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Case study of major accident to demonstrate the possibility of prediction of conditions for accidents #48 Presenter: Tiantian Zhu Authors: Tiantian Zhu a , Stein Haugen a , Yiliu Liu b , Kim Hyungju b a Department of Marine Technology, Norwegian University of Science and Technology, Trondheim, Norway b Department of Mechanical and Industrial Engineering, Norwegian University of Science and Technology, Trondheim, Norway

Case study of major accident to demonstrate the ...Case study of major accident to demonstrate the possibility of prediction of conditions for accidents #48 Presenter: Tiantian Zhu

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Case study of major accident to demonstrate the possibility of prediction of conditions for accidents

#48

Presenter: Tiantian Zhu

Authors: Tiantian Zhua, Stein Haugena, Yiliu Liub, Kim Hyungjub

a Department of Marine Technology, Norwegian University of Science and Technology, Trondheim, Norway b Department of Mechanical and Industrial Engineering, Norwegian University of Science and Technology, Trondheim, Norway

Research path •  Prediction of the conditions for accidents

Specify research interest

•  Turner's man-made disaster theory for accident development •  Risk analysis (QRA and real-time risk monitoring) •  Previous studies about MV Sewol accident

Literature study

•  Conditions of accident is possible to be anticipated if a capable accident model and data are available

Propose hypothesis

•  Define system boundary •  Develop accident model •  Investigate the availability of information with time and information holders •  Intergrate the collected information and their time of being available to accident

model to verify whether the accident can be predicted

Case study for verifying hypothesis

Case: --MV Sewol capsizing disaster • 16 April 2014 • Passenger ferry in South Korea • 304 out of 476 persons died

Regulations

Coast GuardChonghaejin Marine Company

MV SEWOL ferryCrew members

Passengers

FSA (Federation of Shipping Associations)

Korean Government

KR (Korean Register of Shipping)

System components in MV Sewol capsizing

Capsizing accident model

Rate of

turn

National regulatio

n for marine

operation

Market and

economic

conditions

Regulation for ship approval

National regulatio

n for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Work process of ship design

company

Modified ship

Route plannin

g

Inherent intact stability

Marine transportat

ion supervisio

n

Staff recruitme

nt

Ship manageme

nt

Competence of the captain

Communication and

cooperation

Crew managem

ent

Maintenance plan

Cargo

load

Operation practice(B

efore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast

water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizi

ng

Departure inspectio

n

Competence of the

third mate

Safety trainin

g

Ship desig

n

Information collection

Work process of

ship approval

No. Key information

Information holder

Time of being available

Effects

1 KR only used 1 day for the approval of MV Sewol, stability calculation was not verified

KR (Korean Register of Shipping)

Early 2013 Reduced the chance of catching the stability issue of the ferry

2 KR failed to recognize the lightweight is underestimated and approved the vessel.

Fail to catch the stability issue of the ferry

National regulation for marine operation

Market and economic conditions

Regulation for ship approval

National regulation for design Industry

standard and practice

Information collecting and integrating

Conceptual capsizing

prob.

2007

Regulation for ship approval

National regulation for design Industry

standard and practice

From: shipping sector “The profit margin is shrinking!!!”

Conceptual capsizing

prob.

National regulation for marine operation

Market and economic conditions

2007

Regulation for ship approval

National regulation for design Industry

standard and practice

Conceptual capsizing

prob.

National regulation for marine operation

Market and economic conditions

From: Regulator “The retirement of ferry extends from 20 years to 30 years.”

2008

National regulation for marine operation

Market and economic conditions

Regulation for ship approval

National regulation for design Industry

standard and practice

2008

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Work process of ship design

company

Ship modifica

tion

Route planning

Inherent intact

stability

Marine transportat

ion supervisio

n

Staff recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

From: CEO “More profit.”

