{"id":39794,"date":"2026-02-23T11:01:29","date_gmt":"2026-02-23T11:01:29","guid":{"rendered":"https:\/\/chirp.co.uk\/?post_type=report&p=39794"},"modified":"2026-03-02T12:18:44","modified_gmt":"2026-03-02T12:18:44","slug":"m2681","status":"publish","type":"report","link":"https:\/\/chirp.co.uk\/id\/report\/m2681\/","title":{"rendered":"M2681"},"author":5,"featured_media":0,"parent":0,"comment_status":"closed","ping_status":"closed","template":"","categories":[557,598],"dirtydozen":[728,723,722,716,718],"sector":[330],"test":[],"class_list":["post-39794","report","type-report","status-publish","hentry","category-general-maritime-id-2","category-pilotage-id-2","sector-maritime-id-2"],"acf":{"report_title":{"simple_value_formatted":"Pengaturan perpindahan tangga pandu\u2014kekhawatiran keselamatan yang signifikan ","value_formatted":"Pengaturan perpindahan tangga pandu\u2014kekhawatiran keselamatan yang signifikan ","value":"Pengaturan perpindahan tangga pandu\u2014kekhawatiran keselamatan yang signifikan ","field":{"ID":10650,"key":"field_62ceddd13ea3c","label":"Report Title","name":"report_title","aria-label":"","prefix":"acf","type":"text","value":null,"menu_order":0,"instructions":"","required":1,"id":"","class":"","conditional_logic":0,"parent":10649,"wrapper":{"width":"","class":"","id":""},"wpml_cf_preferences":2,"user_roles":["all","maritime_author","aviation_author"],"default_value":"","placeholder":"","prepend":"","append":"","maxlength":"","_name":"report_title","_valid":1}},"gallery":{"simple_value_formatted":null,"value_formatted":null,"value":false,"field":{"ID":10651,"key":"field_62ceddd13ea7f","label":"Gallery","name":"gallery","aria-label":"","prefix":"acf","type":"repeater","value":null,"menu_order":1,"instructions":"","required":0,"id":"","class":"","conditional_logic":0,"parent":10649,"wrapper":{"width":"","class":"","id":""},"wpml_cf_preferences":1,"collapsed":"","min":0,"max":0,"layout":"block","button_label":"Add image","rows_per_page":20,"_name":"gallery","_valid":1,"sub_fields":[{"ID":10652,"key":"field_62ceddd14dd75","label":"Image","name":"image","aria-label":"","prefix":"acf","type":"image","value":null,"menu_order":0,"instructions":"","required":0,"id":"","class":"","conditional_logic":0,"parent":10651,"wrapper":{"width":"","class":"","id":""},"wpml_cf_preferences":1,"return_format":"array","preview_size":"medium","library":"all","min_width":"","min_height":"","min_size":"","max_width":"","max_height":"","max_size":"","mime_types":".jpg, .png","parent_repeater":"field_62ceddd13ea7f","_name":"image","_valid":1}]}},"initial_report":{"simple_value_formatted":"

Sebuah\u00a0masalah\u00a0keselamatan\u00a0dilaporkan\u00a0melalui\u00a0Sistem\u00a0Manajemen\u00a0Keselamatan\u00a0(SMS)\u00a0perusahaan\u00a0terkait\u00a0kapal\u00a0niaga\u00a0saat\u00a0operasi\u00a0naiknya\u00a0pandu\u00a0ke\u00a0kapal. Pada\u00a0saat\u00a0laporan\u00a0dibuat,\u00a0kapal\u00a0memiliki\u00a0freeboard yang\u00a0relatif\u00a0rendah,\u00a0sekitar\u00a02,5 meter.<\/span>\u00a0<\/span><\/p>\n

Ditemukan bahwa tangga pandu yang telah disetujui sesuai ketentuan SOLAS dipasang tepat di depan tangga tetap yang tersembunyi (recessed) dan terintegrasi pada lambung kapal. Konfigurasi ini menimbulkan bahaya serius selama proses naik ke kapal. Apabila terjadi terpeleset saat berpindah dari kapal pandu, terdapat risiko kaki terperangkap pada celah tangga yang tertanam di lambung. Dengan adanya pergerakan naik-turun antara kapal dan kapal pandu, kondisi tersebut dapat menyebabkan cedera berat, termasuk terjepit atau amputasi.<\/span>\u00a0<\/span><\/p>\n

Karena\u00a0<\/span>freeboard<\/span><\/i> yang rendah pada saat itu, tangga pandu tidak digunakan, dan proses naik dilakukan dengan melangkah langsung ke kapal. Nakhoda telah diberi tahu mengenai bahaya tersebut dan menyetujui untuk melanjutkan operasi tanpa menggunakan tangga pandu. Bukti foto terkait pengaturan tersebut juga disampaikan.<\/span>\u00a0<\/span><\/p>\n

Meskipun\u00a0langkah\u00a0ini\u00a0menghindari\u00a0penggunaan\u00a0tangga\u00a0dalam\u00a0jangka\u00a0pendek,\u00a0risiko\u00a0yang\u00a0mendasarinya\u00a0tetap\u00a0ada.\u00a0Posisi\u00a0tangga\u00a0pandu\u00a0tidak\u00a0bebas\u00a0dari\u00a0hambatan,\u00a0sehingga\u00a0tidak\u00a0sesuai\u00a0dengan\u00a0persyaratan\u00a0SOLAS.\u00a0Setiap\u00a0perubahan\u00a0freeboard\u00a0atau\u00a0kondisi\u00a0operasional\u00a0dapat\u00a0segera\u00a0memunculkan\u00a0kembali\u00a0bahaya\u00a0tersebut.\u00a0Keberadaan\u00a0tangga\u00a0yang\u00a0tertanam\u00a0di\u00a0lambung\u00a0merupakan\u00a0risiko\u00a0yang\u00a0berkaitan\u00a0dengan\u00a0desain, yang\u00a0berpotensi\u00a0memengaruhi\u00a0operasi\u00a0perpindahan\u00a0pandu\u00a0di masa\u00a0mendatang\u00a0serta\u00a0hasil\u00a0inspeksi\u00a0otoritas.<\/span>\u00a0<\/span><\/p>\n

Untuk mengatasi permasalahan ini, tangga pandu harus dipindahkan ke posisi yang bebas dari hambatan. Hal tersebut memerlukan modifikasi struktural, termasuk penyediaan bukaan akses tambahan di geladak yang memenuhi persyaratan.<\/span>\u00a0<\/span><\/p>\n

Laporan\u00a0ini\u00a0menekankan\u00a0pentingnya\u00a0memastikan\u00a0pengaturan\u00a0perpindahan\u00a0pandu\u00a0aman\u00a0dalam\u00a0seluruh\u00a0kondisi\u00a0operasi\u00a0normal,\u00a0serta\u00a0tidak\u00a0bergantung\u00a0pada\u00a0solusi\u00a0sementara\u00a0atau\u00a0penyesuaian\u00a0prosedural.\u00a0Permasalahan\u00a0ini\u00a0akan\u00a0disampaikan\u00a0kepada\u00a0otoritas\u00a0terkait\u00a0untuk\u00a0mendukung\u00a0pembelajaran\u00a0dan\u00a0mencegah\u00a0kejadian\u00a0serupa.<\/span>\u00a0<\/span><\/p>\n

