Beruflich Dokumente
Kultur Dokumente
I SLANDS
Marine Investigation Report
10 Conclusions &
Recommendations
11 Acknowledgements
12 Appendix I
13 Appendix II
Disclaimer
The Flag Administration has a mandate to promote safety of life and property at sea, and the prevention of
pollution. This is achieved in part by conducting investigations of marine casualties involving vessels in the
registry for remedial purpose in accordance with the Republic of the Marshall Islands Maritime Act 1990
and Maritime Regulations. Marine investigations, which are administrative in nature, look to the cause of
difficulties experienced, means of avoiding them in the future, possible violations of law, and any faults or
failures on the part of personnel, shipowners or operators which might require action in respect of any licenses,
certificates or documents.
It is not the function of the Administration or the purpose of the investigation to assign fault or determine civil
or criminal liability with respect to enhancing the litigation posture of any party. The Administration must
report, or cause to be reported, the circumstances and proximate cause or causes of a marine casualty and
contributory factors. However, where it is determined that there exists evidence of criminal conduct under the
laws of the Republic of the Marshall Islands on the part of any seafarer holding a Republic of the Marshall
Islands Certificate of Competency or other official document, the matter would be referred to the Ministry of
Justice of the Republic of the Marshall Islands for appropriate action.
Authority
An investigation under the authority of the Marshall Islands Maritime Regulation 6.38 was conducted to
determine the cause of the casualty and recommend remedial measures.
Officer to inform the 2nd Officer to send the vessel’s ETA for reported it to be showing about 248°. When the course was
Mossel Bay at midnight to the Charterers Agents. The Master steadied, the helm was placed back onto auto pilot.
then left the bridge and turned in at about 2345 hrs.
2.5 The 2nd Officer then reported that he went back to the
1.6 Shortly thereafter, the 2 Officer arrived on the bridge and
nd
starboard radar to check the display; however, land was still not
relieved the 3rd Officer after checking the NINO’s position using showing. At this time, the port radar was switched from ‘stand-
the starboard radar, GPS and gyro. The 2nd Officer stated that all by’ to ‘on’ but the port radar only displayed a yellow screen.
equipment appeared to be functioning normally after carrying The starboard radar was checked again, and as before, only the
out watch change over procedures. The port radar was reported heading marker was showing and the shore line was not seen.
to be on standby at the time. Also at this time, one ship was
observed overtaking the NINO approximately three miles off 2.6 Furthermore, visibility at this time was reported to be
the starboard side. The course of the NINO was also confirmed poor due to the development of rain squalls. The 2nd Officer
and recorded as 230° by the gyro and as 250° magnetic. remarked that the Mbashe light could only be seen for a
brief period as the NINO passed abeam of it. Thereafter, no
2. Sequence of Events land markers could be ascertained. Throughout the watch,
visibility was reported by the 2nd Officer to be about 3 miles,
2.1 The next fix was taken by the 2nd Officer at 0100 hrs. The
with showers. Winds were observed to be force 7/8 from the
vessel’s position of 32°21’S / 29°03’E was fixed by visual
South West, and seas with a North-Easterly swell.
bearings off the shore light at Mbashe Point, and confirmed by
GPS. The course remained 230° by the gyro. Both the 2nd and
2.7 According to the 2nd Officer’s statement, at 0200 hrs the
3rd Officers reported that position fixes were taken hourly, and
gyro heading was checked again and observed to display a
that this was standard practice onboard the ship.
course of 230°. However, at this time the magnetic compass
was now observed to be showing a course of 290°. Alerted
2.2 According to statements provided by the 2nd Officer, at
by this considerable deviation, the 2nd Officer proceeded to
approximately 0115 hrs, the Able Bodied Seaman (AB) on
the chart room to fix the position of the NINO by GPS. After
watch with the 2nd Officer advised that he felt unwell due to
taking the first fix, he observed the vessel to be very close
the movement of the vessel in bad weather, and that he needed
to shore, then took a second fix to re-check the position and
to use the toilet. The 2nd Officer permitted the AB to leave
confirmed the position to be correct.