Ship design

Ferry remodeling phase

Cargo plan and control

Company operation strategy

Safety awareness

of the captain

2012 Oct.

Safety awareness

of the captain

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Work process of ship design

company Route planning

Inherent intact

stability

Marine transportat

ion supervisio

n

Staff recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

From: Ferry company “The ferry is 18 years old”

Ship design

From: Ferry company “expand it to increase capacity”

Ferry remodeling phase

Cargo plan and control

Ship modification

Ship modifica

tion

2012 Oct.

From: Ferry company, Designer “Added two floors”

From: Ferry company “Raised revenue to get authorization for expansion”

Safety awareness

of the captain

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Work process of ship design

company Route planning

Inherent intact

stability

Marine transportat

ion supervisio

n

Staff recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

From: Design company “Did not follow rules to calculate ferry intact stability”

Ship design

From: “Underestimated the lightweight with 100 tons”

From: “Inclining test was conducted based on the documents with wrong data”

Ferry remodeling phase

Cargo plan and control

Work process of ship design

company

Ship modifica

tion

2013 Jan.

Safety awareness

of the captain

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Route planning

Inherent intact

stability

Marine transportat

ion supervisio

n

Staff recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training From: KR

“Used 1 day for approving MV Sewol, did not verify stability calculation”

Work process of ship design

company

Ship design

Ferry remodeling phase

From: “Did not recognize the lightweight is underestimated.”

Cargo plan and control

Work process of

ship approval

From: “Inclining test was conducted based on the documents with wrong data”

Ship modifica

tion

2013 Jan.

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Ship modifica

tion

Route planning

Inherent intact

stability

Marine transportat

ion supervisio

n

Staff recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

From: FSA, the captain, ferry operator “Telescope for overload checking”

Work process of ship design

company

Ship design

Operation preparation phase

Cargo plan and control

Marine transportation supervision

From: FSA, the captain, ferry company “captain reports voyage cargo load, passenger number”

Safety awareness

of the captain

2013 Mar.

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Route plan

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t Communicatio

n and cooperation

Crew manageme

nt

Maintenance plan

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

From: Ferry company “Ordered to load as much as possible”

Work process of ship design

company

Ship design

Cargo plan and control

Ship managemen

t

Ship modifica

tion

Operation preparation phase

From: Ferry company “Over reported allowed cargo to Incheon Coast Guard”

Ship managemen

t

Safety awareness

of the captain

2013 Apr.

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Route plan

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

From: Ferry company “The planned course includes a passage through the Maenggol Strait”

Work process of ship design

company

Ship design

From: Ferry company “Maenggol Strait is an accident-prone route with treacherous currents(tide)”

Cargo plan and control

Route plan

Ship modifica

tion

Operation preparation phase

Safety awareness

of the captain

2013 Apr.

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Inherent intact

stability

Marine transportat

ion supervisio

n

Staff recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

From: Ferry company, crew “Employ mainly temporary staff”

Work process of ship design

company

Ship design

Operation preparation phase

Cargo plan and control Staff

recruitment Ship

modification

Route plan

Safety awareness

of the captain

2013 Apr.

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Route plan

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

From: the former captain, ferry company “the ship is very unstable”

Work process of ship design

company

Ship design

Operation phase

From: the former captain, navigation officers “> 5° turning is not allowed!”

Cargo plan and control

Inherent intact

stability

Ship modifica

tion

Safety awareness

of the captain

2013 Jun.

Cargo plan and control

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Route plan

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Safety awareness

of the captain

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Safety training

From: Crew “No training is provided”

Work process of ship design

company

Ship design

Operation phase

From: CEO, HR “The company only spent around $500 on crew's safety education annually.”

Ship modifica

tion

2013 Jul.

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Safety awareness

of the captain

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Safety awareness

of the captain

From: HR, the captain “Temporary contract, high job insecurity”

Work process of ship design

company

Ship design

Operation phase

Cargo plan and control

Ship modifica

tion

Route plan

From: the captain “Inhonest self-report in cargo load, safety appliances, etc.”

