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Safety issues and actions
Issue, description, who it affects Date, status, type
Issue, description, who it affects
Issue: MO-2018-011-SI-05 Regulatory oversight
Number: MO-2018-011-SI-05
Description: MO-2018-011-SI-05 :Regulatory safety oversight of Iron Chieftain, which comprised flag State audits, surveys and inspections had not identified safety deficiencies with respect to the ship’s fire safety, risk management, emergency preparedness and emergency response.
Issue owner: Australian Maritime Safety Authority
Operation affected: Marine: Other
Date, status, type
Date: 11 May 2021
Status: Closed – Adequately addressed
Type: Proactive action
Issue, description, who it affects
Issue: MO-2018-011-SI-04Fire and Rescue New South Wales marine firefighting capability
Number: MO-2018-011-SI-04
Description: MO-2018-011-SI-04:The capability of Fire and Rescue New South Wales to effectively respond to a shipboard fire in Port Kembla, was limited by: a lack of specialised marine firefighting expertise outdated marine training for firefighters relative inexperience in shipboard firefighting associated with the rarity of major shipboard fires an absence of marine-specific firefighting resources and ...
Issue owner: Fire and Rescue New South Wales
Operation affected: Marine: Other
Date, status, type
Date: 11 May 2021
Status: Open – Safety action pending
Type: Proactive action
  Safety recommendation
Issue, description, who it affects
Issue: MO-2018-011-SI-03 Shipboard emergency contingency plans
Number: MO-2018-011-SI-03
Description: MO-2018-011-SI-03 :Iron Chieftain's Emergency Contingency Plan did not include a response plan to fire in the high fire risk self-unloading system spaces. Consequently, there was no clear plan or practiced sequence of actions that could aid emergency preparedness.
Issue owner: Canada Steamship Lines Australia
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 11 May 2021
Status: Closed – Adequately addressed
Type: Proactive action
Issue, description, who it affects
Issue: MO-2018-011-SI-02 Inadequate standards and regulation
Number: MO-2018-011-SI-02
Description: MO-2018-011-SI-02 :The cargo handling spaces of specialised self-unloading bulk carriers continue to present a very high fire risk due to the inadequacy of standards or regulations for self-unloading systems, including for conveyor belts, and dedicated fire detection/fixed fire-extinguishing systems. This has been a factor in at least three major fires over ...
Issue owner: Australian Maritime Safety Authority, Lloyd’s Register, and International Association of Classification Societies
Operation affected: Marine: Other
Date, status, type
Date: 11 May 2021
Status: Open – Safety action pending
Type: Safety recommendation
  Proactive action
  Proactive action
Issue, description, who it affects
Issue: MO-2018-011-SI-01 Management of risk
Number: MO-2018-011-SI-01
Description: MO-2018-011-SI-01 :Iron Chieftain's operators had formally identified the fire risk in the ship’s cargo self-unloading system spaces, particularly the C-Loop, as being unacceptably high 5 years before the fire due to the absence of fire detection or fixed fire extinguishing system. However, at the time of the fire, the prevention and ...
Issue owner: Canada Steamship Lines Australia
Operation affected: Marine: Shore-based operations
Date, status, type
Date: 11 May 2021
Status: Closed – Adequately addressed
Type: Proactive action
Issue, description, who it affects
Issue: MO-2018-004-SI-001Critical spares
Number: MO-2018-004-SI-001
Description: MO-2018-004-SI-001:No procedure or system was in place to ensure critical spares were identified and their inventory controlled to ensure availability when required. As a consequence, the fan belts for the emergency generator had been on order for several months.
Issue owner: Kowa Marine Service
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 11 Sep 2020
Status: Closed – Adequately addressed
Type: Proactive action
Issue, description, who it affects
Issue: MO-2018-008-SI-01 Shore planning
Number: MO-2018-008-SI-01
Description: MO-2018-008-SI-01 :The ship’s manager’s (Yang Ming) cargo-planning process ashore did not ensure that the proposed container stowage plan complied with the stowage and lashing forces requirements of the ship's Cargo Securing Manual. Consequently, compliance with these requirements relied entirely on shipboard checks, made at a late stage, with limited options available ...
Who it affects: Ships operated by Yang Ming
Issue owner: Yang Ming Marine Transport Corporation
Operation affected: Marine: Shipboard operations
Date, status, type
Date: 13 Feb 2020
Status: Adequately addressed
Type: Proactive Action
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 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: Closed – 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: Closed – 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: Closed – Adequately addressed
Type: Safety recommendation
  Safety recommendation
First page Page 1 of 18 Last page Total records: 342