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Safety issues and actions
Issue, description, who it affects Date, status, type
Issue, description, who it affects
Issue: MO-2013-012-SI-01Planned maintenance
Number: MO-2013-012-SI-01
Description: MO-2013-012-SI-01:HC Rubina’s electronic planned maintenance system did not contain any instructions to ensure that the shaft alternator flexible coupling was maintained in accordance with the manufacturer’s requirements.
Who it affects: All ships
Issue owner: IMM Shipping
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 14 Nov 2014
Status: Adequately addressed
Type: Recommendation
Issue, description, who it affects
Issue: MO-2013-012-SI-02Defect reporting
Number: MO-2013-012-SI-02
Description: MO-2013-012-SI-02:The ship’s managers did not have effective systems to ensure that the defective control system for the controllable pitch propeller was reported to the relevant organisations as required. Consequently, Brisbane’s vessel traffic services, pilotage provider and the pilot remained unaware of the defect and could not consider it in their risk ...
Who it affects: All ships
Issue owner: IMM Shipping
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 14 Nov 2014
Status: Partially addressed
Type: Recommendation
Issue, description, who it affects
Issue: MO-2013-012-SI-03Port entry procedures – Defect notification
Number: MO-2013-012-SI-03
Description: MO-2013-012-SI-03:The ship’s agent’s information questionnaire did not ask for all of the information required to complete the QSHIPS booking form and ensure that defects were reported.
Who it affects: Port operations and vessel’s under pilotage
Issue owner: Asiaworld Shipping Services and Maritime Safety Queensland
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 14 Nov 2014
Status: Adequately addressed
Type: Proactive Action
  Proactive Action
  Proactive Action
Issue, description, who it affects
Issue: MO-2013-011-SI-01Roles and Responsibilities
Number: MO-2013-011-SI-01
Description: MO-2013-011-SI-01:Bosphorus’ safety management system provided no guidance in relation to the allocation of function based roles and responsibilities to members of the bridge team during pilotage.
Who it affects: All persons charged with navigating a vessel during pilotage
Issue owner: Universal Shipping
Operation affected: Marine: Shore-based operations
Date, status, type
Date: 22 Sep 2014
Status: Not addressed
Type: Recommendation
Issue, description, who it affects
Issue: High risk areas of pilotage MO-2013-011-SI-02
Number: High risk areas of pilotage
Description: High risk areas of pilotage :Brisbane Marine Pilots’ ‘Port of Brisbane Passage Plan’ did not detail any guidance or instructions relating to watch handover or changing the helmsman during high risk areas of a pilotage.
Who it affects: All persons charged with navigating a vessel during pilotage
Issue owner: Brisbane Marine Pilots
Operation affected: Marine: Shore-based operations
Date, status, type
Date: 22 Sep 2014
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: MO-2013-011-SI-03High risk areas of pilotage
Number: MO-2013-011-SI-03
Description: MO-2013-011-SI-03:Bosphorus’ safety management system did not detail any guidance or instructions relating to watch handover or changing the helmsman during high risk areas of a pilotage.
Who it affects: All persons charged with navigating a vessel during pilotage
Issue owner: Universal Shipping
Operation affected: Marine: Shore-based operations
Date, status, type
Date: 22 Sep 2014
Status: Not addressed
Type: Proactive Action
  Recommendation
Issue, description, who it affects
Issue: MO-2013-010-SI-01Crane warning devices
Number: MO-2013-010-SI-01
Description: MO-2013-010-SI-01:The gantry crane in motion warning light nearest to the assistant electrician’s location was not operating and the warning sirens were not audible from his location. As a result, he was not provided with either a visual or audible warning of the crane’s movement.
Who it affects: All ship owners, operators and seafarers
Issue owner: Gearbulk Norway
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 16 Jun 2014
Status: Adequately addressed
Issue, description, who it affects
Issue: MO-2013-010-SI-02Crew familiarisation
Number: MO-2013-010-SI-02
Description: MO-2013-010-SI-02:The on board familiarisation process did not ensure that new crew members were informed of the precautions required when working on deck while the gantry cranes were in operation.
Who it affects: All ship owners, operators and seafarers
Issue owner: Gearbulk Norway
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 16 Jun 2014
Status: Adequately addressed
Issue, description, who it affects
Issue: MO-2013-010-SI-03Emergency response
Number: MO-2013-010-SI-03
Description: MO-2013-010-SI-03:There was a lack of mapping information available to assist the ‘triple zero’ operator in providing the emergency responders with directions to a defined location within the port area.
Who it affects: Emergency service agencies
Issue owner: Port of Portland and the Emergency Services Telecommunications Authority
Operation affected: Marine: Shore-based operations
Date, status, type
Date: 16 Jun 2014
Status: Adequately addressed
Type: Proactive Action
  Proactive Action
Issue, description, who it affects
Issue: MO-2013-003-SI-01Safety Management System
Number: MO-2013-003-SI-01
Description: MO-2013-003-SI-01:Calliope’s safety management system (SMS) did not provide the crew with adequate guidance regarding passage planning, training and familiarisation. Individual crew familiarisation records and risk assessment forms were not retained on board the yacht and there was no system of auditing or checking to ensure the adequacy of the SMS ...