\u00a0<\/span><\/p>\n","value_formatted":"Sebuah\u00a0masalah\u00a0keselamatan\u00a0dilaporkan\u00a0melalui\u00a0Sistem\u00a0Manajemen\u00a0Keselamatan\u00a0(SMS)\u00a0perusahaan\u00a0terkait\u00a0kapal\u00a0niaga\u00a0saat\u00a0operasi\u00a0naiknya\u00a0pandu\u00a0ke\u00a0kapal. Pada\u00a0saat\u00a0laporan\u00a0dibuat,\u00a0kapal\u00a0memiliki\u00a0freeboard yang\u00a0relatif\u00a0rendah,\u00a0sekitar\u00a02,5 meter.<\/span>\u00a0<\/span>\r\n\r\nDitemukan bahwa tangga pandu yang telah disetujui sesuai ketentuan SOLAS dipasang tepat di depan tangga tetap yang tersembunyi (recessed) dan terintegrasi pada lambung kapal. Konfigurasi ini menimbulkan bahaya serius selama proses naik ke kapal. Apabila terjadi terpeleset saat berpindah dari kapal pandu, terdapat risiko kaki terperangkap pada celah tangga yang tertanam di lambung. Dengan adanya pergerakan naik-turun antara kapal dan kapal pandu, kondisi tersebut dapat menyebabkan cedera berat, termasuk terjepit atau amputasi.<\/span>\u00a0<\/span>\r\n\r\nKarena\u00a0<\/span>freeboard<\/span><\/i> yang rendah pada saat itu, tangga pandu tidak digunakan, dan proses naik dilakukan dengan melangkah langsung ke kapal. Nakhoda telah diberi tahu mengenai bahaya tersebut dan menyetujui untuk melanjutkan operasi tanpa menggunakan tangga pandu. Bukti foto terkait pengaturan tersebut juga disampaikan.<\/span>\u00a0<\/span>\r\n\r\nMeskipun\u00a0langkah\u00a0ini\u00a0menghindari\u00a0penggunaan\u00a0tangga\u00a0dalam\u00a0jangka\u00a0pendek,\u00a0risiko\u00a0yang\u00a0mendasarinya\u00a0tetap\u00a0ada.\u00a0Posisi\u00a0tangga\u00a0pandu\u00a0tidak\u00a0bebas\u00a0dari\u00a0hambatan,\u00a0sehingga\u00a0tidak\u00a0sesuai\u00a0dengan\u00a0persyaratan\u00a0SOLAS.\u00a0Setiap\u00a0perubahan\u00a0freeboard\u00a0atau\u00a0kondisi\u00a0operasional\u00a0dapat\u00a0segera\u00a0memunculkan\u00a0kembali\u00a0bahaya\u00a0tersebut.\u00a0Keberadaan\u00a0tangga\u00a0yang\u00a0tertanam\u00a0di\u00a0lambung\u00a0merupakan\u00a0risiko\u00a0yang\u00a0berkaitan\u00a0dengan\u00a0desain, yang\u00a0berpotensi\u00a0memengaruhi\u00a0operasi\u00a0perpindahan\u00a0pandu\u00a0di masa\u00a0mendatang\u00a0serta\u00a0hasil\u00a0inspeksi\u00a0otoritas.<\/span>\u00a0<\/span>\r\n\r\nUntuk mengatasi permasalahan ini, tangga pandu harus dipindahkan ke posisi yang bebas dari hambatan. Hal tersebut memerlukan modifikasi struktural, termasuk penyediaan bukaan akses tambahan di geladak yang memenuhi persyaratan.<\/span>\u00a0<\/span>\r\n\r\nLaporan\u00a0ini\u00a0menekankan\u00a0pentingnya\u00a0memastikan\u00a0pengaturan\u00a0perpindahan\u00a0pandu\u00a0aman\u00a0dalam\u00a0seluruh\u00a0kondisi\u00a0operasi\u00a0normal,\u00a0serta\u00a0tidak\u00a0bergantung\u00a0pada\u00a0solusi\u00a0sementara\u00a0atau\u00a0penyesuaian\u00a0prosedural.\u00a0Permasalahan\u00a0ini\u00a0akan\u00a0disampaikan\u00a0kepada\u00a0otoritas\u00a0terkait\u00a0untuk\u00a0mendukung\u00a0pembelajaran\u00a0dan\u00a0mencegah\u00a0kejadian\u00a0serupa.<\/span>\u00a0<\/span>\r\n\r\n\u00a0<\/span>","value":"Sebuah\u00a0masalah\u00a0keselamatan\u00a0dilaporkan\u00a0melalui\u00a0Sistem\u00a0Manajemen\u00a0Keselamatan\u00a0(SMS)\u00a0perusahaan\u00a0terkait\u00a0kapal\u00a0niaga\u00a0saat\u00a0operasi\u00a0naiknya\u00a0pandu\u00a0ke\u00a0kapal. Pada\u00a0saat\u00a0laporan\u00a0dibuat,\u00a0kapal\u00a0memiliki\u00a0freeboard yang\u00a0relatif\u00a0rendah,\u00a0sekitar\u00a02,5 meter.<\/span>\u00a0<\/span>\r\n\r\nDitemukan bahwa tangga pandu yang telah disetujui sesuai ketentuan SOLAS dipasang tepat di depan tangga tetap yang tersembunyi (recessed) dan terintegrasi pada lambung kapal. Konfigurasi ini menimbulkan bahaya serius selama proses naik ke kapal. Apabila terjadi terpeleset saat berpindah dari kapal pandu, terdapat risiko kaki terperangkap pada celah tangga yang tertanam di lambung. Dengan adanya pergerakan naik-turun antara kapal dan kapal pandu, kondisi tersebut dapat menyebabkan cedera berat, termasuk terjepit atau amputasi.<\/span>\u00a0<\/span>\r\n\r\nKarena\u00a0<\/span>freeboard<\/span><\/i> yang rendah pada saat itu, tangga pandu tidak digunakan, dan proses naik dilakukan dengan melangkah langsung ke kapal. Nakhoda telah diberi tahu mengenai bahaya tersebut dan menyetujui untuk melanjutkan operasi tanpa menggunakan tangga pandu. Bukti foto terkait pengaturan tersebut juga disampaikan.<\/span>\u00a0<\/span>\r\n\r\nMeskipun\u00a0langkah\u00a0ini\u00a0menghindari\u00a0penggunaan\u00a0tangga\u00a0dalam\u00a0jangka\u00a0pendek,\u00a0risiko\u00a0yang\u00a0mendasarinya\u00a0tetap\u00a0ada.\u00a0Posisi\u00a0tangga\u00a0pandu\u00a0tidak\u00a0bebas\u00a0dari\u00a0hambatan,\u00a0sehingga\u00a0tidak\u00a0sesuai\u00a0dengan\u00a0persyaratan\u00a0SOLAS.\u00a0Setiap\u00a0perubahan\u00a0freeboard\u00a0atau\u00a0kondisi\u00a0operasional\u00a0dapat\u00a0segera\u00a0memunculkan\u00a0kembali\u00a0bahaya\u00a0tersebut.\u00a0Keberadaan\u00a0tangga\u00a0yang\u00a0tertanam\u00a0di\u00a0lambung\u00a0merupakan\u00a0risiko\u00a0yang\u00a0berkaitan\u00a0dengan\u00a0desain, yang\u00a0berpotensi\u00a0memengaruhi\u00a0operasi\u00a0perpindahan\u00a0pandu\u00a0di masa\u00a0mendatang\u00a0serta\u00a0hasil\u00a0inspeksi\u00a0otoritas.<\/span>\u00a0<\/span>\r\n\r\nUntuk mengatasi permasalahan ini, tangga pandu harus dipindahkan ke posisi yang bebas dari hambatan. Hal tersebut memerlukan modifikasi struktural, termasuk penyediaan bukaan akses tambahan di geladak yang memenuhi persyaratan.<\/span>\u00a0<\/span>\r\n\r\nLaporan\u00a0ini\u00a0menekankan\u00a0pentingnya\u00a0memastikan\u00a0pengaturan\u00a0perpindahan\u00a0pandu\u00a0aman\u00a0dalam\u00a0seluruh\u00a0kondisi\u00a0operasi\u00a0normal,\u00a0serta\u00a0tidak\u00a0bergantung\u00a0pada\u00a0solusi\u00a0sementara\u00a0atau\u00a0penyesuaian\u00a0prosedural.\u00a0Permasalahan\u00a0ini\u00a0akan\u00a0disampaikan\u00a0kepada\u00a0otoritas\u00a0terkait\u00a0untuk\u00a0mendukung\u00a0pembelajaran\u00a0dan\u00a0mencegah\u00a0kejadian\u00a0serupa.<\/span>\u00a0<\/span>\r\n\r\n\u00a0<\/span>","field":{"ID":10653,"key":"field_62ceddd13eac1","label":"Laporan Awal","name":"initial_report","aria-label":"","prefix":"acf","type":"wysiwyg","value":null,"menu_order":2,"instructions":"","required":0,"id":"","class":"","conditional_logic":0,"parent":10649,"wrapper":{"width":"","class":"","id":""},"wpml_cf_preferences":2,"user_roles":["all"],"default_value":"","tabs":"visual","toolbar":"full","media_upload":0,"delay":0,"_name":"initial_report","_valid":1}},"comments":{"simple_value_formatted":null,"value_formatted":null,"value":false,"field":{"ID":10654,"key":"field_62ceddd13eb05","label":"Comments","name":"comments","aria-label":"","prefix":"acf","type":"repeater","value":null,"menu_order":3,"instructions":"","required":0,"id":"","class":"","conditional_logic":0,"parent":10649,"wrapper":{"width":"","class":"","id":""},"wpml_cf_preferences":1,"user_roles":["all","maritime_author","aviation_author"],"collapsed":"","min":0,"max":0,"layout":"block","button_label":"Add Row","rows_per_page":20,"_name":"comments","_valid":1,"sub_fields":[{"ID":10655,"key":"field_62ceddd1cf0ab","label":"Comment Source","name":"source","aria-label":"","prefix":"acf","type":"text","value":null,"menu_order":0,"instructions":"","required":0,"id":"","class":"","conditional_logic":0,"parent":10654,"wrapper":{"width":"","class":"","id":""},"wpml_cf_preferences":2,"default_value":"","placeholder":"","prepend":"","append":"","maxlength":"","parent_repeater":"field_62ceddd13eb05","_name":"source","_valid":1},{"ID":10656,"key":"field_62ceddd1cf0f0","label":"Comment","name":"comment","aria-label":"","prefix":"acf","type":"wysiwyg","value":null,"menu_order":1,"instructions":"","required":0,"id":"","class":"","conditional_logic":0,"parent":10654,"wrapper":{"width":"","class":"","id":""},"wpml_cf_preferences":2,"user_roles":["all","maritime_author","aviation_author"],"default_value":"","tabs":"visual","toolbar":"full","media_upload":0,"delay":0,"parent_repeater":"field_62ceddd13eb05","_name":"comment","_valid":1},{"ID":10657,"key":"field_62ceddd1cf134","label":"Image","name":"image","aria-label":"","prefix":"acf","type":"image","value":null,"menu_order":2,"instructions":"","required":0,"id":"","class":"","conditional_logic":0,"parent":10654,"wrapper":{"width":"","class":"","id":""},"wpml_cf_preferences":1,"user_roles":["all","maritime_author","aviation_author"],"return_format":"array","preview_size":"medium","library":"all","min_width":"","min_height":"","min_size":"","max_width":"","max_height":"","max_size":"","mime_types":"","parent_repeater":"field_62ceddd13eb05","_name":"image","_valid":1}]}},"comment":{"simple_value_formatted":"

