E

SUB-COMMITTEE ON IMPLEMENTATION III 3/4/1

OF IMO INSTRUMENTS 1 April 2016
3rd session Original: ENGLISH
Agenda item 4

LESSONS LEARNED AND SAFETY ISSUES IDENTIFIED FROM THE ANALYSIS OF

MARINE SAFETY INVESTIGATION REPORTS

Review of reports of investigation into casualties

Note by the Secretariat

SUMMARY

Executive summary: This document contains the list of reports of investigation into
casualties, which have been reviewed by the Correspondence
Group on Casualty Analysis for this session of the Sub-Committee

Strategic direction: 12

High-level action: 12.1.2

Output: 12.1.2.1

Action to be taken: Paragraph 6

Related documents: III 3/4 and III 3/INF.2

List of reports circulated

1 The annex to this document contains the list of 38 reports of investigation into
casualties, which have been reviewed by the Correspondence Group on Casualty Analysis for
this session of the Sub-Committee. All the information related to the casualty and the analysis
of the reports of investigation can be accessed in the Global Integrated Shipping
Information System (GISIS) module on maritime casualties and incidents (MCI), which now
contains 9,926 incidents, 3,151 reports of investigation and 1,301 analyses.

Review by the relevant reporting States

2 The draft analyses of the reports have, first, been made available for review by the
relevant reporting Administrations only, using the secure access for Member States to GISIS,
for a 21-day period after notification by the Secretariat by email, in accordance with the agreed
procedure (FSI 17/20, paragraph 6.21).

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3 Comments from reporting Administrations on the analyses of those reports of

investigation, which they have submitted to IMO, were collected by the Secretariat up
to 12 February 2016 and were processed in cooperation with members of the correspondence
group, according to their nature, i.e. either editorial or substantial.

Review by all Members of the Organization

4 After assessment by the reporting Administrations and receipt by the Secretariat of

confirmation that the analyses were representative of the significant factors of the reports, the
full text of analyses, which is available in GISIS, has been released, as indicated in
document III 2/INF.2, to all Members of the Organization for review by the Sub-Committee.
An appropriate number of copies of the draft analyses will be made available, upon request,
to the Working Group on Casualty Analysis, when established.

Implementation of chapter 14 of the Casualty Investigation Code

5 In support of the entry into force of the Casualty Investigation Code

on 1 January 2010, the Secretariat continued to manually enter available information on very
serious marine casualties into GISIS in order to facilitate the submission of full reports of
investigation into casualties and relevant annexes, in accordance with the Casualty
Investigation Code. The information recorded is intended to assist flag Administrations through
their consultation of the Dashboard contained in the GISIS module on reporting requirements.

Action requested of the Sub-Committee

6 The Sub-Committee is invited to note the information provided and to take action as
appropriate.

***

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LIST OF INVESTIGATIONS INTO CASUALTIES WHICH HAVE BEEN ANALYZED BY THE CORRESPONDENCE GROUP

Incident Crew
reference in Ship Data Date of Passengers
GISIS/MCI Casualty Type of Casualty Location of Casualty Other persons
FLAG ADMINISTRATION IMO Number
Name Gross tonnage COASTAL ADMINISTRATION
Type Year of Build Other ship involved (name, flag) Lives lost Injuries
REPORTING ADMINISTRATION

ANTIGUA AND BARBUDA 9145255 29/04/2013 Very serious 36° 10.69' N 20° 09.18' E 10
C0009100 CONSOUTH 7171 Collision Ionian Sea
Container Ship (Fully Cellular) 01/04/1998

ANTIGUA AND BARBUDA PIRIREIS Cook Islands

COOK ISLANDS

BAHAMAS 6417097 14/02/2014 Very serious

C0009196 MARCO POLO 22080 Damages to ship or equipment North-west coast of France 1
Passenger Ship

BAHAMAS

BAHAMAS 8918227 26/01/2013 Very serious 13° 07.19' N 51° 25.90' W

C0009486 MOZU ARROW 28157 Crew fatality/death On passage between Portocel, Brazil to
Baltimore, United States
Open Hatch Cargo Ship 01/03/1992

BAHAMAS

BAHAMAS 9304057 08/03/2013 Very serious 37° 38.45' N 21° 19.12' E 1

C0010052 NORWEGIAN JADE 93558 Damages to ship or equipment Internal waters - Port area
Passenger Ship GREECE

GREECE

BAHAMAS 8200620 12/08/2013 Very serious 3° 49.70' S 37° 50.50' W

C0009517 RAMCO CRUSADER 2017 Fire or explosion 84 km from the coast of the Ceara State
Anchor Handling Tug Supply 01/09/1983 BRAZIL

BRAZIL

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BAHAMAS 9105023 07/10/2013 Very serious 38° 20.82' S 141° 36.97' E 1 0

