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Safety issues and actions

Issue, description, who it affects	Date, status, type
Issue, description, who it affects Issue: MO-2017-010-SI-02Usage of tugs Number: MO-2017-010-SI-02 Description: MO-2017-010-SI-02:Tugs were to be available to escort the mini cape-size ships until they had entered the South Channel, where they were then stood down. However, the tug masters had not been trained in the specifics of escort towage nor in emergency response. Who it affects: All owners, operators and crewmembers involved in pilotage Issue owner: Ports North Operation affected: Marine: Shipboard operations	Date, status, type Date: 14 Nov 2019 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2017-010-SI-01Mini cape-size risk assessment Number: MO-2017-010-SI-01 Description: MO-2017-010-SI-01:In pre-trial simulations, the risks associated with engine failure during departure were only considered up to when a ship had entered the South Channel. Consequently, the tugs were not in attendance to assist if propulsion was lost. Who it affects: All owners, operators and crewmembers involved in pilotage Issue owner: Maritime Safety Queensland Operation affected: Marine: Shipboard operations	Date, status, type Date: 14 Nov 2019 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2018-001-SI-01 Knowledge and use of fall arrest safety equipment Number: MO-2018-001-SI-01 Description: MO-2018-001-SI-01 :The fall arrest equipment used was incorrectly attached to the workers on the suspended platform. Consequently, had either of them fallen from the platform the equipment would not have worked correctly, resulting in serious or fatal injuries. Who it affects: All workers on ship Issue owner: Berge Bulk Maritime Operation affected: Marine: Shipboard operations	Date, status, type Date: 30 Oct 2019 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2017-009-SI-04Hydrographic use of point features Number: MO-2017-009-SI-04 Description: MO-2017-009-SI-04:The hydrographic use of point feature objects to represent physical features of relatively significant spatial extent on an Electronic Navigational Chart can increase the risk of the hazard posed by such features being misinterpreted by mariners and potentially reduce the effectiveness of the ECDIS safety checking functions. Who it affects: Vessels using Australian Electronic Navigational Charts Issue owner: Australian Hydrographic Office Operation affected: Marine: Shore-based operations	Date, status, type Date: 27 Jun 2019 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2017-009-SI-03ECDIS software Number: MO-2017-009-SI-03 Description: MO-2017-009-SI-03:ECDIS on board most Australian Border Force cutters, including ABFC Roebuck Bay, operated with a non-type-approved naval software version that was not updated to the latest applicable standards of the International Hydrographic Organization. The ECDIS therefore did not comply with the minimum requirements of an ECDIS being used to meet ... Who it affects: Operators of Australian Border Force cutters Issue owner: Australian Border Force Operation affected: Marine: Shipboard operations	Date, status, type Date: 27 Jun 2019 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2017-009-SI-02Vessel survey and certification Number: MO-2017-009-SI-02 Description: MO-2017-009-SI-02:Most Australian Border Force cutters, including ABFC Roebuck Bay, were installed with ECDIS operating on non-type-approved naval software. Subsequently, DNV GL, acting on behalf of the Australian Maritime Safety Authority, incorrectly certified these vessels as using type-approved ECDIS to meet the chart carriage requirements of the regulations. This removed an ... Who it affects: Australian flagged vessels Issue owner: Australian Maritime Safety Authority Operation affected: Marine: Shore-based operations	Date, status, type Date: 27 Jun 2019 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2017-009-SI-01ECDIS familiarisation Number: MO-2017-009-SI-01 Description: MO-2017-009-SI-01:Although the online VisionMaster FT ECDIS type-specific familiarisation training included the relevant content, the training as undertaken by Australian Border Force deck officers was not effective in preparing ABFC Roebuck Bay's officers for the operational use of the ECDIS. Who it affects: Australian Border Force deck officers Issue owner: Australian Border Force Operation affected: Marine: Shipboard operations	Date, status, type Date: 27 Jun 2019 Status: Safety action pending Type: Proactive Action
Issue, description, who it affects Issue: MO-2017-001-SI-01Inadequate on-board documentation Number: MO-2017-001-SI-01 Description: MO-2017-001-SI-01:Guidelines for the provision, care and use of shipboard equipment were not supported by suitable documentation. The only documentation was for mobile scaffolding equipment of different design and not for that in use on the ship. Who it affects: All owners and operators and crewmembers involved in working aloft Issue owner: Asia Maritime Pacific Operation affected: Marine: Shipboard operations	Date, status, type Date: 21 Feb 2019 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2015-007-SI-04Audit response Number: MO-2015-007-SI-04 Description: MO-2015-007-SI-04:The regional harbour master and the pilotage service did not have processes in place to follow up audit findings, to ensure that they were appropriately monitored, actioned and closed out in a timely manner. Who it affects: All ships entering and departing Townsville under pilotage Issue owner: Maritime Safety Queensland Operation affected: Marine: Shipboard operations	Date, status, type Date: 19 Feb 2019 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2015-007-SI-03Tug reduction process Number: MO-2015-007-SI-03 Description: MO-2015-007-SI-03:The Port Procedures manual for Townsville allowed shipping agents to request a tug reduction without the knowledge of the ship’s master. Who it affects: All ships entering and departing Townsville under pilotage Issue owner: Maritime Safety Queensland and Port of Townsville Limited Pilotage Services Operation