IOSH Offshore Conference · 2018. 8. 6. · MAIB Organigram Deputy Chief Inspector Chief Inspector Red Team White Team Green Team Blue Team •Investigation support staff •Electronic

IOSH Offshore ConferenceDiscovery centre Dundee19 October 2017

Danny Harwood MSc CMIOSHPrincipal Inspector of Marine Accidents

www.maib.gov.uk

Who are MAIB?

’

Secretary of State for

Transport

MAIB was established 1989

Herald of Free Enterprise (1987)

Public Inquiry recommendation: Separate accident investigation from regulation

MAIB Organigram

Deputy Chief Inspector

Chief

Inspector

Red Team Green Team Blue TeamWhite Team

• Investigation support staff

• Electronic data recovery

• Publications

• IT support

• Technical editing

• Health & safety manager

• Based in Southampton

• About 35 staff

MAIB Inspectors

• Typically ex-seafarers• Specialisations:

• Navigation• Engineering• Fishing• Naval Architects

• DfT accredited accident investigators

AIMS OF THE MAIB

• Improve the safety of life at sea

• To satisfy the general public and the maritime community that marine accidents are properly investigated

• To fulfil the requirements of IMO Resolutions: A849(20), MSC 255(84), SOLAS Chapter 1, reg 21 and EU directive (2009/18/EC)

What do the MAIB investigate?

• UK flag vessels anywhere in the world

• Any vessel in UK waters (12 mile limit)

• Merchant vessels of all sizes

• Fishing vessels

• Leisure craft (commercial and private)

Types of accident

• Casualty to vessels• Sinking• Capsize• Collision• Fire/explosion• Pollution

•Occupational accidents• Falls from height• Confined spaces• Entrapment in machinery• Mooring deck operations

Recent cases I have led or managed

FV Karen

Failure of HMPE

mooring line on

board LNG carrier

Zarga resulting in

serious injury to

one crewman


FV Karen

Collision between

unnamed RN

nuclear submarine

and fishing vessel

Karen


FV Karen

Loss of Cyprus

registered cement

carrier Cemfjord

and its 8-man crew

January 2015


FV Karen

Sinking of Wacker

Quacker 1 and fire on

board Cleopatra

The investigation process

• What?

• Where?

• When?

• How?

• Why?

• What can be done to prevent it happening again?

Starts with the receipt of a report

• Vessel owner

• Vessel master

• Harbour Authority

• Police

• Member of the public

• Maritime and Coastguard Agency

Categorise the accident

• Very serious

• Serious

• Less serious

• Marine incident

• Outside regulations

Pre-deployment preparations & information gathering

• Inform vessel owners, operators and master of MAIB intentions

• Establish status of vessels involved

• Preserve of evidence

• Compile initial list of contacts

• Travel and accommodation

Arrival at the accident site

• Introductions

• Liaise with all interested parties

• Establish primacy

• Agree an investigation plan

• Risk assessment

Police

MCA

P&IFire

Service

Flag state

Class

HSE

Insurers

CG

Legaladvisors

Owner’s

RYAMOD

DEFRA

SOSREP

Trading standards

Salvors

CouncilOfficials

Media/press

Foreign Flag States

Foreign CoastalStates

HarbourAuthorities

BorderControl

Accident site safety management

Evidence gathering

• Witness evidence

• Electronic evidence

• Physical evidence

• CCTV, video recordings, photographs

• Mobile phone records

• Documentary

• Priority given to perishable evidence

Witness interviews

• Set the right atmosphere• Location• Rapport• Refreshments

• Explain role of MAIB

• Explain the process• Information provided is

confidential • Right to have a friend• Interview will be recorded• Note taking

Electronic evidence

• Voyage data recorders

• Radar

• Electronic chart plotters

• Automatic Identification Systems

• Global Positioning System

• Machinery data loggers

• Fire detection systems

VDR Save

VDR recoveryCapsule

Hard drive

Electronic evidence

Branch review

•Brief Chief Inspector

• Peer review

• Challenge the evidence

•Decision on type of report

•Need for a safety bulletin?

• Follow-up work?

Investigation follow-up work

• Company visits

• Additional or follow-up interviews

• Passenger questionnaires


• Company visits



• Underwater surveys


• Company visits




• Wreck recovery


• Company visits




• Wreck recovery

• Trials and reconstructions


• Company visits




• Wreck recovery


• Non-destructive and destructive testing


• Company visits




• Wreck recovery


• Non-destructive and destructive testing

• Paint sample analysis

Recommendations meeting

• Review of MAIB investigation findings

• Chaired by the Chief Inspector

• Findings presented by the lead inspector

• Attended by invited stake holders and industry experts

• The aim is to assist in the identification of achievable, proportionate and smart recommendations

MAIB report writing process

• Inspector’s draft report

• Team draft report

• Technical editor review

•Deputy Chief Inspector & Chief Inspector review

• Consultation period

Other MAIB publications

• Safety bulletins

• Interim reports

• Safety flyers

• Safety digests

• Safety studies

Top tips (Interviews)

• Plan your interviews

• Interview all witnesses

• Conduct interviews as soon as practicable

• Listen carefully to witnessesIf a witness said that something happened, it does not mean that something actually happenedIf something a witness said happened, did not happen, it does not mean that that witness was lying

• Treat all witnesses with respect and closely monitor their wellbeing

IOSH Offshore ConferenceDiscovery centre Dundee19 October 2017

Danny Harwood MSc CMIOSHPrincipal Inspector of Marine Accidents

www.maib.gov.uk

IOSH Offshore Conference · 2018. 8. 6. · MAIB Organigram Deputy Chief Inspector Chief Inspector Red Team White Team Green Team Blue Team •Investigation support staff •Electronic

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