Case Studies
Case Study: Improvised Work Aloft Has Bad Outcome
A bulk carrier was in port. Following recommendations from a surveyor, the holds were to be painted to render them acceptable for grain transport.
Case Studies
Real Life Incident: Too Fast In & Containers Fall Off Ship
The pilot arrived on the bridge and asked for ‘full ahead’. As the ship passed through the port entrance at seven knots the pilot ordered ‘slow ahead’ and a berthing tug was made fast forward.
Case Studies
Real Life Incident: Grounding Was Not Planned
The vessel while inbound to a port in darkness, responded to the port rudder, the deviation to the left of the planned track increased, activating the off-track alert on the ECDIS. The alarm was acknowledged but the information was not passed on to the other members of the bridge team.
Case Studies
Real Life Incident: Another OOW Alone At Night; Another Grounding
When the OOW saw that he was abreast of the red marker, he moved the autopilot control stick a few ‘clicks’ to port. The AIS signals show that the vessel’s course changed by 6° to port during the final 31 seconds before the grounding.
Case Studies
Real Life Incident: Crew Saved But Ship Lost
Shortly after leaving port, the ship encountered strong winds and waves. Rolling heavily, the ship developed a list of about 25° to starboard. After about an hour the list increased to 30°.
Case Studies
Case Study: Quick Action Helps Avoid Grounding
A tanker had discharged cargo and was outbound under pilotage in a restricted waterway when an oil mist detector alarm for the main engine sounded, which caused the engine to shut down.
Case Studies
Case Study: Ghost In Machine, Unwanted Touchscreen Activation
Staff on an up-bound tanker in a river waterway decided to anchor the vessel just below the lock to wait for traffic ahead to clear. While it was anchoring the vessel lost propulsion.
Case Studies
Case Study: Distracted OOW Goes Off Track, Results Ship Grounding
A small coastal trader was underway in darkness and calm seas at a speed of almost 8kt. There was a change of officers on the bridge. At the time, the vessel was on autopilot ‘track mode’ steering.
Case Studies
Real Life Incident: Steering Failure Ends With A Bump
A small multi-purpose vessel crewed by a Master, an officer, and two ratings was up-bound in a river system. The OOW tried to make a course alteration to starboard and noticed that the rudder was not responding normally.