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TECHNOLOGY
1.
 Examine the role of technology in preventing
accidents

 Getting the most from the equipment you have:
Reducing the individual’s workload

2.
Evaluate the ways technology can improve Accident
Investigation

Importance of continued training for the effective
use of the Technology
27-29.09.2011 LONDON    Karen A. K. Kruse                       1
 27-29.09.2011 LONDON                       Karen A. K. Kruse
Why do we want good technology;
 to improve safety, efficiency, reliability, quality of work
                    and performance (1)

 Grounding occurred; the vessel was navigating on BA
                       charts? (2)

  Grounding occurred; the vessel was navigating with
                       ECDIS? (3)




27-29.09.2011 LONDON    Karen A. K. Kruse                  2
 Can we ensure equipment introduced will improve
  safety, efficiency, reliability, quality of work and
  performance and then still be cost efficient ?

 First we judge if the cost involved reducing the risk
  is really beneficial. Equipment errors/flaws and
  human error must be reduced to as low as
  reasonably particle (ALARP) (4)

 But who is really deciding what is an acceptable
  ALARP level; all regulatory Authorities (performance
  standards)/Flag states, ISM code, Industry and the
  Company

 A lot of decisions are left for the ship owners to
  decide and control (5)



27-29.09.2011 LONDON   Karen A. K. Kruse                  3
 So if the variability of equipment in
  some circumstances could be a threat and if design
  and regulatory Organizations cannot constrain
  variability to prevent human errors, the Company is
  obliged to implement preventive and protective
  barriers (6)

 The way the Company can control human errors
  onboard when using the equipment is to have as
  many preventive and protective barriers in use so
  the risk is reduced to ALARP(7)

 Therefore we need to implement/identify the barriers
  before the human errors occur; the common practice
  we use in Risk Assessments is to identify these
  barriers
27-29.09.2011 LONDON   Karen A. K. Kruse                4
Minimum list of Risks for equipment to be evaluated on
a Risk Assessment:

1. Equipment error tolerances, capabilities and limitations,
   visibility of errors, reliability, redundancy, monitoring,
   user friendliness, un-expected side effects, overreliance
   and levels of automation (LOA) and related old
   equipment integration with the new equipment (8) (10)

2. Resilient equipment/installation: the ability of
   equipment/system to adjust its functioning, prior to or
   following changes and disturbances, so that it can
   sustain operations even after a major mishap or in the
   presence of continuous stress (9)

3. Crew training/office staff training sufficient?



27-29.09.2011 LONDON     Karen A. K. Kruse                      5
4. Equipment fulfilling at least regulatory requirements IMO,
   Flag State, Industry Standards and Company demands

5. Maintenance/implementation in PMS?

6. Supplier support if problems occur / easy access to service?

7. Replacing/upgrading; investigate the previous problems with
   the equipment?

8. Larger systems, is Supplier developing upgrades that can
   later be implemented?

9. Yearly service costs /service contracts/spare part
   availability?

10. The Company procedures must contain barriers for all
    above (preventive and protective based on the level of risk)

27-29.09.2011 LONDON     Karen A. K. Kruse                      6
Human error using a technology is a symptom of trouble with the equipmen
that has not been identified by the Company or regulated by the regulatory
    Ny tekst
Organizations.

If an accident occur using the technology:
Investigate how people’s actions made sense at the time given the
circumstances that surrounded them.




   27-29.09.2011 LONDON       Karen A. K. Kruse                     7
 Credible data collection from equipment often form
  the basis of the Investigators recommendations and
  conclusions (11)


                   Article 8 / Investigative bodies




                  Article 13 / Preservation of evidence




27-29.09.2011 LONDON                        Karen A. K. Kruse   8
 A lot of equipment onboard have electronic memory (12)

 VDR versus ECDIS; ECDIS is a great immediate tool for the
  Investigator and include electronic logbook and a playback
  function? (13)




27-29.09.2011 LONDON      Karen A. K. Kruse                    9
TRAINING?




             IMO, FLAG STATE, Industry and Company (14)

                            Article 8 / Investigative bodies




27-29.09.2011 LONDON      Karen A. K. Kruse                    10
SUM UP:
          Grounding occurred; the vessel was navigating with ECDIS.


