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Diploma in Marine Accident Investigation

All-encompassing marine accident investigation


training course by online learning

Starts 5 March 2019 | Delivered over 12 months

10% discount available for early enrolments.

1
Introduction and Background to Accident Investigation

Learning Outcomes:

Discuss the international background to marine accident investigation, its stakeholders and the influence of current legislation and
regulations
Identify relevant marine accident legislation and regulations
Evaluate the difference between an investigation for
safety purposes and enforcement action leading to
prosecution

The philosophy behind accident investigation: contrasting safety with enforcement


Trends in accidents and their consequences
Key stakeholders in marine accident investigation
Owners/Managers/Operators
Flag State / Port State/Government Administrations/Enforcement
Underwriters/Insurers/Lawyers
Seafarers and Seafarers Trade Unions
Ports/Harbours
Classification Societies
Professional Bodies
Marine accident investigating bodies worldwide
International organisations and their influence on marine accident investigation
International Maritime Organisation (IMO)
SOLAS; ISM Code; ISPS Code; IMDG Code
Collision regulations
Maritime Safety Committee (MSC) – Code of the International Standards and Recommended
Practices for a Safety Investigation into a Marine
Casualty or Marine Incident (Casualty Investigation Code)
Guidelines for the Investigation of Human Factors
Code for the Investigation of Marine Casualties
Guidance on fair treatment of seafarers in the event of a maritime accident MARPOL
STCW
Loadline Convention
Tonnage Regulations
International Labour Organisation (ILO)
Maritime Labour Convention
European Union (EU) Structure and influence
European Maritime Safety Agency
Fundamental principles governing the investigation of accidents in the maritime transport sector

2
The Common Causes of Marine Accidents

Learning Outcomes

Identify the common causes of marine accidents


Describe the different ways in which maintenance can have an effect on the safe operation of machinery
Analyse the human factors involved and how management can be used to address and reduce their impact

What is an accident?
Accident causes
Technical (e.g mechanical, lack of maintenance)
Operational (e.g navigation, cargo stowage)
Human factors
Stress
Fatigue

+44 (0)20 7017 4483 www.lloydsmaritimeacademy.com/minv safetyandenvironment@knect365.com


Drug and alcohol
Communication
Failure mode
Error classification
Behaviours
Common errors

3
First Principles of Marine Accident Investigation

Learning Outcomes

Explain the basic principles of a marine accident investigation


Discuss the importance of evidence
Draft a media plan and press notice for the investigation

Identifying the accident with clarity


Is it your job to investigate? Responsibilities of other bodies, e.g government enforcement
Understanding the investigation parameters
What are you trying to achieve?
The investigator’s role
Qualifications, attitude and status
Legal requirements for carrying out an investigation
Know your legal position
Importance of data collection
Witness identification and availability
Voyage data recorders and other data sources
Ship/company records
Media management
Press notices/conferences

4
Practical Preparation for the Investigation

Learning Outcomes

Describe the necessary requirements to prepare for a successful investigation


Identify the initial process of an investigation
Demonstrate awareness and assess the means available to ensure personal safety at an investigation scene

Being assigned to the accident investigation


Initial considerations/preparation
Design a systemic approach
Team requirements
Equipment requirements
Be organised – accommodation and domestics
Arriving at the scene/investigation location
Setting up a base
Independent integrity
Personal safety and on-site risk assessment
Health and safety
Avoid your own accidents – risk assessment plan
Personal safety equipment – personal protective clothing (PPE)

5
Investigation Protocol

Learning Outcomes

Describe how to set up an investigation ensuring data collection and relationships with stakeholders are not compromised
Evaluate the benefits of using checklists for data and evidence collection

Establishing collection of data protocol with stakeholders and availability of information and personnel – use of checklists
Establishing the culture surrounding the accident
Visit the site of the accident and other locations
Setting the scene for the investigation – initial meetings with selected stakeholders
Ensure a clear understanding of the investigation process
Making clear the investigators approach/powers and competencies
Security of the scene, including media management policy

