Neither the master nor the second mate had undertaken required bridge resource management training. This probably contributed to the ineffective implementation of bridge resource management on board, which resulted in the single person errors that contributed to this accident not being detected.
The provision of bridge resource management (BRM) training to Goliath’s deck officers should improve the effectiveness of BRM on board and reduce the risk of single person errors going undetected. In addition, the inclusion of the BRM training requirement in the fleet crew training schedule and the introduction of navigation audits to verify shipboard compliance with the BRM requirements of the safety management system should adequately address the safety issue.
On 3 June 2022, CSL Australia advised the ATSB that all deck officers serving on board Goliath, on both duty rosters, had been provided with bridge resource management (BRM) training ashore. The ship’s health safety environment and quality (HSEQ) manager and HSEQ superintendent also undertook the training, and a new dynamic navigation audit was instituted to allow for regular audits of CSL Australia ships focused on the effective implementation of BRM on board.
On 22 January 2023, CSL Australia advised the ATSB that the crew training schedule for ships across its fleet had been updated to reflect the safety management system’s requirement for BRM training.