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Marine Incident Investigation Print E-mail
Marine Incident Investigation   Incident investigation is a vital process for understanding and preventing incidents, both large and small, which can cause untold and often irrecoverable damage to individual lives, equipment, organisational safety culture, company reputation and profit.  Incident investigation has entered into shipping company’s operation since the implementation of the ISM Code, and its purpose is to ensure that all levels of incidents, from simple slips trips and falls, up to major incidents, are investigated in a structured and standardised way in order to establish the causes of incidents, and to take the necessary preventative steps to stop the same or similar incidents from re-occurring.  Furthermore, IMO actions in support of the above requirements, was to issue the:
  • Res A.849 (20) Code for the Investigation of Marine Casualties & Incidents (Nov 27, 1997), and the
  • Res A.884 (21) Amendments to the code of Investigation of Marine Casualties and Incidents (Nov 25, 1999).
In addition to the above, TMSA Element 8 (Incident Investigation & Analysis) specifically requires for tanker operators, among other things, to:
  •  Timely investigate of incidents / accidents.
  •  Identify people responsible to report an accident, authorize and conduct the investigation and initiate subsequent corrective actions.
  •  Classify all incidents in line with OCIMF marine injury reporting guidelines.
  •  Provide incident investigation training to staff undertaking investigation responsibilities.
  •  Ensure that root causes and factors contributing to an incident are identified, and steps are taken to reduce the risk of recurrence.
  •  Determine actions needed to reduce the risk of related incidents.
  •  Periodically analyse incident & accident investigation findings in order to determine improvements to management system.

Marine Incident Investigation Software  Maritime Logic has developed the Incident Investigation software for the maritime industry in order to provide an ease to use program which assists the investigation process on every step and ensures compliance with current rules and regulations for all types of ships.  Benefits  Using the Incident Investigation software, you can:

  •  Create and distribute incident investigation reports.
  •  Manage data collection.
  •  Effectively analyse incidents’ data.
  •  Determine root causes in line with current practices.
  •  Develop effective recommendations and monitor implementation status.
  •  Statistically review of incidents.
  • Historically trace back incidents occurred in the fleet
  • Classify all incidents in line with OCIMF requirements. (applicable to tankers only)

Features

Incident information.

Enter all information pertinent to the case that you investigate, such as:

  •  Date & Time of incident.
  •  Vessel where incident occurred.
  •  Operation mode.
  •  Type of incident whether it is personnel injury, illness, property or process damage, environmental damage event.
  •  Shipboard area where incident took place.
  •  Vessel particular information related to the time of incident such as: ship’s position, operational status, visibility status, atmospheric & sea conditions, etc.

 

 

Incident description

Write a detail description of the incident together with actual and/or potential consequences.

 

 

People affected by the incident

In case of people injured or somehow physically affected by the incident, define people’s identity and type of their injury.

 

 

Investigation team

Determination of an investigation team is essential in every incident case. Team members can be people authorized and trained to perform such job.

 

 

Incident data

Organise incident collected material in an easy and structured way, by describing, attaching any type of electronic files, and commenting on:

  •  Eye witness reports.
  •  Interviews.
  •  Photographs, drawings and videos collected or produced during the investigation process.
  •  External documents produced by Officers onboard or 3rd parties’ representatives.

 

 

Data Analysis

Data analysis is the heart of every incident investigation process. The goal of data analysis is to identify causal factors and their underlying root causes.

The program provides automated block diagrams for the development and implementation of the primary data analysis techniques, and tools to test possible alternatives on the model built.

On each of the following data analysis techniques, the program provides option to add question posts & description of evidences supporting the causal factor so that:

  •  Judgment of the relevance of data collected and formulation of a model of how the problem occurred have solid evidence and logical course.
  •  Gaps and inconsistencies in known information are identified.

 

Fault Tree analysis

Fault tree analysis is a structured approach for modeling the combinations of human errors, structural /machinery /equipment /outfitting / operational problems and external factors that can produce the type of incident or problem being evaluated.

 

 

5-Whys analysis technique

A simple but useful technique, that it is used for small or simple incidents.

 

 

Causal factor charting technique

Causal factor charting, arranges building blocks to graphically depict the timing of events and the cause-effect relationships between known events and conditions.

It is the best analysis method to use in people-oriented problems and incidents when timing is important such as incidents with safety & environmental impacts.

 

 

Identification of Root causes

 

 

Identifying root causes is one of the main goals of the incident investigation process, but it is heavily dependent on finding the causal factors. Root cause identification should be started after the causal factors have been identified.

On each of the above data analysis techniques provided by the program, root causes can be added to causal factors.

The root causes are based on ABS Marine Root Cause Analysis Map & DNV Marine Systematic Cause Analysis Technique map.

Root causes are interactively selected & documented through the paths provided by these maps.

This allows description of a recommendation for remedy of the root cause together with implementation date, to be attached to the root cause, which is then automatically monitored by the program until its completion date.

Plan Action Status

With the Plan Action Status module you can instantly review the status of your recommendations which you have described on causal factors for any incident occurred in your fleet vessel.

 

 

Incidents statistics

A series of statistical analysis results can be created (in either graphical or tabular form) through a time interval for a vessel selected from the fleet or for the whole fleet.

 

 

Safety performance measurement module (applicable to Tanker ships)

On February 1997 OCIMF has issued the “Marine Injury Reporting Guidelines” intended to address the collection of data for injuries occurring to seafarers serving onboard tankers.

On the basis of these guidelines, the program automatically calculates the exposure hours for every ship being active in the fleet, and for the whole fleet, and provides results within time intervals for the following safety performance

parameters:

  •  Lost time injuries (LTIs) and (LTIF)
  •  Total recordable cases (TRC) & (TRCF)