Who it affects: All persons charged with navigating a vessel at sea
Issue owner: Marine Construction Management and the Cayman Islands Shipping Registry
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 12 May 2014
Status: Adequately addressed
Type: Proactive Action
  Proactive Action
Issue, description, who it affects
Issue: MO-2013-003-SI-002Large yacht regulatory requirements
Number: MO-2013-003-SI-002
Description: MO-2013-003-SI-002:The Cayman Islands requirements in relation to a yacht’s compliance with the Large Commercial Yacht Code and other relevant legislation are determined by the yacht’s mode of operation. As a result, a commercially operated yacht in excess of 24 m in length must comply with the requirements of the Code ...
Who it affects: All persons charged with navigating a vessel at sea
Issue owner: Cayman Islands Shipping Registry
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 12 May 2014
Status: Not addressed
Type: Proactive Action
  Recommendation
Issue, description, who it affects
Issue: MO-2013-003-SI-003Sydney Harbour pilotage requirements
Number: MO-2013-003-SI-003
Description: MO-2013-003-SI-003:Calliope was not required to carry a pilot during Sydney Harbour voyages because the yacht was considered to be a recreational vessel, even though the risks it posed to the port were the same as those posed by similarly sized commercially operated vessels.
Who it affects: All persons charged with navigating a vessel at sea
Issue owner: Sydney Ports Corporation
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 12 May 2014
Status: Not addressed
Type: Proactive Action
  Recommendation
Issue, description, who it affects
Issue: MO-2013-007-SI-01Risk assessment
Number: MO-2013-007-SI-01
Description: MO-2013-007-SI-01:Atlantic Princess’s safety management system provided no guidance relating to actions that should be taken when persons less experienced than a pilot used a pilot ladder to board or disembark the ship.
Who it affects: All masters owners and operators of ships
Issue owner: Santoku Senpaku
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 09 May 2014
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: MO-2013-007-SI-02Safe means of access
Number: MO-2013-007-SI-02
Description: MO-2013-007-SI-02:There were no facilities on board the Floating Offshore Transfer Barge Spencer Gulf that could be used to provide a safe means of access for personnel transfers between the barge and the ship. Furthermore, the barge operator’s procedures prohibited such personnel transfers.
Who it affects: Owners and operators of ports and offshore loading facilities
Issue owner: CSL Australia
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 09 May 2014
Status: Not addressed
Type: Proactive Action
  Recommendation
Issue, description, who it affects
Issue: MO-2013-007-SI-03Safety management system compliance
Number: MO-2013-007-SI-03
Description: MO-2013-007-SI-03:The examples of non-compliance with the requirements of Whyalla Launch Services’ safety management system indicate that the system was not fully and effectively implemented on board Switcher.
Who it affects: All masters, owners and operators of ships and small vessels
Issue owner: Whyalla Launch Services
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 09 May 2014
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: MO-2013-007-SI-05Safety management system guidance
Number: MO-2013-007-SI-05
Description: MO-2013-007-SI-05:Whyalla Launch Services’ safety management system did not provide effective guidance in relation to assessing a passenger’s ability to climb a pilot ladder or positioning of pilot launches while passengers were climbing and descending ladders. The system also referenced superseded SOLAS regulations and IMO resolutions relating to pilot ladders.
Who it affects: All masters owners and operators of ships and small vessels
Issue owner: Whyalla Launch Services
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 09 May 2014
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: MO-2013-008-SI-01Visual and manual checking of ladder and manropes by pilots
Number: MO-2013-008-SI-01
Description: MO-2013-008-SI-01:The pilotage company’s procedures did not explicitly require the pilot to check the pilot ladder and manrope arrangements before disembarking the ship.
Who it affects: Pilotage companies
Issue owner: Australian Reef Pilots
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 20 Mar 2014
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: MO-2013-008-SI-02Communication of readiness for pilot disembarkation
Number: MO-2013-008-SI-02
Description: MO-2013-008-SI-02:The pilotage company’s procedures for positive communication of readiness between the pilot and the launch crew were adequate. However, it was common for employees to vary these communication protocols, leaving perceptions of readiness open to error and misinterpretation.
Who it affects: Pilotage companies
Issue owner: Australian Reef Pilots
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 20 Mar 2014
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: MO-2013-008-SI-03Use of a deck party to assist with the pilot transfer
Number: MO-2013-008-SI-03
Description: MO-2013-008-SI-03:The ship’s pilot transfer procedures did not specify a requirement for additional crew members to assist the supervising officer. As a result, the supervising officer was actively involved in deploying the pilot ladder and manropes, and transferring the pilot’s belongings to the launch, and could not focus his efforts on ...
Who it affects: Owners and operators of ships employing coastal pilots.
Issue owner: Dorval Ship Management
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 20 Mar 2014
Status: Adequately addressed
Type: Proactive Action
Issue, description, who it affects
Issue: MO-2013-008-SI-04Communication of requirements for manropes
Number: MO-2013-008-SI-04
Description: MO-2013-008-SI-04:The pilotage company’s procedures did not require pilots to inform launch crews whether manropes would or would not be deployed in advance of the transfer.
Who it affects: Pilotage companies
Issue owner: Australian Reef Pilots
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 20 Mar 2014
Status: Adequately addressed
Type: Proactive Action
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