Laporan\u00a0ini\u00a0menyoroti\u00a0masalah\u00a0keselamatan\u00a0yang\u00a0bersifat\u00a0struktural\u00a0dan\u00a0prosedural,\u00a0bukan\u00a0kesalahan\u00a0individu.\u00a0Pengaturan\u00a0perpindahan\u00a0pandu\u00a0harus\u00a0aman\u00a0dalam\u00a0seluruh\u00a0kondisi\u00a0operasi\u00a0normal,\u00a0bukan\u00a0hanya\u00a0pada\u00a0cuaca\u00a0baik\u00a0atau\u00a0ketika\u00a0sarat\u00a0kapal\u00a0berada\u00a0pada\u00a0kondisi\u00a0ideal.<\/span>\u00a0<\/span><\/p>\n

Dalam\u00a0kasus\u00a0ini,\u00a0tangga\u00a0pandu\u00a0tidak\u00a0digunakan\u00a0karena\u00a0adanya\u00a0risiko\u00a0yang\u00a0nyata, yang\u00a0semakin\u00a0menegaskan\u00a0kekhawatiran\u00a0keselamatan\u2014terutama\u00a0mengingat\u00a0adanya\u00a0kejadian\u00a0fatal yang\u00a0baru-baru\u00a0ini\u00a0terjadi\u00a0pada proses\u00a0perpindahan\u00a0pandu\u00a0di\u00a0tempat\u00a0lain. Hal\u00a0ini\u00a0menunjukkan\u00a0bahwa\u00a0bahaya\u00a0tersebut\u00a0bersifat\u00a0nyata\u00a0dan\u00a0mendesak.<\/span>\u00a0<\/span><\/p>\n

