Confidential Human Factors
Incident Reporting Programme
The Charity
Aviation
Maritime
Air Emissions alongside โ boiler flame failures
Collision Regulation contravention
Ships that feature in multiple reports
Near miss โ recreational fisherman and tug
Could have been embarrassing
A positive result following engagement with the DPA
Illegal Bilge Discharge
Unsafe Working at Heights
Inadequate Master / Pilot Exchange
More on GPS Smoothing
Main engine failures.
Incident at a Conventional Buoy Mooring (CBM) system.
Communications issues โ do you fully understand what is being said?
Hours of rest violations.
MARPOL – environmental violations and concerns
Non-compliant by design
Iโm not going to board until you rig a compliant ladder
Heavy weather checklists โ life rafts.
Removal of heat protection from machinery.
Correspondence received โ rudder angle indicators
Best Practice – An error corrected
Correspondence received โ Bridge / Engine Room communications
Proactive Port Authority
Heat and Fatigue
AIS and ECDIS offsets.
Safety briefings are given for a reason
Lifting Operations
Correspondence Received – Night Watchman
A Complete Lack of Safety Awareness.
Collision Regulations โ Several near misses.
Fishing vessels – housekeeping
Ship shore interface โ shore gangway.
Pilot door design.
Fishermen and leisure craft โ lifejackets.
Best Practice
Communications issues
Bridge Resource Management (BRM) โ Misunderstandings and protocols.
Expired Charts
Unsafe pilot boarding and disembarking arrangements.
Yacht Safety
Emergency Procedures for Disabled Passengers
Combination ladder issues
Rudder angle discrepancies
New Build Vessel – Poor Steerage
Navigational aids
Unauthorised modification
Expiry dates of provisions and safety equipment
Safe Working Practices – Working aloft and in cargo holds (1)