of good quality, and the watertight compartments had been higher, and the Californian had its radio on, the casualties would have been much lower. Even if all the lifeboats on Titanic had been launched only half the passengers would have been accommodated. A classic case of not letting management have anything to do with safety ?
colinreeves  
#33 Posted : 18 January 2012 09:15:23(UTC)
Rank: Super forum user
colinreeves

tonymurphy wrote:
I was genuinely shocked that the emergency procedure in this instance resulted in a heavy loss of life.
Tony Somewhat emotive terminology "heavy loss of life". The Titanic was - something like 50% death toll. In this case the total will be less than 1% (less than 40 out of about 4000). Disaster for the individual families, but not "heavy". Your other point about drills is very valid. However, the ship's crews can only work within the structure that they are given to work with. If the structure has inegral faults, as mentioned by John Murray above, then to criticise the people on the coal face is a little harsh - they almost certainly did the best they could with a faulty design.
TonyMurphy  
#34 Posted : 18 January 2012 10:51:35(UTC)
Rank: Forum user
TonyMurphy

I did not criticise anybody. As some people have posted, looking at the positive side 99% survival rate for a crash of that magnitude could actually prove to be a succesful emergency plan, although I very much doubt it. I dont think this is an emotive use of words. If anybody thinks what happened can be minimised by the relatively low percentage death count you need help!
Corfield35303  
#35 Posted : 18 January 2012 13:44:30(UTC)
Rank: Forum user
Corfield35303

Tony H - there are always lessons to learn, but back to square one? I dont think so, had that been the case many more would have died. But I think get the point you are making, despite our efforts, others eventually go off the boil, so to speak. Its cyclical and we will learn from this some different lessons this time, and next time it will be something different. Shocking to see the blame game being played so quickly. I discussed this at work, some questions came to mind. What do the company do to assess if someone is the right kind of person to captain their expensive ship? What do the business say about going off course for the entertainment of passengers? What is the culture on the bridge of challenging a bad call versus autocracy? I dont know the answers to these questions, and there are many more I'm sure, but it helps serve the theory that this incident will (and should) go beyond the actions of just the captain.
johnmurray  
#36 Posted : 18 January 2012 17:27:01(UTC)
Rank: Super forum user
johnmurray

On the other hand........the incident happened near land in good conditions. IF the ship had capsized in mid ocean..........................
Graham Bullough  
#37 Posted : 18 January 2012 18:53:40(UTC)
Rank: Super forum user
Graham Bullough

It was inevitable I suppose that the name Titanic was mentioned very soon after the recent cruise liner incident, even though the Titanic disaster of 1912 resulted in a vastly greater loss of life. Though there have been various TV documentaries in recent years, especially after modern technology was able to locate the remains of the Titanic - and also the Hollywood film, watch out for an upsurge of TV programmes and press articles to accompany the disaster's centenary this coming April. Some forum users may be interested in a education history website at http://www.historyonthen...om/Titanic/lifeboats.htm regarding the Titanic's lifeboats. Among the points of interest are the reasons given by the UK Board of Trade at the disaster enquiry to the question of why the Titanic had relatively few lifeboats in relation to its numbers of passengers and crew. Also of interest is the suggestion that valuable time was lost after the Titanic struck the iceberg because some passengers thought the alarm merely signalled a practice evacuation drill and didn't want to go outside in freezing weather conditions. The occurence of another highly publicised marine accident/incident should be of no surprise. Despite modern advances in technology, etc, it's surely inevitable that ships will remain vulnerable to human error, technological breakdown and adverse weather conditions. It's not that many years since the "Herald of Free Enterprise" ferry disaster (187 dead) occurred in 1987 and for reasons which were subsequently identified and highly publicised. By comparison the "Estonia" Baltic ferry disaster in 1994 (852 dead/137 survivors) was more worrying with regard to its causes which reportedly remain controversial.
Zimmy  
#38 Posted : 18 January 2012 19:13:45(UTC)
Rank: Super forum user
Zimmy

None of the above were there, me included. Before anymore rubbish is spouted, can we wait until the investigation before we make fools of ourselves? Innocent until proved guilty? Fair trial? Seems to me that quite a few 'men' left the women and kids high and dry Rob
Bob Shillabeer  
#39 Posted : 18 January 2012 20:00:19(UTC)
Rank: Super forum user
Bob Shillabeer

zimmy you are quite right in saying that there should be no idle talk until all facts are known regarding this tragic incident. One worrying bit is the way the cruise company has tried to pile all blame on the captain. As I said earlier this was also the case in the Potters Bar rail accident where the maintenance company was very keen to put forward the idea of the other maintenace gang. Another case in my view of the company trying to hide something such as how did the news that the captain had took this route several times before become known. Is this another case of red herrings being thrown about to cause confusion? Best wait for the official inquiry to see what actually happened I think.
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