Penggunaan\u00a0tangga\u00a0yang\u00a0tertanam\u00a0pada\u00a0lambung\u00a0merupakan\u00a0risiko\u00a0yang\u00a0berkaitan\u00a0dengan\u00a0desain,\u00a0bukan\u00a0sekadar\u00a0pengaturan\u00a0yang\u00a0bersifat\u00a0insidental.\u00a0Dipahami\u00a0bahwa\u00a0lima\u00a0hingga\u00a0enam\u00a0tipe\u00a0kapal\u00a0dibangun\u00a0dengan\u00a0fitur\u00a0serupa.\u00a0Elemen\u00a0desain\u00a0yang\u00a0berpotensi\u00a0menimbulkan\u00a0risiko\u00a0terjepit\u00a0atau\u00a0terhimpit\u00a0harus\u00a0dinilai\u00a0secara\u00a0formal dan,\u00a0jika\u00a0diperlukan,\u00a0diperbaiki. Solusi\u00a0sementara\u00a0atau\u00a0penyesuaian\u00a0operasional\u00a0tidak\u00a0menghilangkan\u00a0risiko\u00a0yang\u00a0mendasari\u00a0dan\u00a0kemungkinan\u00a0tidak\u00a0akan\u00a0diterima\u00a0dalam\u00a0inspeksi\u00a0<\/span>Port State Control<\/span><\/i>.<\/span>\u00a0<\/span><\/p>\n

CHIRP juga\u00a0mempertanyakan\u00a0bagaimana\u00a0pengaturan\u00a0ini\u00a0dapat\u00a0disetujui\u00a0pada\u00a0tahap\u00a0desain.\u00a0Cekungan\u00a0pada area\u00a0lambung\u00a0yang\u00a0mengalami\u00a0tegangan\u00a0tinggi\u00a0rentan\u00a0terhadap\u00a0konsentrasi\u00a0tegangan\u00a0(<\/span>notch stress<\/span><\/i>) dan berpotensi mengalami korosi yang lebih cepat pada sambungan las di bagian dalam. Terperangkapnya air laut di ruang tersebut semakin meningkatkan risiko korosi serta potensi kebocoran pada lambung.<\/span><\/p>\n

Perlu\u00a0ditegaskan\u00a0kembali\u00a0bahwa\u00a0persyaratan\u00a0SOLAS\u00a0tidak\u00a0bersifat\u00a0interpretatif;\u00a0ketentuan\u00a0tersebut\u00a0harus\u00a0dipatuhi\u00a0sebagaimana\u00a0tertulis.<\/span><\/p>\n

Mengingat jumlah kapal yang terdampak serta sifat mendasar dari masalah desain ini, CHIRP sedang mempertimbangkan apakah perlu dibuat laporan terpisah yang secara khusus membahas risiko pada kelas kapal tersebut.<\/span>\u00a0<\/span><\/p>\n

