Systems approach to accident analysis: engine room fire on cruise ship "Le Boreal"

Romanas Puisa; Stuart Mansfield Williams; Dracos Vassalos

Systems approach to accident analysis: engine room fire on cruise ship "Le Boreal"

Romanas Puisa, Stuart Mansfield Williams, Dracos Vassalos

Naval Architecture, Ocean And Marine Engineering

Research output: Contribution to conference › Paper

68 Downloads (Pure)

Abstract

The current explanation of accidents is derived from an analysis of proximate events and some contributing causal factors, whereas the role of a wider socio-technical context that give rise to systemic causal mechanisms is often left unexplained. The paper describes analysis results of a recent maritime incident with the purpose to illuminate the causal factors, including systemic ones, and offers a different, more comprehensive explanation of the incident causation to that which is given in the accident investigation report. The study seeks to provide valuable input for enhancements in overall maritime safety control and proactive safety management at the ship and shipping company levels. With the gained knowledge, resources committed to risk management can be better allocated, reducing associated costs and improving on business objectives.

Original language	English
Number of pages	13
Publication status	Published - 21 Sep 2018
Event	The 7th International Maritime Conference on Design for Safety - Kobe, Japan Duration: 16 Sep 2018 → 21 Sep 2018 Conference number: 7 http://dfs2018.naoe.eng.osaka-u.ac.jp/

Conference

Conference	The 7th International Maritime Conference on Design for Safety
Abbreviated title	DfS 2018
Country	Japan
City	Kobe
Period	16/09/18 → 21/09/18
Internet address	http://dfs2018.naoe.eng.osaka-u.ac.jp/

Keywords

accident anlaysis
fire
engine room
CAST
STAMP

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Cite this

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title = "Systems approach to accident analysis: engine room fire on cruise ship {"}Le Boreal{"}",

abstract = "The current explanation of accidents is derived from an analysis of proximate events and some contributing causal factors, whereas the role of a wider socio-technical context that give rise to systemic causal mechanisms is often left unexplained. The paper describes analysis results of a recent maritime incident with the purpose to illuminate the causal factors, including systemic ones, and offers a different, more comprehensive explanation of the incident causation to that which is given in the accident investigation report. The study seeks to provide valuable input for enhancements in overall maritime safety control and proactive safety management at the ship and shipping company levels. With the gained knowledge, resources committed to risk management can be better allocated, reducing associated costs and improving on business objectives.",

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AU - Puisa, Romanas

AU - Williams, Stuart Mansfield

AU - Vassalos, Dracos

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PY - 2018/9/21

Y1 - 2018/9/21

N2 - The current explanation of accidents is derived from an analysis of proximate events and some contributing causal factors, whereas the role of a wider socio-technical context that give rise to systemic causal mechanisms is often left unexplained. The paper describes analysis results of a recent maritime incident with the purpose to illuminate the causal factors, including systemic ones, and offers a different, more comprehensive explanation of the incident causation to that which is given in the accident investigation report. The study seeks to provide valuable input for enhancements in overall maritime safety control and proactive safety management at the ship and shipping company levels. With the gained knowledge, resources committed to risk management can be better allocated, reducing associated costs and improving on business objectives.

AB - The current explanation of accidents is derived from an analysis of proximate events and some contributing causal factors, whereas the role of a wider socio-technical context that give rise to systemic causal mechanisms is often left unexplained. The paper describes analysis results of a recent maritime incident with the purpose to illuminate the causal factors, including systemic ones, and offers a different, more comprehensive explanation of the incident causation to that which is given in the accident investigation report. The study seeks to provide valuable input for enhancements in overall maritime safety control and proactive safety management at the ship and shipping company levels. With the gained knowledge, resources committed to risk management can be better allocated, reducing associated costs and improving on business objectives.

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KW - fire

KW - engine room

KW - CAST

KW - STAMP

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