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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 For the full list of reports.
Report Release Date Location Type
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
2005 | 2004 | 2003




International Marine Accident Reporting Scheme (MARS)


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

Number Date
187 May 2008 (144 Kb pdf)
186 April 2008 (172 Kb pdf)
185 March 2008 (216 Kb pdf)
184 February 2008 (166 Kb pdf)
183 January 2008 (150 Kb pdf)
182 December 2007 (131 Kb pdf)
181 November 2007 (80 Kb pdf)
180 October 2007 (740 Kb pdf)
179 September 2007 (71.5 Kb pdf)
178 August 2007 (112 Kb pdf)
177 July 2007 (129 Kb pdf)
176 June 2007 (144 Kb pdf)





Confidential Human Factors Incident Reporting (CHIRP)


Reports can be downloaded here or from the CHIRP website.

Issued Title
Spring 2007 Maritime Feedback Issue 15 (324 Kb pdf)
Winter 2006 Maritime Feedback Issue 14 (370 Kb pdf)
Autumn 2006 Maritime Feedback Issue 13 (340 Kb pdf)
Summer 2006 Maritime Feedback Issue 12 (348 Kb pdf)
Spring 2006 Maritime Feedback Issue 11 (204 Kb pdf)
Winter 2005 Maritime Feedback Issue 10 (288 Kb pdf)
Autumn 2005 Maritime Feedback Issue 9 (416 Kb pdf)
Summer 2005 Maritime Feedback Issue 8 (640 Kb pdf)
Spring 2005 Maritime Feedback Issue 7 (524 Kb pdf)
Winter 2004 Maritime Feedback Issue 6 (308 Kb pdf)
Autumn 2004 Maritime Feedback Issue 5 (308 Kb pdf)
Summer 2004 Maritime Feedback Issue 4 (254 Kb pdf)
Spring 2004 Maritime Feedback Issue 3 (282 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 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 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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