CHIRP\u00a0akan\u00a0menyampaikan\u00a0isu\u00a0ini\u00a0kepada\u00a0otoritas\u00a0terkait\u00a0untuk\u00a0mendukung\u00a0pembelajaran\u00a0yang\u00a0lebih\u00a0luas\u00a0serta\u00a0membantu\u00a0mencegah\u00a0kejadian\u00a0serupa.<\/span>\u00a0<\/span><\/p>\n","value_formatted":"Laporan\u00a0ini\u00a0menyoroti\u00a0masalah\u00a0keselamatan\u00a0yang\u00a0bersifat\u00a0struktural\u00a0dan\u00a0prosedural,\u00a0bukan\u00a0kesalahan\u00a0individu.\u00a0Pengaturan\u00a0perpindahan\u00a0pandu\u00a0harus\u00a0aman\u00a0dalam\u00a0seluruh\u00a0kondisi\u00a0operasi\u00a0normal,\u00a0bukan\u00a0hanya\u00a0pada\u00a0cuaca\u00a0baik\u00a0atau\u00a0ketika\u00a0sarat\u00a0kapal\u00a0berada\u00a0pada\u00a0kondisi\u00a0ideal.<\/span>\u00a0<\/span>\r\n\r\nDalam\u00a0kasus\u00a0ini,\u00a0tangga\u00a0pandu\u00a0tidak\u00a0digunakan\u00a0karena\u00a0adanya\u00a0risiko\u00a0yang\u00a0nyata, yang\u00a0semakin\u00a0menegaskan\u00a0kekhawatiran\u00a0keselamatan\u2014terutama\u00a0mengingat\u00a0adanya\u00a0kejadian\u00a0fatal yang\u00a0baru-baru\u00a0ini\u00a0terjadi\u00a0pada proses\u00a0perpindahan\u00a0pandu\u00a0di\u00a0tempat\u00a0lain. Hal\u00a0ini\u00a0menunjukkan\u00a0bahwa\u00a0bahaya\u00a0tersebut\u00a0bersifat\u00a0nyata\u00a0dan\u00a0mendesak.<\/span>\u00a0<\/span>\r\n\r\nPenggunaan\u00a0tangga\u00a0yang\u00a0tertanam\u00a0pada\u00a0lambung\u00a0merupakan\u00a0risiko\u00a0yang\u00a0berkaitan\u00a0dengan\u00a0desain,\u00a0bukan\u00a0sekadar\u00a0pengaturan\u00a0yang\u00a0bersifat\u00a0insidental.\u00a0Dipahami\u00a0bahwa\u00a0lima\u00a0hingga\u00a0enam\u00a0tipe\u00a0kapal\u00a0dibangun\u00a0dengan\u00a0fitur\u00a0serupa.\u00a0Elemen\u00a0desain\u00a0yang\u00a0berpotensi\u00a0menimbulkan\u00a0risiko\u00a0terjepit\u00a0atau\u00a0terhimpit\u00a0harus\u00a0dinilai\u00a0secara\u00a0formal dan,\u00a0jika\u00a0diperlukan,\u00a0diperbaiki. Solusi\u00a0sementara\u00a0atau\u00a0penyesuaian\u00a0operasional\u00a0tidak\u00a0menghilangkan\u00a0risiko\u00a0yang\u00a0mendasari\u00a0dan\u00a0kemungkinan\u00a0tidak\u00a0akan\u00a0diterima\u00a0dalam\u00a0inspeksi\u00a0<\/span>Port State Control<\/span><\/i>.<\/span>\u00a0<\/span>\r\n\r\nCHIRP juga\u00a0mempertanyakan\u00a0bagaimana\u00a0pengaturan\u00a0ini\u00a0dapat\u00a0disetujui\u00a0pada\u00a0tahap\u00a0desain.\u00a0Cekungan\u00a0pada area\u00a0lambung\u00a0yang\u00a0mengalami\u00a0tegangan\u00a0tinggi\u00a0rentan\u00a0terhadap\u00a0konsentrasi\u00a0tegangan\u00a0(<\/span>notch stress<\/span><\/i>) dan berpotensi mengalami korosi yang lebih cepat pada sambungan las di bagian dalam. Terperangkapnya air laut di ruang tersebut semakin meningkatkan risiko korosi serta potensi kebocoran pada lambung.<\/span>\r\n\r\nPerlu\u00a0ditegaskan\u00a0kembali\u00a0bahwa\u00a0persyaratan\u00a0SOLAS\u00a0tidak\u00a0bersifat\u00a0interpretatif;\u00a0ketentuan\u00a0tersebut\u00a0harus\u00a0dipatuhi\u00a0sebagaimana\u00a0tertulis.<\/span>\r\n\r\nMengingat jumlah kapal yang terdampak serta sifat mendasar dari masalah desain ini, CHIRP sedang mempertimbangkan apakah perlu dibuat laporan terpisah yang secara khusus membahas risiko pada kelas kapal tersebut.<\/span>\u00a0<\/span>\r\n\r\nCHIRP\u00a0akan\u00a0menyampaikan\u00a0isu\u00a0ini\u00a0kepada\u00a0otoritas\u00a0terkait\u00a0untuk\u00a0mendukung\u00a0pembelajaran\u00a0yang\u00a0lebih\u00a0luas\u00a0serta\u00a0membantu\u00a0mencegah\u00a0kejadian\u00a0serupa.<\/span>\u00a0<\/span>","value":"Laporan\u00a0ini\u00a0menyoroti\u00a0masalah\u00a0keselamatan\u00a0yang\u00a0bersifat\u00a0struktural\u00a0dan\u00a0prosedural,\u00a0bukan\u00a0kesalahan\u00a0individu.\u00a0Pengaturan\u00a0perpindahan\u00a0pandu\u00a0harus\u00a0aman\u00a0dalam\u00a0seluruh\u00a0kondisi\u00a0operasi\u00a0normal,\u00a0bukan\u00a0hanya\u00a0pada\u00a0cuaca\u00a0baik\u00a0atau\u00a0ketika\u00a0sarat\u00a0kapal\u00a0berada\u00a0pada\u00a0kondisi\u00a0ideal.<\/span>\u00a0<\/span>\r\n\r\nDalam\u00a0kasus\u00a0ini,\u00a0tangga\u00a0pandu\u00a0tidak\u00a0digunakan\u00a0karena\u00a0adanya\u00a0risiko\u00a0yang\u00a0nyata, yang\u00a0semakin\u00a0menegaskan\u00a0kekhawatiran\u00a0keselamatan\u2014terutama\u00a0mengingat\u00a0adanya\u00a0kejadian\u00a0fatal yang\u00a0baru-baru\u00a0ini\u00a0terjadi\u00a0pada proses\u00a0perpindahan\u00a0pandu\u00a0di\u00a0tempat\u00a0lain. Hal\u00a0ini\u00a0menunjukkan\u00a0bahwa\u00a0bahaya\u00a0tersebut\u00a0bersifat\u00a0nyata\u00a0dan\u00a0mendesak.<\/span>\u00a0<\/span>\r\n\r\nPenggunaan\u00a0tangga\u00a0yang\u00a0tertanam\u00a0pada\u00a0lambung\u00a0merupakan\u00a0risiko\u00a0yang\u00a0berkaitan\u00a0dengan\u00a0desain,\u00a0bukan\u00a0sekadar\u00a0pengaturan\u00a0yang\u00a0bersifat\u00a0insidental.\u00a0Dipahami\u00a0bahwa\u00a0lima\u00a0hingga\u00a0enam\u00a0tipe\u00a0kapal\u00a0dibangun\u00a0dengan\u00a0fitur\u00a0serupa.\u00a0Elemen\u00a0desain\u00a0yang\u00a0berpotensi\u00a0menimbulkan\u00a0risiko\u00a0terjepit\u00a0atau\u00a0terhimpit\u00a0harus\u00a0dinilai\u00a0secara\u00a0formal dan,\u00a0jika\u00a0diperlukan,\u00a0diperbaiki. Solusi\u00a0sementara\u00a0atau\u00a0penyesuaian\u00a0operasional\u00a0tidak\u00a0menghilangkan\u00a0risiko\u00a0yang\u00a0mendasari\u00a0dan\u00a0kemungkinan\u00a0tidak\u00a0akan\u00a0diterima\u00a0dalam\u00a0inspeksi\u00a0<\/span>Port State Control<\/span><\/i>.<\/span>\u00a0<\/span>\r\n\r\nCHIRP juga\u00a0mempertanyakan\u00a0bagaimana\u00a0pengaturan\u00a0ini\u00a0dapat\u00a0disetujui\u00a0pada\u00a0tahap\u00a0desain.\u00a0Cekungan\u00a0pada area\u00a0lambung\u00a0yang\u00a0mengalami\u00a0tegangan\u00a0tinggi\u00a0rentan\u00a0terhadap\u00a0konsentrasi\u00a0tegangan\u00a0(<\/span>notch stress<\/span><\/i>) dan berpotensi mengalami korosi yang lebih cepat pada sambungan las di bagian dalam. Terperangkapnya air laut di ruang tersebut semakin meningkatkan risiko korosi serta potensi kebocoran pada lambung.<\/span>\r\n\r\nPerlu\u00a0ditegaskan\u00a0kembali\u00a0bahwa\u00a0persyaratan\u00a0SOLAS\u00a0tidak\u00a0bersifat\u00a0interpretatif;\u00a0ketentuan\u00a0tersebut\u00a0harus\u00a0dipatuhi\u00a0sebagaimana\u00a0tertulis.<\/span>\r\n\r\nMengingat jumlah kapal yang terdampak serta sifat mendasar dari masalah desain ini, CHIRP sedang mempertimbangkan apakah perlu dibuat laporan terpisah yang secara khusus membahas risiko pada kelas kapal tersebut.<\/span>\u00a0<\/span>\r\n\r\nCHIRP\u00a0akan\u00a0menyampaikan\u00a0isu\u00a0ini\u00a0kepada\u00a0otoritas\u00a0terkait\u00a0untuk\u00a0mendukung\u00a0pembelajaran\u00a0yang\u00a0lebih\u00a0luas\u00a0serta\u00a0membantu\u00a0mencegah\u00a0kejadian\u00a0serupa.<\/span>\u00a0<\/span>","field":{"ID":10658,"key":"field_62ceddd13eb46","label":"Komentar CHIRP","name":"comment","aria-label":"","prefix":"acf","type":"wysiwyg","value":null,"menu_order":4,"instructions":"","required":0,"id":"","class":"","conditional_logic":0,"parent":10649,"wrapper":{"width":"","class":"","id":""},"wpml_cf_preferences":2,"user_roles":["all","maritime_author","aviation_author"],"default_value":"","tabs":"visual","toolbar":"basic","media_upload":0,"delay":0,"_name":"comment","_valid":1}},"key_issues":{"simple_value_formatted":"

