Showing posts with label taic. Show all posts
Showing posts with label taic. Show all posts

Thursday, 8 March 2012

Release of the interim Rena report

TAIC's interim report on the grounding of Rena has been released today and has been widely reported in the New Zealand media. This posting is for the wider readership and there are several stories with comment and analysis on the wire services.

Despite being an interim, the report appears to identify most of the contributing factors. The vessel lost time on her schedule in Napier, due to another vessel having a priority for the berth and stevedores. When she sailed from Napier, reporting an ETA Tauranga of 0230 on the 5th, the Master shortened the course around the Mahia Peninsular to make up time.

At midnight on October 5th, Port Control told the Second Mate that the ship's ETA of 0300 at the Pilot Station was right at the end of the tidal window for entry. Between 0100 and 0200, the course was progressively altered to port in small increments.

Although it appears Astrolabe Reef intermittently showed up on the radar, the absence of an 0200 position plot on the chart meant the bridge team didn't appreciate what the 'paint' was. At 0214, as the Master was making his way to the chart room to plot the ship's position, Rena grounded at 17 knots.


Chart of the Bay of Plenty and the vessel's track from TAIC's Interim Report

While the Master and Second Officer are squarely in the gun, the Antipodean Mariner continues to hope that TAIC's full report will look at the overt commercial pressures put on Masters to meet schedules published weeks earlier by Owners and Charterers. One thing for certain is that the Master and Second Officer will probably spend a lifetime asking themselves on how they ended up on Astrolabe Reef.

AM

Friday, 9 December 2011

Swiss Cheese

The investigation into the grounding of the Rena will primarily concentrate on the decisions made on the bridge in the last hours before her grounding on Astrolabe Reef.

However, the Antipodean Mariner expects that the investigation will cast the net wider than just the bridge team and ask what commercial pressures were being placed on the Master and crew.

Every company’s safety management system will contain the motherhood statement that safety is never to be compromised by commercial considerations, but in the real world a Master always has the commercial considerations front and centre in his decision-making process. Container ships like the Rena are always under pressure to maintain schedule for the onward feeder connections at the global container hub ports.

The Antipodean Mariner won’t speculate on schedule pressure at this point, but puts forward the ‘Swiss Cheese’ safety model familiar to most seafarers.



The Swiss Cheese model is applicable to all structured safety management systems and assumes that no accident occurs due to a single, isolated system failure. Accidents occur due when ‘holes’ in the multiple lines of systems, equipment and procedural defences line up.

For an investigation of the Rena casualty to be meaningful, all the factors leading to the decision to turn the auto-pilot dial to 'Port' have to be considered. Did the Rena sail from Napier, leaving cargo behind, to make the tide and berthing slot in Tauranga? What did the Harbour Control advise the ship in respect to her prospects for making the tidal window to enter Tauranga? What would have been the impact of missing the tide on Rena’s onward schedule?

Irrespective of the decision taken on the bridge, the Antipodean Mariner hopes that the decisions of others not aboard the Rena on the morning of October 5th are determined and appropriately weighted to avoid the simple ‘scapegoating’ of a the individuals presently bailed in Tauranga.

The Antipodean Mariner