the bridge with the expectation that he would return shortly
thereafter. However, the 2nd Officer reported that the AB did
2.8 The 2nd Officer stated that he returned to the helm, took
not return to the bridge. A replacement was not called.
control off auto pilot, and put the wheel hard over to port. It
was further stated the vessel did not readily come around and
2.3 A short time later, upon checking the starboard radar,
continued on the same course, rolling heavily.
the 2nd Officer observed that the heading of 230° continued
to be displayed on the radar; however, the shore line did not
2.9 Keeping the helm at hard over to port, the 2nd Officer
show. The 2nd Officer stated that he cycled through the various
reported calling the Master just prior to the NINO running
ranges, but the shore line could not be picked up.
aground. The Master reported being awoken by the shuddering
of the vessel, just prior to being called by the 2nd Officer. In
2.4 Then, at approximately 0135 hrs the gyro off-course
either event, the Master proceeded directly to the bridge and
alarm sounded on the steering console. The 2nd Officer recalled
arrived just as the vessel was aground.
observing the heading displayed on the starboard radar and
the gyro swing to a course of 130°. The magnetic compass
3. Grounding Incident
heading at this time was not reported. Then, according to his
statement, the 2nd Officer accounted taking helm off automatic 3.1 At approximately 0215 hrs on 18 July 2002, the NINO
steering and altering course on hand steering to starboard, was hard aground off East London, South Africa. When
bringing the vessel around until the heading marker on the the Master arrived on the bridge, he reported observing the
gyro came back to 230°. When the vessel was brought onto propulsion set to full ahead. The Master stated he immediately
230°, the 2nd Officer checked the magnetic compass and placed the propeller pitch to zero degrees, and operated
the steering gear from hard port to hard starboard to check Master had suffered a mild heart attack. He remained onboard
freedom of movement. The gear appeared to be responding with his condition monitored under the guidance of medical
properly as the Master operated the steering gear. practitioners. However, he was later transported off the vessel
for medical attention as his condition had not improved.
3.2 The crew was called out to emergency stations, instructed
to don life jackets, and secure all watertight doors and 4.2 Over the next several days, pollution abatement, anchor
ventilation flaps around the accommodation due to the surf handling / tug and support vessels arrived on scene. Electrical
breaking over the stern. The Master ordered hand soundings power onboard the NINO was provided by the emergency
to be taken of all double bottom tanks and spaces, including generator, as the auxiliary generator engine coolers were
tanks and spaces beneath the engine room and steering gear. clogging up with shells, hampering salvage efforts. Eventually,
generator coolers were rigged to circulate cooling water from
ballast tanks, enabling the generators to be run and provide
power for operating transfer pumps.
4. Salvage Operations 4.4 Consolidation of cargo and black oil to the Center Tanks
was completed on 23 July 2002. Lightering of black oils in
4.1 Assistance was requested by the Master to the
#6C commenced on 26 July 2002, but had to be aborted after
shipmanagers on the morning of 18 July 2002, and a salvage
offloading approximately 170 tons of black oil due to the
team was immediately mobilized. The salvage Master and
development of a minor leak in the transfer hose. A re-floating
salvage team were able to board the vessel early in the
was attempted with high tide after observations confirmed the
afternoon by helicopter. 16 non-essential personnel of the
NINO shifted bodily and changed heading slightly. The first
27 crew were evacuated by helicopter from the vessel later
re-floating attempt proved to be unsuccessful.
in the day. Late in the afternoon, it was suspected that the
5. Damage Summary
Lightering Operation Underway
5.1 According to the tank soundings taken prior to the initial
re-floating attempt, areas of suspected damage included the
#3 Port Double Bottom (DB) water ballast tank, Starboard
cargo Slop Tank, CPP header tank, Port and Starboard DB
diesel oil storage tanks, fuel oil overflow tank and lube oil
sludge tank. With the exception of the water ballast tank and
Starboard cargo Slop Tank, all the suspected areas are aft
underneath the forward section of the engine room. Despite
the breaching of the fuel oil and lube oil tanks, no pollution
was reported sighted or readily apparent.