C0009102 TOUCAN ARROW 35998 Crew member fatality Portland 0 0
General Cargo Ship 01/06/1996 AUSTRALIA 0 0

AUSTRALIA

BAHAMAS 8821864 14/02/2009 Very serious 27° 07.00' N 58° 09.00' W 1

C0008135 VIKING STAR 7239 Death - Electrocution of C/O North Atlantic
while inspecting Fore Peak
Refrigerated Cargo 01/02/1991

BAHAMAS

BERMUDA (UNITED KINGDOM) 9266982 13/09/2011 Very serious 1

C0008520 LNG RIVER ORASHI 97561 Loss of Life On route to Korean peninsula leaving from
Bonny two days before
Liquefied Gas Tanker 01/11/2004

BERMUDA (UNITED
KINGDOM)

CAMBODIA 8823783 29/12/2013 Very serious 38° 52.20' N 121° 00.80' E

C0009732 SAE BYOL 2762 Stranding / grounding Bo Hai Strait
Aggregates Carrier 01/10/1988 CHINA

CHINA

CHINA 8879885 21/05/2014 Very serious 33° 33.00' N 126° 09.00' E 2

C0009671 ZHONG RAN 53 3785 Fire or explosion Yellow sea 20 miles northwest of Jeju,
Republic of Korea
Products Tanker 01/01/1993

CHINA

CYPRUS 9300752 28/06/2014 Very serious 20° 17.80' S 40° 14.20' W 1 2

C0009583 UBC TOKYO 24140 Accident with people in Port of Praia mole , Coal terminal
confined space
General Cargo Ship 01/10/2005 BRAZIL

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BRAZIL

DEMOCRATIC PEOPLE'S REP. OF KOREA 8102115 06/04/2011 Very serious 22° 10.00' N 91° 44.00' E
C0008090 HYANG RO BONG 8985 Collision off Chittagong Port, Bangladesh
General Cargo Ship 01/09/1982

DEMOCRATIC PEOPLE'S BANGA LANKA Bangladesh

REPUBLIC OF KOREA

DEMOCRATIC PEOPLE'S REP. OF KOREA 7628083 04/10/2012 Very serious

C0009761 JO PPOL 2 9925 Foundered Sea of Japan West of Japan
General Cargo Ship 01/08/1978

DEMOCRATIC PEOPLE'S
REPUBLIC OF KOREA

DEMOCRATIC PEOPLE'S REP. OF KOREA 8810384 20/11/2012 Very serious 22° 18.13' N 114° 04.33' E 1 1
C0008837 KUM SONG 8 1449 Fire or explosion Hong Kong, China, Western Anchorage
No. 1
General Cargo Ship 01/11/1988 CHINA

DEMOCRATIC PEOPLE'S
REPUBLIC OF KOREA

DOMINICA 7806025 30/10/2013 Very serious 63° 07.10' N 20° 48.10' W

C0009192 FERNANDA 2576 Fire or explosion Offshore Iceland
Ro-Ro Cargo Ship 01/09/1981 ICELAND

DOMINICA

GERMANY 14/07/2012 Very serious 48° 13.48' N 27° 57.54' W 3 2

C0008823 MSC FLAMINIA 75590 Fire or explosion 1,000 miles west of Cornwall,
United Kingdom
Container Ship

GERMANY

HONG KONG, CHINA 9642045 02/06/2014 Very serious 33° 36.00' N 123° 16.00' E 1
C0009401 JUMEIRAH BEACH 20969 fatal accident due to falling East China Sea

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Bulk Carrier 24/06/2013 CHINA

HONG KONG, CHINA

HONG KONG, CHINA 9228277 15/09/2012 Very serious 25° 33.00' N 120° 54.00' E 1 0
C0008831 NEW LUCKY III 4724 Capsizing / listing East China Sea 0 0
General Cargo Ship 01/11/2000 CHINA 0 0

HONG KONG, CHINA

HONG KONG, CHINA 9075670 20/02/2013 Very serious 28° 50.80' S 32° 12.10' E 1
C0009133 OCEAN AMBER 38779 Machinery damage Richard Bay
Bulk Carrier 01/10/1994 SOUTH AFRICA

HONG KONG, CHINA

HONG KONG, CHINA 9310240 05/11/2013 Very serious 22° 14.90' N 114° 27.50' E
C0009135 OOCL SOUTHAMPTON 89097 Collision Hong Kong, China waters
Container Ship 01/05/2007 CHINA

HONG KONG, CHINA HANG SHENG China

18

HONG KONG, CHINA 9218167 02/07/2014 Very serious 46° 00.00' N 73° 10.00' W 1
C0009520 TIAN BAI FENG 39042 fatal accident of crew falling at Montreal anchorage, Canada
into cargo hold
Bulk Carrier 25/12/1999 CANADA