1. Risk Assessments and related procedures only gets as good as the
   knowledge of the persons creating these (risks related to a concrete
   situation must be identified)

2. Look into the list with minimum risks that must be evaluated before
   implementing equipment (slide 5 + 6 ).

3. Proactive risk identification of any technology/ equipment will
   enhance safety a lot, do not wait for regulatory restrictions, if
   procedures are implemented and equipment set up correctly then you
   will also know what data can be retrieved in case of an accident.

4. Equipment Training for all is essential both for Company employees,
   various Inspectors, Investigators and Crew.

27-29.09.2011 LONDON            Karen A. K. Kruse                         11
QUESTIONS?
                        Questions?


                       www.nordictankers.com

                       kak@nordictankers.com

27-29.09.2011 LONDON        Karen A. K. Kruse   12

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1 Technology

  • 1. TECHNOLOGY 1.  Examine the role of technology in preventing accidents  Getting the most from the equipment you have: Reducing the individual’s workload 2. Evaluate the ways technology can improve Accident Investigation Importance of continued training for the effective use of the Technology 27-29.09.2011 LONDON Karen A. K. Kruse 1 27-29.09.2011 LONDON Karen A. K. Kruse
  • 2. Why do we want good technology; to improve safety, efficiency, reliability, quality of work and performance (1) Grounding occurred; the vessel was navigating on BA charts? (2) Grounding occurred; the vessel was navigating with ECDIS? (3) 27-29.09.2011 LONDON Karen A. K. Kruse 2
  • 3.  Can we ensure equipment introduced will improve safety, efficiency, reliability, quality of work and performance and then still be cost efficient ?  First we judge if the cost involved reducing the risk is really beneficial. Equipment errors/flaws and human error must be reduced to as low as reasonably particle (ALARP) (4)  But who is really deciding what is an acceptable ALARP level; all regulatory Authorities (performance standards)/Flag states, ISM code, Industry and the Company  A lot of decisions are left for the ship owners to decide and control (5) 27-29.09.2011 LONDON Karen A. K. Kruse 3
  • 4.  So if the variability of equipment in some circumstances could be a threat and if design and regulatory Organizations cannot constrain variability to prevent human errors, the Company is obliged to implement preventive and protective barriers (6)  The way the Company can control human errors onboard when using the equipment is to have as many preventive and protective barriers in use so the risk is reduced to ALARP(7)  Therefore we need to implement/identify the barriers before the human errors occur; the common practice we use in Risk Assessments is to identify these barriers 27-29.09.2011 LONDON Karen A. K. Kruse 4
  • 5. Minimum list of Risks for equipment to be evaluated on a Risk Assessment: 1. Equipment error tolerances, capabilities and limitations, visibility of errors, reliability, redundancy, monitoring, user friendliness, un-expected side effects, overreliance and levels of automation (LOA) and related old equipment integration with the new equipment (8) (10) 2. Resilient equipment/installation: the ability of equipment/system to adjust its functioning, prior to or following changes and disturbances, so that it can sustain operations even after a major mishap or in the presence of continuous stress (9) 3. Crew training/office staff training sufficient? 27-29.09.2011 LONDON Karen A. K. Kruse 5
  • 6. 4. Equipment fulfilling at least regulatory requirements IMO, Flag State, Industry Standards and Company demands 5. Maintenance/implementation in PMS? 6. Supplier support if problems occur / easy access to service? 7. Replacing/upgrading; investigate the previous problems with the equipment? 8. Larger systems, is Supplier developing upgrades that can later be implemented? 9. Yearly service costs /service contracts/spare part availability? 10. The Company procedures must contain barriers for all above (preventive and protective based on the level of risk) 27-29.09.2011 LONDON Karen A. K. Kruse 6
  • 7. Human error using a technology is a symptom of trouble with the equipmen that has not been identified by the Company or regulated by the regulatory Ny tekst Organizations. If an accident occur using the technology: Investigate how people’s actions made sense at the time given the circumstances that surrounded them. 27-29.09.2011 LONDON Karen A. K. Kruse 7
  • 8.  Credible data collection from equipment often form the basis of the Investigators recommendations and conclusions (11)  Article 8 / Investigative bodies Article 13 / Preservation of evidence 27-29.09.2011 LONDON Karen A. K. Kruse 8
  • 9.  A lot of equipment onboard have electronic memory (12)  VDR versus ECDIS; ECDIS is a great immediate tool for the Investigator and include electronic logbook and a playback function? (13) 27-29.09.2011 LONDON Karen A. K. Kruse 9
  • 10. TRAINING? IMO, FLAG STATE, Industry and Company (14) Article 8 / Investigative bodies 27-29.09.2011 LONDON Karen A. K. Kruse 10
  • 11. SUM UP: Grounding occurred; the vessel was navigating with ECDIS. 1. Risk Assessments and related procedures only gets as good as the knowledge of the persons creating these (risks related to a concrete situation must be identified) 2. Look into the list with minimum risks that must be evaluated before implementing equipment (slide 5 + 6 ). 3. Proactive risk identification of any technology/ equipment will enhance safety a lot, do not wait for regulatory restrictions, if procedures are implemented and equipment set up correctly then you will also know what data can be retrieved in case of an accident. 4. Equipment Training for all is essential both for Company employees, various Inspectors, Investigators and Crew. 27-29.09.2011 LONDON Karen A. K. Kruse 11
  • 12. QUESTIONS? Questions? www.nordictankers.com kak@nordictankers.com 27-29.09.2011 LONDON Karen A. K. Kruse 12