5.4 Repairs to the damages were undertaken in Durban. the ARPA and auto-pilot, and can be changed over at any
In total, 925 mt of steel was renewed. The repairs were time in the event of a failure or problem with the gyro
completed in February 2003. currently providing the input. According to available
information, it is apparent that only one gyro was
running. Therefore, the mate on watch could not switch
over to the other gyro without first leaving the bridge,
going to the gyro room one deck below, starting the
second gyro and allowing for a period of approximately
four hours for the unit to stabilize. However, it could not
be confirmed as to why only one gyro was running, or
which gyro was in operation.
time the vessel was actively engaged in cargo operations and major alteration of course; the standard and gyro
tank cleaning for the entire duration. compasses are frequently compared and repeaters
are synchronized with their master compass…”
7.4 Analysis of working hour information provided by the
2nd and 3rd Officers revealed that in the 96 hours prior to Navigation in Coastal Waters
the casualty, the 2nd Officer averaged less than six hours “The largest scale chart on board, suitable for the area
of sleep per day, taken in three hour increments during the and corrected with the latest available information,
six hour rest period between each six hour watch period. should be used. Fixes should be taken at frequent
Furthermore, during the 24 hour period on 17 July 2002, intervals; whenever circumstances allow, fixing should
the day before the grounding, according to the working hour be carried out by more than one method…”
records, the 2nd Officer reported having only four hours of
sleep between 2000–2400 hrs. Calling the Master
“The officer of the watch should notify the Master
8. Standing Orders immediately in the following circumstances:
8.1 Onboard the NINO, the Master provides Standing
Orders for all watch standing deck Officers. These are official (a) if restricted visibility is encountered or expected
orders issued by the Master, intended as the foundation for (-5nm);
supplemental instructions, duties and daily orders for the (b) if the traffic conditions or the movements of others
bridge team to follow during the course of the watch. The are causing concern (-4nm);
Master’s Standing Orders provide general instructions, as well (c) if difficulty is experienced in maintaining course;
as specific instructions, for the Officer of the Watch (OOW) to
(d) on failure to sight land, a navigation mark or to
follow during specific circumstances such as taking over the
obtain soundings by the expected time;
watch, use of navigational aids and equipment, navigation in
coastal waters, restricted visibility, when to call the Master, etc. (e) if, unexpectedly, land or navigation mark is sighted
Each OOW signs these orders, attesting to full understanding or change in soundings occurs;
of the orders prescribed within. (f) on the breakdown of the engines, steering gear or
any essential navigational equipment;
8.2 Under the Master’s Standing Orders, excerpts of note (g) in heavy weather if in any doubt about the
read as follows: possibility of weather damage;
General (h) if the ship meets any hazard to navigation, such as
“… It is of special importance that at all times the officer of ice or derelicts;
the watch ensures that an efficient look out is maintained.” (i) on any other emergency or situation in which he is
in any doubt;
Periodic Checks of Navigational Equipment
“Operational tests of shipboard navigational equipment Despite the requirement to notify the Master immediately
should be carried out at sea as frequently as practicable in the foregoing circumstances, the officer of the watch
and as circumstances permit, in particular when hazardous should in addition not hesitate to take immediate action for
conditions effecting navigation are expected: where the safety of the ship, where circumstances so require.”
appropriate these tests should be recorded.