HONG KONG, CHINA

INDIA 8321072 24/06/2008 Very serious 0 0

C0007362 DEVPRAYAG 28739 Damages to ship or equipment Port of Lyttelton 0 0
Bulk Carrier 01/12/1986 NEW ZEALAND 1 0

NEW ZEALAND

INDONESIA 7206392 26/09/2012 Very serious 5° 52.70' S 105° 51.10' E 1

C0010028 BAHUGA JAYA 3972 Collision Sunda Strait (4 Nautical miles east of 6 10
Rimau Balak Island), Indonesia

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Passenger/Ro-Ro Ship (Vehicles/Rail) 01/05/1972 INDONESIA

INDONESIA NORGAS Italy

CATHINKA

ISLE OF MAN (UNITED KINGDOM) 9266841 15/12/2011 Very serious 1

C0008472 BRITISH BEECH 58070 Fatality during storing Brisbane, Queensland
operations
Tanker 01/11/2003 AUSTRALIA

AUSTRALIA BT7 Australia

ISLE OF MAN (UNITED KINGDOM) 9116747 25/11/2011 Very serious 1 1

C0009983 IRON QUEEN 81155 Enclosed space entry fatality Richards Bay South Africa
Bulk Carrier 01/06/1996 SOUTH AFRICA

ISLE OF MAN (UNITED

KINGDOM)

MARSHALL ISLANDS 9492414 04/05/2012 Very serious 38° 49.69' N 118° 34.76' E 1
C0008520 FELICIA 33044 Crewmember fell through open Tianjin Anchorage
manhole cover
Bulk Dry (general, ore) Carrier 01/07/2010 CHINA

MARSHALL ISLANDS

MARSHALL ISLANDS 9546318 28/03/2010 Very serious 34° 13.90' N 134° 39.10' E 2
C0007782 OUTSAILING 9 2926 Collision Naruto Kaikyo (Straits), Tokushima Pref.,
Japan
General Cargo 22/04/2009 JAPAN

JAPAN NISSHIN MARU Japan

MARSHALL ISLANDS

NETHERLANDS 9384174 29/07/2014 Very serious 1° 27.30' S 48° 31.50' W 1

C0010016 LISA 5629 Fall into the water of a crew Minas gerais Channel, Guajara bay, city of
member Belem, State of Para, Brazil
General Cargo Ship 01/12/2006 BRAZIL

BRAZIL

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NETHERLANDS 9156515 08/01/2011 Very serious 43° 37.00' S 172° 44.00' E 1

C0008044 VOLENDAM 61214 Accidents with life-saving Lyttelton Harbour
appliances
Cruise Passenger Ship 01/10/1999 NEW ZEALAND

NEW ZEALAND

PANAMA 8308903 20/08/2012 Very serious 1 1

C0009468 BELDE 22531 Fatality and Injury Gulf of Aden; Near Oman
Bulk Carrier 01/03/1985

PANAMA

PANAMA 9207065 20/08/2013 Very serious 17° 47.20' N 110° 42.90' E 1 2

C0009298 CS FU HAI 6303 Occupational accident South China Sea
Cable Layer 01/11/2000

PANAMA

PANAMA 9321562 27/07/2012 Very serious 34° 36.00' N 129° 08.00' E 1

C0009020 ELEGANT VICTORIA 40954 Missing: assumed lost In between Republic of Korea and,
Tsushima Island, Japan
Products Tanker 01/03/2007 JAPAN

PANAMA

PANAMA 8756772 01/12/2013 Very serious 1

C0009464 SEVEN POLARIS 16455 Occupational accident Santos Basin Offshore Brazil
Pipe Layer Crane Vessel 01/07/1979 BRAZIL

PANAMA

PANAMA 8024894 15/04/2013 Very serious 37° 53.41' N 129° 43.00' E

C0009365 TIAN YUN 3911 Foundering and Loss of ship Republic of Korea Waters
General Cargo Ship 01/01/1981 REPUBLIC OF KOREA

PANAMA

REPUBLIC OF KOREA 8626599 27/11/2011 Very serious 34° 29.00' N 130° 04.00' E 1

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C0008565 MARUKA 499 Collision Korean Strait

General Cargo Ship 01/04/1985

JAPAN KAIRO MARU Japan 1

No. 18

UNITED STATES 8842208 24/01/2013 Very serious 51° 46.00' N 35° 41.00' W
C0009414 CHARLENE HUNT 196 Loss of Tow 700 nautical mile east of St John's,
Newfoundland
Tug 01/01/1962 CANADA

CANADA LYUBOV Unknown or

ORLOVA Unspecified

VIET NAM 9371127 06/07/2011 Very serious 35° 25.90' N 139° 43.80' E 1
C0008405 AQUAMARINE 4095 Collision Off Honmoku wharf, Yokohama city,
Kanagawa Pref.
General Cargo JAPAN

JAPAN HIRASHIN-MARU Japan

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