affected: Marine: Shipboard operations	Date, status, type Date: 19 Feb 2019 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2015-007-SI-02Contingency planning Number: MO-2015-007-SI-02 Description: MO-2015-007-SI-02:The Port of Townsville Limited Pilotage Services’ Pilotage Service Safety Management System did not have documented guidance on berthing manoeuvres nor any associated contingencies. Who it affects: All ships entering and departing Townsville under pilotage Issue owner: Port of Townsville Limited Pilotage Services Operation affected: Marine: Shipboard operations	Date, status, type Date: 19 Feb 2019 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2015-007-SI-01Risk management Number: MO-2015-007-SI-01 Description: MO-2015-007-SI-01:The Port of Townsville Limited Pilotage Service risk management processes were not sufficiently mature nor resilient enough to effectively identify and mitigate risks during pilotage. Who it affects: All ships entering and departing Townsville under pilotage Issue owner: Port of Townsville Limited Pilotage Services Operation affected: Marine: Shipboard operations	Date, status, type Date: 19 Feb 2019 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2017-003-SI-01Processes for the monitoring of the exciter unit insulation resistance Number: MO-2017-003-SI-01 Description: MO-2017-003-SI-01:The processes for monitoring the condition of the brushless exciter units’ electrical insulation were ineffective in detecting deterioration prior to unit failure. Who it affects: Those responsible for maintaining Azipods Issue owner: Norwegian Cruise Line Holdings Ltd (NCLH) and ABB Industry Oy (ABB) Operation affected: Marine: Shipboard operations	Date, status, type Date: 24 May 2018 Status: Safety action pending Type: Recommendation   Recommendation
Issue, description, who it affects Issue: MO-2016-005-SI-01Steering gear planned maintenance instructions Number: MO-2016-005-SI-01 Description: MO-2016-005-SI-01:Bow Singapore’s planned maintenance system for the steering gear did not include or contain any schedules for detailed inspections or parts replacement. Who it affects: All workers on ships managed by Odfjell Management Issue owner: Odfjell Management Operation affected: Marine: Shipboard operations	Date, status, type Date: 05 Oct 2017 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2016-001-SI-03Mooring at Station Pier Number: MO-2016-001-SI-03 Description: MO-2016-001-SI-03:While TT-Line Company’s standard mooring line pattern for ships at Station Pier had been successfully used for many years, the breakaway indicated the risk could have been further reduced to better prepare for such unusual circumstances. Who it affects: All ship masters and deck officers Issue owner: TT-Line Company Operation affected: Marine: Shipboard operations	Date, status, type Date: 11 May 2017 Status: Adequately addressed Type: Proactive Action   Recommendation
Issue, description, who it affects Issue: MO-2016-001-SI-02Melbourne vessel traffic service procedures Number: MO-2016-001-SI-02 Description: MO-2016-001-SI-02:The Port of Melbourne vessel traffic service (VTS) procedures for adverse weather were not comprehensive and, hence, its response on 13 January was only partially effective. One important consequence was that VTS’s advance warning of storm force winds did not reach all relevant parties, including Spirit of Tasmania II’s master. Who it affects: Port of Melbourne vessel traffic service and all users of the port Issue owner: Victorian Ports Corporation (Melbourne) Operation affected: Marine: Shore-based operations	Date, status, type Date: 11 May 2017 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2016-001-SI-01TT-Line Company procedures Number: MO-2016-001-SI-01 Description: MO-2016-001-SI-01:The adverse weather procedures for TT-Line Company ships when alongside did not take into account all the necessary factors to provide effective defences against significant, short-term weather events such as thunderstorms and squalls. Who it affects: All ship masters and deck officers Issue owner: TT-Line Company Operation affected: Marine: Shipboard operations	Date, status, type Date: 11 May 2017 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2015-005-SI-03Open stern offshore support vessels Number: MO-2015-005-SI-03 Description: MO-2015-005-SI-03:Skandi Pacific’s managers had not adequately assessed the risks associated with working on the aft deck of vessels with open sterns, including consideration of engineering controls to minimise water being shipped on the aft deck. Who it affects: All owners and operators of offshore support vessels Issue owner: DOF Management, Norway Operation affected: Marine: Shipboard operations	Date, status, type Date: 23 Nov 2016 Status: Partially addressed Type: Proactive Action   Recommendation   Safety Advisory Notice
Issue, description, who it affects Issue: MO-2015-005-SI-02Cargo securing procedures Number: MO-2015-005-SI-02 Description: MO-2015-005-SI-02:Skandi Pacific’s safety management system (SMS) procedures for cargo securing were inadequate. There was no guidance for methods of securing cargo in adverse weather conditions. Who it affects: All owners and operators of offshore support vessels Issue owner: DOF Management, Norway Operation affected: Marine: Shipboard operations	Date, status, type Date: 23 Nov 2016 Status: Adequately addressed Type: Proactive Action
Issue, description, who it affects Issue: MO-2015-005-SI-01Cargo handling procedures Number: MO-2015-005-SI-01 Description: MO-2015-005-SI-01:Skandi Pacific’s safety management system (SMS) procedures for cargo handling in adverse weather conditions were inadequate. Clearly defined weather limits when cargo handling operations could be undertaken and trigger points for suspending operations were not defined, including limits for excessive water on deck. Who it affects: All owners and operators of offshore support vessels Issue owner: DOF Management, Norway (DOF Management) Operation affected: Marine: Shipboard operations	Date, status, type Date: 23 Nov 2016 Status: Adequately addressed Type: Proactive Action