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Reports

Industry reports on accidents and lessons learnt



This page contains links to Accident Investigation Reports published by Flag State, Maritime Safety and Accident Investigation Bodies and other newsletters that may be of interest.


Australian Transport Safety Bureau (ATSB)


Investigation Reports.
Selected reports below - Click Here access the website.
Report Release Date or Date of Incident Location Type
f/v Allena/Northern Fortune Date of Incident 21st January 2008 Bowen, Queensland Collision
Star Sea Bridge / fv Sue M 26th February 2004 East of Evens Head, NSW Collision
Sea Breeze/Forum Somoa II 22nd December 2003 Cape Moreton Collision
Hanjin Dampier 22nd December 2003 Dampier, WA Grounding

Maritime Safety Bulletins
Safety Bulletin No 3 - Lifeboat Accidents




Marine Accident Investigation Branch (MAIB)

Several Safety Digests are issued throughout each year, summarising lessons learned from incidents for the period. Safety Digests for all years are available from the MAIB website.

The following digests have been published for 2007: 1/2007

Safety Studies
Bridge Watchkeeping Safety Study
Review of Lifeboat and Launching Systems' Accidents
Timber Deck Cargo Study

Annual Reports
Click Here to visit the MAIB Annual Reports download page.




Mariner's Alerting and Reporting Scheme (MARS)


Visit www.nautinst.org/MARS/ where all MARS reports can be obtained and searched. Recent reports below:

Number Date
209 March 2010 (242kb pdf)
208 February 2010 (592kb pdf)
207 January 2010 (1.1mb pdf)
206 December 2009 (1.31mb pdf)
205 November 2009 (893 Kb pdf)
204 October 2009 (1.01 Mb pdf)
203 September 2009 (832 Kb pdf)
202 August 2009 (845 Kb pdf)
201 July 2009 (988 Kb pdf)
200 June 2009 (604 Kb pdf)
199 May 2009 (228 Kb pdf)
198 April 2009 (110 Kb pdf)
197 March 2009 (336 Kb pdf)
196 February 2009 (220 Kb pdf)
195 January 2009 (204 Kb pdf)
194 December 2008 (216 Kb pdf)
193 November 2008 (232 Kb pdf)
192 October 2008 (140 Kb pdf)
191 September 2008 (196 Kb pdf)
190 August 2008 (188 Kb pdf)
189 July 2008 (296 Kb pdf)
188 June 2008 (259 Kb pdf)
187 May 2008 (144 Kb pdf)
186 April 2008 (172 Kb pdf)
185 March 2008 (216 Kb pdf)
184 February 2008 (166 Kb pdf)





Confidential Human Factors Incident Reporting (CHIRP)


Reports can be downloaded here or from the CHIRP website.

Issued Title
Spring 2008 Maritime Feedback Issue 18 (260 Kb pdf)
New Year 2008 Maritime Feedback Issue 17 (260 Kb pdf)
Autumn 2007 Maritime Feedback Issue 16 (360 Kb pdf)





Maritime New Zealand - Lookout!


Lookout! is a quarterly safety newsletter published by Maritime New Zealand, which sets out lessons learnt from accidents.

Number Date
Issue 8March 2008 (2.0Mb pdf)
Issue 7December 2007 (1.55Mb pdf)
Issue 6September 2007 (900Kb pdf)
Issue 5June 2007 (312Kb pdf)
Issue 4April 2007 (2.79Mb pdf)
Issue 3December 2006 (1.9Mb pdf)
Issue 2July 2006 (2.36Mb pdf)
Issue 1March 2006 (1.5Mb pdf)






Alert!


Alert! is the international maritime human element bulletin - A Nautical Institute project sponsored by Lloyd's Register. The bulletins are designed to promote awareness and interest in the management of the human issues in all areas of the maritime industry.

Phase 2:
Phase 2 focuses on the application of the body of knowledge that has already been accumulated, to address the specific Human Element issues of: fatigue; effective communication; automation and alarm management; complacency and routinisation; slips, trips and falls; health, safety and wellbeing; recruitment, retention, education, training and competence; and information management.

AdobeIcon Alert! Bulletin issue 21 - Too much information (2.28Mb)
AdobeIcon Alert! Bulletin issue 20 - Education, training & career development - critical for safe operations (1.75Mb)
AdobeIcon Alert! Bulletin issue 19 - Lets get positive... (1.52Mb)
AdobeIcon Alert! Bulletin issue 18 - Look after your people... and they will look after you (1.35Mb)
AdobeIcon Alert! Bulletin issue 17 - The cumulative killers (1.16Mb)
AdobeIcon Alert! Bulletin issue 16 - Complacency and routinisation (1.17Mb)
AdobeIcon Alert! Bulletin issue 15 - Automation and alarm management (1.38Mb)
AdobeIcon Alert! Bulletin issue 14 - Effective communication (1.9Mb)
AdobeIcon Alert! Bulletin issue 13 - Seafarer fatigue (1.44Mb)


Phase 1:
Please find below 12 issues of the Alert! Bulletin which make up phase 1 of the project. The bulletins focus on a number of subject areas, each of which has concentrated on one or more element of the lifecycle of a ship.


AdobeIcon Alert! Bulletin issue 11 (1.1Mb)
AdobeIcon Alert! Bulletin issue 9 (1.2Mb)
AdobeIcon Alert! Bulletin issue 7 (2.2Mb)
AdobeIcon Alert! Bulletin issue 5 (738Kb)
AdobeIcon Alert! Bulletin issue 3 (788Kb)
AdobeIcon Alert! Bulletin issue 1 (1,016Kb)

AdobeIcon Alert! Bulletin issue 12 (1.54 Mb)
AdobeIcon Alert! Bulletin issue 10 (1.09 Mb)
AdobeIcon Alert! Bulletin issue 8 (824Kb)
AdobeIcon Alert! Bulletin issue 6 (408Kb)
AdobeIcon Alert! Bulletin issue 4 (1.4Mb)
AdobeIcon Alert! Bulletin issue 2 (458Kb)





IMO Maritime Safety Committee - Lessons Learned


The Maritime Safety Committee is IMO's senior technical body on safety-related matters. It is aided in its work by a number of Sub-Committees.

Lessons learned for presentation to seafarers, FSI 13 - 29/6/2006
Lessons learned from casualties for presentation to seafarers (as reviewed and approved by the Sub-Committee on Flag State Implementation at its thirteenth session)

Summary of lessons learned from casualties, FSI 12 - 11/8/2004
Lessons learned from casualties for presentation to seafarers (as reviewed and approved by the Sub-Committee on Flag State Implementation at its twelfth session)

Summary of lessons learned from casualties, FSI 11 - 24/3/2004
Summaries of lessons learned from casualties for presentation to seafarers (as reviewed and approved by the Sub-Committee on Flag State Implementation) can be found here.


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