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

Research output: Contribution to conferencePaper

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.

Conference

ConferenceThe 7th International Maritime Conference on Design for Safety
Abbreviated titleDfS 2018
CountryJapan
CityKobe
Period16/09/1821/09/18
Internet address

Fingerprint

Accidents
Ships
Fires
Engines
Risk management
Freight transportation
Industry
Costs

Keywords

  • accident anlaysis
  • fire
  • engine room
  • CAST
  • STAMP

Cite this

Puisa, R., Williams, S. M., & Vassalos, D. (2018). Systems approach to accident analysis: engine room fire on cruise ship "Le Boreal". Paper presented at The 7th International Maritime Conference on Design for Safety, Kobe, Japan.
Puisa, Romanas ; Williams, Stuart Mansfield ; Vassalos, Dracos. / Systems approach to accident analysis : engine room fire on cruise ship "Le Boreal". Paper presented at The 7th International Maritime Conference on Design for Safety, Kobe, Japan.13 p.
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keywords = "accident anlaysis, fire, engine room, CAST, STAMP",
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Puisa, R, Williams, SM & Vassalos, D 2018, 'Systems approach to accident analysis: engine room fire on cruise ship "Le Boreal"' Paper presented at The 7th International Maritime Conference on Design for Safety, Kobe, Japan, 16/09/18 - 21/09/18, .

Systems approach to accident analysis : engine room fire on cruise ship "Le Boreal". / Puisa, Romanas; Williams, Stuart Mansfield; Vassalos, Dracos.

2018. Paper presented at The 7th International Maritime Conference on Design for Safety, Kobe, Japan.

Research output: Contribution to conferencePaper

TY - CONF

T1 - Systems approach to accident analysis

T2 - engine room fire on cruise ship "Le Boreal"

AU - Puisa, Romanas

AU - Williams, Stuart Mansfield

AU - Vassalos, Dracos

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.

KW - accident anlaysis

KW - fire

KW - engine room

KW - CAST

KW - STAMP

M3 - Paper

ER -

Puisa R, Williams SM, Vassalos D. Systems approach to accident analysis: engine room fire on cruise ship "Le Boreal". 2018. Paper presented at The 7th International Maritime Conference on Design for Safety, Kobe, Japan.