De<\/span><\/b>sain<\/span><\/b>\u00a0<\/span><\/b>\u2014<\/span><\/b>\u00a0<\/span>Desain\u00a0awal\u00a0menimbulkan\u00a0kesan\u00a0bahwa\u00a0pengaturan\u00a0tersebut\u00a0dapat\u00a0diterima\u00a0dan\u00a0aman.<\/span>\u00a0<\/span><\/p>\n

Komunikasi<\/span><\/b>\u00a0<\/span>\u2014\u00a0<\/span><\/b>Tidak\u00a0adanya\u00a0pertukaran\u00a0informasi\u00a0yang\u00a0bersifat\u00a0kritis\u00a0terhadap\u00a0keselamatan.<\/span>\u00a0<\/span><\/p>\n

Rasa\u00a0Terlalu\u00a0Percaya\u00a0Diri \u2014<\/span><\/b>\u00a0<\/span>Menurunnya\u00a0kewaspadaan\u00a0akibat\u00a0kebiasaan,\u00a0rutinitas, dan\u00a0penerimaan\u00a0sebelumnya\u00a0menyebabkan\u00a0kondisi\u00a0tidak\u00a0aman\u00a0ini\u00a0tidak\u00a0dipertanyakan\u00a0oleh\u00a0berbagai\u00a0pihak.<\/span>\u00a0<\/span><\/p>\n

Kurangnya\u00a0Kerja\u00a0Tim \u2014<\/span><\/b>\u00a0<\/span><\/b>Koordinasi,\u00a0pemeriksaan\u00a0silang,\u00a0serta\u00a0kesadaran\u00a0situasional\u00a0bersama\u00a0tidak\u00a0berjalan\u00a0dengan\u00a0baik.<\/span>\u00a0<\/span><\/p>\n

K<\/span><\/b>urangnya\u00a0Kesadaran\u00a0\u2014<\/span><\/b>\u00a0<\/span>Kesadaran\u00a0terhadap\u00a0bahaya\u00a0maupun\u00a0konsekuensinya\u00a0masih\u00a0rendah.<\/span>\u00a0<\/span><\/p>\n

 <\/p>\n

Poin-Poin\u00a0Utama<\/span><\/b>\u00a0<\/span><\/h4>\n

Pembuat\u00a0Regulasi<\/span><\/b>\u00a0–\u00a0<\/span><\/b>Kasus\u00a0ini\u00a0menunjukkan\u00a0bahwa\u00a0kepatuhan\u00a0formal\u00a0saja\u00a0tidak\u00a0selalu\u00a0menjamin\u00a0keselamatan.<\/span><\/b>\u00a0<\/span><\/p>\n

Peralatan\u00a0dan\u00a0pengaturan\u00a0harus\u00a0dinilai\u00a0berdasarkan\u00a0kinerjanya\u00a0dalam\u00a0kondisi\u00a0operasi\u00a0nyata,\u00a0khususnya\u00a0pada\u00a0aktivitas\u00a0dinamis\u00a0seperti\u00a0perpindahan\u00a0pandu.\u00a0Laporan\u00a0rahasia\u00a0dapat\u00a0menjadi\u00a0peringatan\u00a0dini\u00a0yang\u00a0berharga\u00a0terhadap\u00a0risiko\u00a0desain\u00a0dan\u00a0seharusnya\u00a0dimanfaatkan\u00a0untuk\u00a0pembelajaran\u00a0yang\u00a0lebih\u00a0luas,\u00a0bukan\u00a0sekadar\u00a0penyelesaian\u00a0lokal.<\/span>\u00a0<\/span><\/p>\n

Manajer\u00a0dan\u00a0pimpinan\u00a0perusahaan\u00a0– Solusi\u00a0sementara\u00a0yang\u00a0digunakan\u00a0untuk\u00a0menjaga\u00a0keselamatan\u00a0menunjukkan\u00a0adanya\u00a0kelemahan\u00a0mendasar\u00a0pada\u00a0sistem\u00a0atau\u00a0desain\u00a0yang\u00a0perlu\u00a0diperbaiki.<\/span><\/b>\u00a0<\/span><\/p>\n

Pengaturan\u00a0akses\u00a0dan\u00a0tangga\u00a0pandu\u00a0sebaiknya\u00a0diselesaikan\u00a0melalui\u00a0solusi\u00a0desain\u00a0dan\u00a0rekayasa,\u00a0bukan\u00a0dengan\u00a0mengandalkan\u00a0penghindaran\u00a0prosedural.\u00a0Kejadian\u00a0nyaris\u00a0celaka\u00a0yang\u00a0melibatkan\u00a0interaksi\u00a0manusia\u00a0dan\u00a0peralatan\u00a0harus\u00a0diperlakukan\u00a0sebagai\u00a0peluang\u00a0pembelajaran\u00a0penting\u00a0dalam\u00a0sistem\u00a0manajemen\u00a0keselamatan.<\/span>\u00a0<\/span><\/p>\n

Awak\u00a0kapal\u00a0– Jika\u00a0pekerjaan\u00a0tidak\u00a0aman\u00a0dengan\u00a0pengaturan\u00a0standar,\u00a0laporkan\u2014meskipun\u00a0tidak\u00a0terjadi\u00a0insiden.<\/span><\/b>\u00a0<\/span><\/p>\n

Apabila\u00a0suatu\u00a0tugas\u00a0hanya\u00a0dapat\u00a0dilakukan\u00a0dengan\u00a0aman\u00a0melalui\u00a0penyesuaian\u00a0atau\u00a0penghindaran\u00a0prosedur\u00a0standar,\u00a0kondisi\u00a0tersebut\u00a0harus\u00a0dilaporkan.\u00a0Konfigurasi\u00a0yang\u00a0tidak\u00a0aman\u00a0tidak\u00a0boleh\u00a0menjadi\u00a0hal\u00a0yang\u00a0dianggap\u00a0normal\u00a0hanya\u00a0karena\u00a0sudah\u00a0terbiasa.\u00a0Pelaporan\u00a0yang\u00a0jelas\u00a0dan\u00a0faktual\u00a0membantu\u00a0melindungi\u00a0orang lain\u00a0serta\u00a0mendukung\u00a0peningkatan\u00a0keselamatan\u00a0dalam\u00a0jangka\u00a0panjang.<\/span>\u00a0<\/span><\/p>\n","value_formatted":"De<\/span><\/b>sain<\/span><\/b>\u00a0<\/span><\/b>\u2014<\/span><\/b>\u00a0<\/span>Desain\u00a0awal\u00a0menimbulkan\u00a0kesan\u00a0bahwa\u00a0pengaturan\u00a0tersebut\u00a0dapat\u00a0diterima\u00a0dan\u00a0aman.<\/span>\u00a0<\/span>\r\n\r\nKomunikasi<\/span><\/b>\u00a0<\/span>\u2014\u00a0<\/span><\/b>Tidak\u00a0adanya\u00a0pertukaran\u00a0informasi\u00a0yang\u00a0bersifat\u00a0kritis\u00a0terhadap\u00a0keselamatan.<\/span>\u00a0<\/span>\r\n\r\nRasa\u00a0Terlalu\u00a0Percaya\u00a0Diri \u2014<\/span><\/b>\u00a0<\/span>Menurunnya\u00a0kewaspadaan\u00a0akibat\u00a0kebiasaan,\u00a0rutinitas, dan\u00a0penerimaan\u00a0sebelumnya\u00a0menyebabkan\u00a0kondisi\u00a0tidak\u00a0aman\u00a0ini\u00a0tidak\u00a0dipertanyakan\u00a0oleh\u00a0berbagai\u00a0pihak.<\/span>\u00a0<\/span>\r\n\r\nKurangnya\u00a0Kerja\u00a0Tim \u2014<\/span><\/b>\u00a0<\/span><\/b>Koordinasi,\u00a0pemeriksaan\u00a0silang,\u00a0serta\u00a0kesadaran\u00a0situasional\u00a0bersama\u00a0tidak\u00a0berjalan\u00a0dengan\u00a0baik.<\/span>\u00a0<\/span>\r\n\r\nK<\/span><\/b>urangnya\u00a0Kesadaran\u00a0\u2014<\/span><\/b>\u00a0<\/span>Kesadaran\u00a0terhadap\u00a0bahaya\u00a0maupun\u00a0konsekuensinya\u00a0masih\u00a0rendah.<\/span>\u00a0<\/span>\r\n\r\n \r\n