Editor's Notes

  1. Larger systems, is Supplier developing upgrades that can later be implemented? Navtex overlay / T/P overlay…..other or will your system soon be outdated. Investigate the market for future demands.
  2. Nordic Helsinkiwasbeforetake over navigatingon BA charts, ondeparture Malta the vesselwasnavigatingonfull ECDIS. The crewwerealredytrainedwithgenetic IMO ECDIS courses, had experiance from otherfleetvesselswith ECDIS and had beforedepartureshipspscific ECDIS training.Crewcanbeshipspecifictrained to know an exact ECDIS system, but the crew still needs to know the Company demands for vital procedures not regulated by anyAuthorities.
  3. 11.VDR/SVDR download, in most cases, the assistance of specialist expertise may be required (VDR design insufficient). If backup of the VDR is not done after an accident then you might loose the data as normally this is only stored 24hrs, a backup ensures that the last 12 hrs of data is stored on the VDR. ECDIS electronic logbook, ECDIS play back is easy to access, but data can be lost if this is not done after the occurrence.
  4. 12.Assumealmost all newerelectronicequiptmentonboard have some kind of memorythatcanbeviewedwith the crew, otherwise it canberetrieved.Bridge equiptmentwithoutpaper but withmemory; Navtex, Gps, Ecdis, echosounder, fire panles, integrated bridge computers, GMDSS equiptmentDeck equiptment……ODME, gas detection systems, cargo computers withvarious alarm indications. 13.ECDIS electroniclogbooks is givinghardevidence of a lot of information , unfortunately the logbook info canbecontrolled by the operator so some info is not recorded and is thenleft to a standard setting of events logged. A filter for further events mightapply but if not selectedno default is recorded. ECDIS logbooks have memory and information canoftenberetrived long time after the occurance. ECDIS logbooksarenormallyprotected so data alredyrecordedcannotbetampered. ECDIS is nogoodwhenaudio is required. Most ECDIS systems do not show what external layers (Navtex/T&P) that was used during navigation (obscuring or assisting) and data cannot be retrieved. Meaning you do not know when the Navtex, T/P and Radar Overlay was turned on/off. This info can only be found if the ECDIS is connected to the VDR system that records the ECDIS image with video. SVDRs cannot record this normally.SVDRDate and Time,Ship'sPosition,Speed,Heading,BridgeAudio,CommunicationsAudioVDR same as above + RadarData + ECDIS - post-display selection,AIS,EchoSounder,MainAlarms,RudderOrder and Response,EngineOrder and Response,HullOpenings (doors) status,Watertight and fire door status,Accelerations and Hull Stresses,Wind Speed and Direction
  5. The ECDIS can be safe if the features on the equipment had been used/set up correctly then more options for alerts and better system performance – Further workload could also be reduced during navigation (layers T/P + Navtex) . Overview on the bridge not in the back of the BA chart room. Then if a grounding occur the ECDIS electronic logbook and play back can be used immediately by the Investigator.