MARINE Reports - 2002 - M02W0135

Table of Contents

1. 1.0 Factual Information
   1. 1.1 Particulars of the Vessel
   2. 1.1.1 Description of the Vessel
   3. 1.1.2 Engine Room
   4. 1.1.3 Main Switchboard and Main Switchboard Room
   5. 1.1.4 Engine Control Room
   6. 1.1.5 Structural Fire Protection Between Main Switchboard Room and Adjacent Compartments
   7. 1.1.6 6.6 kV Main Circuit Breaker
   8. 1.1.7 Automatic Control System for the Diesel Generators
   9. 1.2 History of the Voyage
   10. 1.3 Injuries to Persons
   11. 1.4 Damage
   12. 1.4.1 Damage to the Main Switchboard and Engine Control Room
   13. 1.4.2 Damage to the Environment
   14. 1.5 Personnel
   15. 1.6 Certification
   16. 1.6.1 Vessel
   17. 1.6.2 Personnel
   18. 1.7 ISM Code and the Statendam's Safety Management System
   19. 1.7.1 Rapid Reporting System
   20. 1.7.2 Initiatives Towards Blackout Prevention and Plant Recovery
   21. 1.7.3 Holland America Line's Personnel Training Initiatives
   22. 1.7.4 Emergency Preparedness and Firefighting
   23. 1.8 STCW Code, Certificates of Competency, and Knowledge of Electro-technology
   24. 1.9 Role of the Electrical Officer
2. 2.0 Analysis
   1. 2.1 DG 2 Main Circuit Breaker Failure
   2. 2.1.1 Detailed Analysis of the DG 2 and Bus-Tie Circuit Breaker Trips
   3. 2.1.1.1 First Two DG 2 Shutdowns
   4. 2.1.1.2 First DG 2 Circuit Breaker Opening and its Resetting
   5. 2.1.1.3 Second DG 2 Circuit Breaker Opening and Subsequent Loss of Propulsion and Hotel Services
   6. 2.1.1.4 Attempts to Reset the Bus-Tie Breaker
   7. 2.1.1.5 Second DG 2 Circuit Breaker Resetting and its Subsequent Failure After Restart of DG 2
   8. 2.2 Engine-Room Staff and Analysis of the DG 2 Shutdowns and Circuit Breaker Trips
   9. 2.2.1 Actions of the Senior Engineers and the Electricians
   10. 2.3 Factors Affecting Performance
   11. 2.3.1 Senior Engineer Officers and their Knowledge of 6.6 kV Electrical Systems
   12. 2.3.2 Operational Pressures and Engineering Staff Decision Making
   13. 2.4 Safety Management System
   14. 2.4.1 Internal and External Communication
   15. 2.4.1.1 Engine-Room Management and Information Exchange Within the Vessel
   16. 2.4.1.2 Information Exchange Between the Vessel and the Company
   17. 2.4.2 Crew Training
   18. 2.4.3 Emergency Preparedness and Fire in the Main Switchboard Room
   19. 2.4.3.1 Firefighting Process
   20. 2.4.4 Performance of the Safety Management System
   21. 2.5 CO₂ Smothering System and Main Switchboard Room
   22. 2.6 The Electrician in Modern Day Shipping
   23. 2.6.1 Marine Industry Practice of Employing Electricians
   24. 2.6.2 Dynamics of Decision Making and Safety
   25. 2.7 Structural Fire Protection
   26. 2.7.1 Between the Main Switchboard Room and Adjacent Compartments
3. 3.0 Conclusions
   1. 3.1 Findings as to Causes and Contributing Factors
   2. 3.2 Findings as to Risk
4. 4.0 Safety Action
   1. 4.1 Action Taken
   2. 4.1.1 Transportation Safety Board of Canada
   3. 4.1.2 Holland America Line
   4. 4.2 Action Required
   5. 4.2.1 Structural Fire Protection and Fire-Extinguishing System
   6. 4.3 Safety Concern
   7. 4.3.1 International Competency Standards for Electrical Officers
5. 5.0 Appendices
   1. Appendix A - Main Circuit Breaker Electrical Characteristics
   2. Appendix B - Statendam - Speed versus Power
   3. Appendix C - Figures and Photos
   4. Appendix D - Glossary
6. Figures
   1. Figure 1 - Fire Zones
   2. Figure 2 - Area of Interest
   3. Figure 3 - Spatial Relationship
   4. Figure 4 - Sectional View
7. Photos
   1. Photo 1 - View of DG 2 Circuit Breaker and Relay Consoles
   2. Photo 2 - View of Burned Cabling Above Deck of Engine Control Room
   3. Photo 3 - View of Deckhead Above Main Switchboard

Previous | Next