2013 Oct.

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Work process of ship design

company

Ship design

Operation phase

Cargo plan and control

Ship modifica

tion

Safety awareness

of the captain

Route plan

2013 Oct.

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Competence of the third

mate

From: Crew, the captain “Banned from navigating a ship when entering and departing a port”

Work process of ship design

company

Cargo plan and control

Ship design

Operation phase

Ship modifica

tion

Route plan

Safety awareness

of the captain

2013 Dec.

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Cargo plan and control

Operation practice(Be

fore departure)

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Cargo plan and control

From: Crew, loading company, CEO “Frequent overload”

Work process of ship design

company

Ship design

Operation phase

Ship modifica

tion

Route plan

Safety awareness

of the captain

2014 Mar.

Cargo plan and control

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Ship technical condition

From: Maintenance Log “No registered malfunction ”

Work process of ship design

company

Ship design

Voyage preparation

Ship modifica

tion

Route plan

Safety awareness

of the captain

2014 Apr. 15th

Cargo plan and control

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Departure inspection

From: the captain, loading company “Did not detect overloading ”

Work process of ship design

company

Ship design

Voyage preparation

Ship modifica

tion

Route plan

Safety awareness

of the captain

2014 Apr. 15th

Cargo plan and control

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Cargo load

From: Loading company, crew members “1155 tons of cargo overloaded”

2014 Apr. 15th

Work process of ship design

company

Ship design

Voyage preparation

Ship modifica

tion

Route plan

Safety awareness

of the captain

Cargo plan and control

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Ship design

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Cargo secure

From: Crew members, loading company “No proper system to store containers”

Work process of ship design

company

Voyage preparation

Ship modifica

tion

Route plan

From: Crew member, loading company “Unsecured cargo storage”

Safety awareness

of the captain

2014 Apr. 15th

Cargo plan and control

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Ballast water

From: the captain, crew members “Only carry 761 tons, requires 1703 tons”

Work process of ship design

company

Ship design

Voyage preparation

Ship modifica

tion

Route plan

Safety awareness

of the captain

2014 Apr. 15th

Cargo plan and control

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Sea conditions(wi

nd, waves, current)

From: Tide table, the captain “Fast tide”

Work process of ship design

company

Ship design

Ship navigation

Ship modifica

tion

Route plan

Safety awareness

of the captain

2014 Apr. 15th

Cargo plan and control

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Navigation

From: the captain, shift time table “Third officer is in charge when across Maenggol Strait”

Work process of ship design

company

Ship design

Ship navigation

Ship modifica

tion

Route plan

Safety awareness

of the captain

2014 Apr. 16th

Cargo plan and control

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Speed

From: Speedometer “”

Work process of ship design

company

Ship design

Ship navigation

Ship modifica

tion

Route plan

Safety awareness

of the captain

2014 Apr. 16th

Cargo plan and control

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Rate of turn

From: Third mate “Turned over than 5 degree”

Work process of ship design

company

Ship design

Ship navigation

Ship modifica

tion

Route plan

Safety awareness

of the captain

2014 Apr. 16th

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Work process of ship design

company

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Cargo plan and control

Ship design

Ship navigation

Ship modifica

tion

Route plan

Safety awareness

of the captain

2014 Apr. 16th

Rate of turn

National regulation for marine operation

Market and

economic conditions

Regulation for ship approval

National regulation for design

Industry standard

and practice

Company operation strategy

Work process of

ship approval

Ship design

Inherent intact

stability

Marine transportat

ion supervisio

n

Crew recruitmen

t

Ship managemen

t

Communication and

cooperation

Crew manageme

nt

Maintenance plan

Operation practice

Ship technical condition

Unsecured

cargo

Cargo load

Ballast water

Sea conditions(

wind, waves, current)

Navigation

Speed Capsizin

g

Departure inspectio

n

Competence of the third

mate

Safety training

Work process of ship design

company

Cargo plan and control

Listing

Ship modifica

tion

Route plan

Safety awareness

of the captain

2014 Apr. 16th

Time line

Conceptualcapsizing probability

2012-early 2013:Remodeling period

2013-2014:Operation phase

1 day ahead:Voyage preparation

Navigating

Capsizing

Conclusions

1.  The capsizing is not a surprise

2.  A well-developed capsizing accident model and information availability is very useful for accident prediction

3.  It provides hints in where and when to collect information for accident prediction

4.  It indicates that different strategies can be applied at different system components at varied time for accident prevention.

Thank you!!!