8.3 Additionally, the Master provides daily orders/
The officer of the watch should make regular checks instructions in a document titled “Master’s Bridge Order
to ensure that: Book.” The daily Standing Orders prescribed in the Bridge
Order Book are designed to take into account the particular
(a) the helmsman or the automatic pilot is steering situation and circumstances relevant to the operation of the
the correct course; ship that day. Entries are made by the Master, and counter-
(b) the standard magnetic compass error is determined signed by each OOW.
at least once a watch and, when possible, after any
8.4 Just prior to midnight on 17 July 2002, the Master’s entry the watch. APPENDIX II lists the check-off items contained
into the Bridge Order Book read as follows: within Check List No. 12. The OOW should not hand over
the watch if there is any reason to believe that the relieving
“Pls keep sharp look out during all watch. Every 1 hours Officer is unfit to carry out his duties. Likewise, the relieving
made safety round, check gyro and magnetic compass, Officer should also be satisfied that all other members of the
check navigation lights, check vsl’s position and steering bridge team are fit for duty as well. In any situation where
course all passage plan. Keep radar 6 and 12 miles range. either OOW is in doubt, the Master should be advised.
Pls follow Master standing order and CSM check list 9.4 The Company Check Lists referred to in the Master’s
No. 03, 10, 12. Standing Orders are based on guidelines contained within the
If any doubt call the Master immediately.” ICS “Bridge Procedures Guide.” Likewise, most aspects of
the Master’s Standing Orders mimic the guidelines published
9. Checklists within the ICS “Bridge Procedures Guide.”
9.1 Company Check List No. 03 refers to the Passage Plan. 10. Deck Log Book Extracts
For the voyage from Durban to Mossel Bay, the Passage Plan
contained 17 Action Points. The Action Points dictate when 10.1 In accordance with the company Check List instructions,
and where particular events should take place, such as course an entry is to be made in the Deck Log Book when the check
alterations, securing or making deck equipment ready, taking the list is used during the watch. Review of the Deck Log Book
pilot onboard, etc. Each Action Point also stipulates the position entries for the previous day on 17 July 2002 revealed that the
fixing intervals and methods. In the subject voyage while first entry at the beginning of each watch rotation recorded
underway, the primary method of position fixing is indicated as that the Bridge Check Lists No. 03, 10, and 12 were carried
VISUAL, and the secondary as RADAR, with intervals of either out. Each entry also logged that the auto pilot was checked by
10 or 30 minutes (depending on the Action Point). switching from Auto to Manual, then back to Auto.
9.2 Company Check List No. 10 refers to navigation in 10.2 However, on 18 July 2002, the first log entry for
coastal waters, and provides a series of check-offs which the 0000–0400 watch cited “the Bridge Watch c/o was
should be taken into account when preparing the passage plan completed.” There was no recordation that Check Lists
and for consideration during coastal navigation. An entry No. 03, 10, and 12 were completed. Furthermore, the entry
is to be made in the Deck Log Book when the check list is at 0100 hrs omitted voyage information detailing heading
used during the watch. APPENDIX I lists the check-off items information (true, magnetic, and deviation).
contained within Check List No. 10. Of note, the company
stipulates a policy whereby the sole look-out is to be suspended 10.3 The next entry at 0200 hrs stated:
when navigating within 10 miles of the coast. Sole look-out “02:01—Gyro was failure, vsl was proceed in bad
watchkeeping is a practice whereby the OOW may also be weather rough sea wave 8 met res, have observed the
the sole look-out. Under section 3.2.1.1 of the STCW Code, radar display not in sight any shore objects.
this practice may only be undertaken in daylight conditions.
Furthermore, as recommended by the “Bridge Procedures 02:01—By Master order turned altered course to sea
Guide” published by the International Chamber of Shipping side but high waves pushed vsl to shore.
(ICS), before undertaking sole look-out watchkeeping, the
Master should be satisfied that the OOW has had sufficient 02:15—vsl aground…”
rest, anticipated workload is well within the capabilities of
the OOW, back-up assistance has been clearly designated, all
bridge equipment is fully functional, etc.
Acknowledgements
1. The Republic of the Marshall Islands recognizes the
efforts of all the crews and members of the salvage teams for
providing rapid aid and assistance to the crew of the NINO
upon receiving notice of this incident.
Appendix I
Appendix II