Safety issue
| Safety issue description |
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. |
|---|---|
| Issue number | MO-2013-011-SI-03 |
| Issue owner | Universal Shipping |
| Transport function | Shore operations |
| Date issue released | 22/09/2014 |
| Issue status justification |
No action taken by Universal Shipping to address this safety issue. |
Safety action
| Action type | Recommendation |
|---|---|
| Action number | MO-2013-011-SR-026 |
| Organisation | Universal Shipping BV |
| Action date | 22/09/2014 |
| Action description |
The ATSB recommends that Universal Shipping take action to address this safety issue. |
| Action status | Released |
Safety action
| Action type | Proactive action |
|---|---|
| Organisation | Universal Shipping BV |
| Action date | 22/09/2014 |
| Action description |
Universal Shipping advised the ATSB that; The chief mate has instructed the third mate to “watch the helmsman”. There was not a hand over of the watch but only a request for assistance to avoid that accidents might occur. |
| ATSB response |
The ATSB's investigation found the bridge team members’ understanding of who was the officer of the watch at the time of the grounding was not consistent. The chief mate thought that he had handed the watch over to the third mate and the third mate thought that he was simply assisting the chief mate. |
| Action status | Released |