+44 (0)20 7017 4483 www.lloydsmaritimeacademy.com/minv safetyandenvironment@knect365.com


6
On Site Risk Assessment and Investigation Management

Learning Outcomes

Conduct a risk assessment (including a dynamic risk assessment), identifying all key risk factors
Discuss how to ensure the investigation is handled sensitively with regards to victims and families
Identify the tools, priorities and hazards involved in carrying out a safety investigation

Safety investigations – contextual


Initiation of an investigation
Initial actions
Preparation
Tools of the trade
Personal safety during investigations
Dynamic risk assessments
Hazard identification
Entry into enclosed spaces
Management of the investigation
The investigation team
Victims and families

7
Data Collection

Learning Outcomes

Identify the various recorded data available for an investigation


Analyse the effectiveness and limitations of different methods of data collection
Conduct witness interviews and record statements

Fieldwork and initial enquiries


Checklists for investigations
Types and sources of data
Data collection – filters
Recovery of wreckage/data preservation
Identifying persons to interview
Data recorders
Voyage data recorder (VDR)
Simplified voyage data recorder (SVDR)
Other recorded data

8
Analysis of Data

Learning Outcomes

Critically evaluate the varying types of accident analysis


Identify the benefits of and be able to draw a sequence of events diagram
Explain root cause analysis and its application within the investigation process
Draft a safety bulletin

Definitions
Defence, event, unsafe act, unsafe condition, underlying conditions
Establishing the sequence of events and sequence of events diagram
Significant events and underlying factors
Root cause analysis
Kletz’s view: effort expended versus actual
importance
Organisational and management (O&M) factors
Investigating for O&M factors
Filters in respect of O&M factors
O&M Factors and the four Ps: philosophy, policy, procedures and practices
Questions to ask when considering O&M factors
Early issues and the need for early communication of safety issues
Drafting a safety communication
Risk assessments in safety investigation analysis
The risk equation
Risk matrix and ALARP (as low as reasonably practicable)
The risk paradigm
Drawing conclusions
Types of incident analysis: fire, navigation, cargo and occupational/personnel accidents, structural failures, stability and
+44 (0)20 7017 4483 www.lloydsmaritimeacademy.com/minv safetyandenvironment@knect365.com
maintenance issues

9
The Investigation Report

Learning Outcomes

Describe the structure and format of a marine accident report


Draft a marine accident report
Analyse the data and be able to make clear recommendations
Describe the publication and circulation process for marine accident reports

Timing of the report


The structure of the report
Examples of reports
Populating the report
Writing style and language
Formulating recommendations
Linking to conclusions
Report writing and analytical traps

10
Post-Publication of a Marine Accident Report

Learning Outcomes

Describe how to set up a press conference and deal directly with the media
Define the court process as it applies to marine accidents
Discuss the implications of public inquiries
Write a ‘lessons learned’ report

Follow-up
Monitoring action plans
Public and media attention
Hosting press conferences
Court proceedings for investigators
Court process
Expert witness evidence
Public inquiries and implications
Compiling lessons learned reports

11
A Mock Marine Accident Investigation and Report

Learning Outcomes

Integrate learning from across the course to a topical case study situation
Produce a detailed and well-structured report

Given an example accident you will be required to carry out your own investigation concluding with a marine accident investigation report.
You will be expected to do an analysis of all the evidence, conduct a root cause analysis and draw a sequence of events diagram as well as
draw conclusions and make recommendations.

IN-COMPANY CORPORATE TRAINING

DISTANCE LEARNING, FACE-TO-FACE WORKSHOPS, WEBINARS AND BLENDED DELIVERY

This course and many others are available for corporate client delivery. To find out more about our capability, the benefits of Corporate In-
Company Training, or to obtain a quote, call +44 (0)20 7017 4455 or email ct@informa.com [ct@informa.com].

Lloyd's and the Lloyd's Crest are the registered trademarks of the Society incorporated by the Lloyd's Act 1871 by the name of "Lloyd's"

+44 (0)20 7017 4483 www.lloydsmaritimeacademy.com/minv safetyandenvironment@knect365.com

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