Poin-Poin\u00a0Utama<\/span><\/b>\u00a0<\/span><\/h4>\r\nPembuat\u00a0Regulasi<\/span><\/b>\u00a0-\u00a0<\/span><\/b>Kasus\u00a0ini\u00a0menunjukkan\u00a0bahwa\u00a0kepatuhan\u00a0formal\u00a0saja\u00a0tidak\u00a0selalu\u00a0menjamin\u00a0keselamatan.<\/span><\/b>\u00a0<\/span>\r\n\r\nPeralatan\u00a0dan\u00a0pengaturan\u00a0harus\u00a0dinilai\u00a0berdasarkan\u00a0kinerjanya\u00a0dalam\u00a0kondisi\u00a0operasi\u00a0nyata,\u00a0khususnya\u00a0pada\u00a0aktivitas\u00a0dinamis\u00a0seperti\u00a0perpindahan\u00a0pandu.\u00a0Laporan\u00a0rahasia\u00a0dapat\u00a0menjadi\u00a0peringatan\u00a0dini\u00a0yang\u00a0berharga\u00a0terhadap\u00a0risiko\u00a0desain\u00a0dan\u00a0seharusnya\u00a0dimanfaatkan\u00a0untuk\u00a0pembelajaran\u00a0yang\u00a0lebih\u00a0luas,\u00a0bukan\u00a0sekadar\u00a0penyelesaian\u00a0lokal.<\/span>\u00a0<\/span>\r\n\r\nManajer\u00a0dan\u00a0pimpinan\u00a0perusahaan\u00a0- Solusi\u00a0sementara\u00a0yang\u00a0digunakan\u00a0untuk\u00a0menjaga\u00a0keselamatan\u00a0menunjukkan\u00a0adanya\u00a0kelemahan\u00a0mendasar\u00a0pada\u00a0sistem\u00a0atau\u00a0desain\u00a0yang\u00a0perlu\u00a0diperbaiki.<\/span><\/b>\u00a0<\/span>\r\n\r\nPengaturan\u00a0akses\u00a0dan\u00a0tangga\u00a0pandu\u00a0sebaiknya\u00a0diselesaikan\u00a0melalui\u00a0solusi\u00a0desain\u00a0dan\u00a0rekayasa,\u00a0bukan\u00a0dengan\u00a0mengandalkan\u00a0penghindaran\u00a0prosedural.\u00a0Kejadian\u00a0nyaris\u00a0celaka\u00a0yang\u00a0melibatkan\u00a0interaksi\u00a0manusia\u00a0dan\u00a0peralatan\u00a0harus\u00a0diperlakukan\u00a0sebagai\u00a0peluang\u00a0pembelajaran\u00a0penting\u00a0dalam\u00a0sistem\u00a0manajemen\u00a0keselamatan.<\/span>\u00a0<\/span>\r\n\r\nAwak\u00a0kapal\u00a0- Jika\u00a0pekerjaan\u00a0tidak\u00a0aman\u00a0dengan\u00a0pengaturan\u00a0standar,\u00a0laporkan\u2014meskipun\u00a0tidak\u00a0terjadi\u00a0insiden.<\/span><\/b>\u00a0<\/span>\r\n\r\nApabila\u00a0suatu\u00a0tugas\u00a0hanya\u00a0dapat\u00a0dilakukan\u00a0dengan\u00a0aman\u00a0melalui\u00a0penyesuaian\u00a0atau\u00a0penghindaran\u00a0prosedur\u00a0standar,\u00a0kondisi\u00a0tersebut\u00a0harus\u00a0dilaporkan.\u00a0Konfigurasi\u00a0yang\u00a0tidak\u00a0aman\u00a0tidak\u00a0boleh\u00a0menjadi\u00a0hal\u00a0yang\u00a0dianggap\u00a0normal\u00a0hanya\u00a0karena\u00a0sudah\u00a0terbiasa.\u00a0Pelaporan\u00a0yang\u00a0jelas\u00a0dan\u00a0faktual\u00a0membantu\u00a0melindungi\u00a0orang lain\u00a0serta\u00a0mendukung\u00a0peningkatan\u00a0keselamatan\u00a0dalam\u00a0jangka\u00a0panjang.<\/span>\u00a0<\/span>","value":"De<\/span><\/b>sain<\/span><\/b>\u00a0<\/span><\/b>\u2014<\/span><\/b>\u00a0<\/span>Desain\u00a0awal\u00a0menimbulkan\u00a0kesan\u00a0bahwa\u00a0pengaturan\u00a0tersebut\u00a0dapat\u00a0diterima\u00a0dan\u00a0aman.<\/span>\u00a0<\/span>\r\n\r\nKomunikasi<\/span><\/b>\u00a0<\/span>\u2014\u00a0<\/span><\/b>Tidak\u00a0adanya\u00a0pertukaran\u00a0informasi\u00a0yang\u00a0bersifat\u00a0kritis\u00a0terhadap\u00a0keselamatan.<\/span>\u00a0<\/span>\r\n\r\nRasa\u00a0Terlalu\u00a0Percaya\u00a0Diri \u2014<\/span><\/b>\u00a0<\/span>Menurunnya\u00a0kewaspadaan\u00a0akibat\u00a0kebiasaan,\u00a0rutinitas, dan\u00a0penerimaan\u00a0sebelumnya\u00a0menyebabkan\u00a0kondisi\u00a0tidak\u00a0aman\u00a0ini\u00a0tidak\u00a0dipertanyakan\u00a0oleh\u00a0berbagai\u00a0pihak.<\/span>\u00a0<\/span>\r\n\r\nKurangnya\u00a0Kerja\u00a0Tim \u2014<\/span><\/b>\u00a0<\/span><\/b>Koordinasi,\u00a0pemeriksaan\u00a0silang,\u00a0serta\u00a0kesadaran\u00a0situasional\u00a0bersama\u00a0tidak\u00a0berjalan\u00a0dengan\u00a0baik.<\/span>\u00a0<\/span>\r\n\r\nK<\/span><\/b>urangnya\u00a0Kesadaran\u00a0\u2014<\/span><\/b>\u00a0<\/span>Kesadaran\u00a0terhadap\u00a0bahaya\u00a0maupun\u00a0konsekuensinya\u00a0masih\u00a0rendah.<\/span>\u00a0<\/span>\r\n\r\n \r\n

