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IOSH Offshore ConferenceDiscovery centre Dundee19 October 2017
Danny Harwood MSc CMIOSHPrincipal Inspector of Marine Accidents
www.maib.gov.uk
Who are MAIB?
’
Secretary of State for
Transport
MAIB was established 1989
Herald of Free Enterprise (1987)
Public Inquiry recommendation: Separate accident investigation from regulation
MAIB Organigram
Deputy Chief Inspector
Chief
Inspector
Red Team Green Team Blue TeamWhite Team
• Investigation support staff
• Electronic data recovery
• Publications
• IT support
• Technical editing
• Health & safety manager
• Based in Southampton
• About 35 staff
MAIB Inspectors
• Typically ex-seafarers• Specialisations:
• Navigation• Engineering• Fishing• Naval Architects
• DfT accredited accident investigators
AIMS OF THE MAIB
• Improve the safety of life at sea
• To satisfy the general public and the maritime community that marine accidents are properly investigated
• To fulfil the requirements of IMO Resolutions: A849(20), MSC 255(84), SOLAS Chapter 1, reg 21 and EU directive (2009/18/EC)
What do the MAIB investigate?
• UK flag vessels anywhere in the world
• Any vessel in UK waters (12 mile limit)
• Merchant vessels of all sizes
• Fishing vessels
• Leisure craft (commercial and private)
Types of accident
• Casualty to vessels• Sinking• Capsize• Collision• Fire/explosion• Pollution
•Occupational accidents• Falls from height• Confined spaces• Entrapment in machinery• Mooring deck operations
Recent cases I have led or managed
FV Karen
Failure of HMPE
mooring line on
board LNG carrier
Zarga resulting in
serious injury to
one crewman
Recent cases I have led or managed
FV Karen
Collision between
unnamed RN
nuclear submarine
and fishing vessel
Karen
Recent cases I have led or managed
FV Karen
Loss of Cyprus
registered cement
carrier Cemfjord
and its 8-man crew
January 2015
Recent cases I have led or managed
FV Karen
Sinking of Wacker
Quacker 1 and fire on
board Cleopatra
The investigation process
• What?
• Where?
• When?
• How?
• Why?
• What can be done to prevent it happening again?
Starts with the receipt of a report
• Vessel owner
• Vessel master
• Harbour Authority
• Police
• Member of the public
• Maritime and Coastguard Agency
Categorise the accident
• Very serious
• Serious
• Less serious
• Marine incident
• Outside regulations
Pre-deployment preparations & information gathering
• Inform vessel owners, operators and master of MAIB intentions
• Establish status of vessels involved
• Preserve of evidence
• Compile initial list of contacts
• Travel and accommodation
Arrival at the accident site
• Introductions
• Liaise with all interested parties
• Establish primacy
• Agree an investigation plan
• Risk assessment
Police
MCA
P&IFire
Service
Flag state
Class
HSE
Insurers
CG
Legaladvisors
Owner’s
RYAMOD
DEFRA
SOSREP
Trading standards
Salvors
CouncilOfficials
Media/press
Foreign Flag States
Foreign CoastalStates
HarbourAuthorities
BorderControl
Accident site safety management
Accident site safety management
Accident site safety management
Evidence gathering
• Witness evidence
• Electronic evidence
• Physical evidence
• CCTV, video recordings, photographs
• Mobile phone records
• Documentary
• Priority given to perishable evidence
Witness interviews
• Set the right atmosphere• Location• Rapport• Refreshments
• Explain role of MAIB
• Explain the process• Information provided is
confidential • Right to have a friend• Interview will be recorded• Note taking
Electronic evidence
• Voyage data recorders
• Radar
• Electronic chart plotters
• Automatic Identification Systems
• Global Positioning System
• Machinery data loggers
• Fire detection systems
VDR Save
VDR recoveryCapsule
Hard drive
Electronic evidence
Branch review
•Brief Chief Inspector
• Peer review
• Challenge the evidence
•Decision on type of report
•Need for a safety bulletin?
• Follow-up work?
Investigation follow-up work
• Company visits
• Additional or follow-up interviews
• Passenger questionnaires
Investigation follow-up work
• Company visits
• Additional or follow-up interviews
• Passenger questionnaires
• Underwater surveys
Investigation follow-up work
• Company visits
• Additional or follow-up interviews
• Passenger questionnaires
• Underwater surveys
• Wreck recovery
Investigation follow-up work
• Company visits
• Additional or follow-up interviews
• Passenger questionnaires
• Underwater surveys
• Wreck recovery
• Trials and reconstructions
Investigation follow-up work
• Company visits
• Additional or follow-up interviews
• Passenger questionnaires
• Underwater surveys
• Wreck recovery
• Trials and reconstructions
• Non-destructive and destructive testing
Investigation follow-up work
• Company visits
• Additional or follow-up interviews
• Passenger questionnaires
• Underwater surveys
• Wreck recovery
• Trials and reconstructions
• Non-destructive and destructive testing
• Paint sample analysis
Recommendations meeting
• Review of MAIB investigation findings
• Chaired by the Chief Inspector
• Findings presented by the lead inspector
• Attended by invited stake holders and industry experts
• The aim is to assist in the identification of achievable, proportionate and smart recommendations
MAIB report writing process
• Inspector’s draft report
• Team draft report
• Technical editor review
•Deputy Chief Inspector & Chief Inspector review
• Consultation period
Other MAIB publications
• Safety bulletins
• Interim reports
• Safety flyers
• Safety digests
• Safety studies
Top tips (Interviews)
• Plan your interviews
• Interview all witnesses
• Conduct interviews as soon as practicable
• Listen carefully to witnessesIf a witness said that something happened, it does not mean that something actually happenedIf something a witness said happened, did not happen, it does not mean that that witness was lying
• Treat all witnesses with respect and closely monitor their wellbeing
IOSH Offshore ConferenceDiscovery centre Dundee19 October 2017
Danny Harwood MSc CMIOSHPrincipal Inspector of Marine Accidents
www.maib.gov.uk
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