Poin-Poin\u00a0Utama<\/span><\/b>\u00a0<\/span><\/h4>\r\nPembuat\u00a0Regulasi<\/span><\/b>\u00a0-\u00a0<\/span><\/b>Kasus\u00a0ini\u00a0menunjukkan\u00a0bahwa\u00a0kepatuhan\u00a0formal\u00a0saja\u00a0tidak\u00a0selalu\u00a0menjamin\u00a0keselamatan.<\/span><\/b>\u00a0<\/span>\r\n\r\nPeralatan\u00a0dan\u00a0pengaturan\u00a0harus\u00a0dinilai\u00a0berdasarkan\u00a0kinerjanya\u00a0dalam\u00a0kondisi\u00a0operasi\u00a0nyata,\u00a0khususnya\u00a0pada\u00a0aktivitas\u00a0dinamis\u00a0seperti\u00a0perpindahan\u00a0pandu.\u00a0Laporan\u00a0rahasia\u00a0dapat\u00a0menjadi\u00a0peringatan\u00a0dini\u00a0yang\u00a0berharga\u00a0terhadap\u00a0risiko\u00a0desain\u00a0dan\u00a0seharusnya\u00a0dimanfaatkan\u00a0untuk\u00a0pembelajaran\u00a0yang\u00a0lebih\u00a0luas,\u00a0bukan\u00a0sekadar\u00a0penyelesaian\u00a0lokal.<\/span>\u00a0<\/span>\r\n\r\nManajer\u00a0dan\u00a0pimpinan\u00a0perusahaan\u00a0- Solusi\u00a0sementara\u00a0yang\u00a0digunakan\u00a0untuk\u00a0menjaga\u00a0keselamatan\u00a0menunjukkan\u00a0adanya\u00a0kelemahan\u00a0mendasar\u00a0pada\u00a0sistem\u00a0atau\u00a0desain\u00a0yang\u00a0perlu\u00a0diperbaiki.<\/span><\/b>\u00a0<\/span>\r\n\r\nPengaturan\u00a0akses\u00a0dan\u00a0tangga\u00a0pandu\u00a0sebaiknya\u00a0diselesaikan\u00a0melalui\u00a0solusi\u00a0desain\u00a0dan\u00a0rekayasa,\u00a0bukan\u00a0dengan\u00a0mengandalkan\u00a0penghindaran\u00a0prosedural.\u00a0Kejadian\u00a0nyaris\u00a0celaka\u00a0yang\u00a0melibatkan\u00a0interaksi\u00a0manusia\u00a0dan\u00a0peralatan\u00a0harus\u00a0diperlakukan\u00a0sebagai\u00a0peluang\u00a0pembelajaran\u00a0penting\u00a0dalam\u00a0sistem\u00a0manajemen\u00a0keselamatan.<\/span>\u00a0<\/span>\r\n\r\nAwak\u00a0kapal\u00a0- Jika\u00a0pekerjaan\u00a0tidak\u00a0aman\u00a0dengan\u00a0pengaturan\u00a0standar,\u00a0laporkan\u2014meskipun\u00a0tidak\u00a0terjadi\u00a0insiden.<\/span><\/b>\u00a0<\/span>\r\n\r\nApabila\u00a0suatu\u00a0tugas\u00a0hanya\u00a0dapat\u00a0dilakukan\u00a0dengan\u00a0aman\u00a0melalui\u00a0penyesuaian\u00a0atau\u00a0penghindaran\u00a0prosedur\u00a0standar,\u00a0kondisi\u00a0tersebut\u00a0harus\u00a0dilaporkan.\u00a0Konfigurasi\u00a0yang\u00a0tidak\u00a0aman\u00a0tidak\u00a0boleh\u00a0menjadi\u00a0hal\u00a0yang\u00a0dianggap\u00a0normal\u00a0hanya\u00a0karena\u00a0sudah\u00a0terbiasa.\u00a0Pelaporan\u00a0yang\u00a0jelas\u00a0dan\u00a0faktual\u00a0membantu\u00a0melindungi\u00a0orang lain\u00a0serta\u00a0mendukung\u00a0peningkatan\u00a0keselamatan\u00a0dalam\u00a0jangka\u00a0panjang.<\/span>\u00a0<\/span>","field":{"ID":10659,"key":"field_62ceddd13eb88","label":"Masalah Utama terkait dengan laporan ini","name":"key_issues","aria-label":"","prefix":"acf","type":"wysiwyg","value":null,"menu_order":5,"instructions":"","required":0,"id":"","class":"","conditional_logic":0,"parent":10649,"wrapper":{"width":"","class":"","id":""},"wpml_cf_preferences":2,"user_roles":["all"],"default_value":"","tabs":"visual","toolbar":"full","media_upload":0,"delay":0,"_name":"key_issues","_valid":1}},"dirty_dozen":{"simple_value_formatted":"","value_formatted":"","value":"","field":{"ID":10660,"key":"field_62ceddd13ebca","label":"Human Factors","name":"dirty_dozen","aria-label":"","prefix":"acf","type":"checkbox","value":null,"menu_order":6,"instructions":"","required":0,"id":"","class":"","conditional_logic":0,"parent":10649,"wrapper":{"width":"","class":"","id":""},"wpml_cf_preferences":1,"show_in_graphql":1,"choices":{"stress":"Stress","fatigue":"Fatigue","pressure":"Pressure","lack_of_resources":"Resources","distraction":"Distraction","loss_of_awareness":"Awareness","lack_of_knowledge":"Knowledge","poor_communication":"Communication","teamwork":"Teamwork","lack_of_assertiveness":"Assertiveness","complacency":"Complacency","normalisation_of_deviation":"Deviation","fit_for_duty":"Fit for Duty","design":"Design","alerting":"Alerting","capability":"Capability","competence":"Competence","culture":"Culture"},"default_value":[],"return_format":"array","allow_custom":0,"layout":"horizontal","toggle":0,"save_custom":0,"custom_choice_button_text":"Add new choice","_name":"dirty_dozen","_valid":1}}},"mb":[],"yoast_head":"\nM2681 - 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