MARINE Reports - 2003 - M03N0050

TABLE OF CONTENTS

1. 1.0 Factual Information
   1. 1.1 Particulars of the Vessel
   2. 1.1.1 Description of the Vessel
   3. 1.2 History of the Voyage
   4. 1.3 Injuries to Persons
   5. 1.4 Damage
   6. 1.4.1 Damage to Vessel and Cargo
   7. 1.4.2 Damage to the Environment
   8. 1.5 Certification
   9. 1.5.1 Vessel
   10. 1.5.2 Personnel
   11. 1.6 Personnel History
   12. 1.7 Weather
   13. 1.8 Emergency Response
   14. 1.8.1 Deluge System
   15. 1.8.2 Fire Detection and Alarm System
   16. 1.8.3 Fire Hoses
   17. 1.8.4 Vehicle Stowage
   18. 1.8.5 Emergency Duties and Procedures
   19. 1.8.5.1 Bridge Emergency Response
   20. 1.8.6 Communications
   21. 1.8.6.1 Fire Party
   22. 1.8.6.2 Vehicle Deck Watchman
   23. 1.8.7 Dangerous Goods
   24. 1.9 Passenger Safety
   25. 1.9.1 Passenger Service Department Crew - Emergency Duties
   26. 1.9.1.1 Passenger Service Department Crew - Emergency Response
   27. 1.9.1.2 Passenger Service Department Crew - Training
   28. 1.9.2 Identification of Crew in Emergencies
   29. 1.9.3 Access to Cabins
   30. 1.9.4 Emergency Communications Equipment
   31. 1.9.5 Passenger Information
   32. 1.9.6 Passengers Remaining in Vehicles During Transit
   33. 1.9.7 Low-Location Lighting
   34. 1.9.8 Passenger Evacuation
2. 2.0 Analysis
   1. 2.1 Emergency Response
   2. 2.1.1 Access to the Fire
   3. 2.1.2 Firefighting
   4. 2.1.3 Fire Detection and Alarm System
   5. 2.1.3.1 Manual Pull Stations
   6. 2.1.3.2 Automatic, Local-Sounding Alarms
   7. 2.1.4 Bridge Emergency Response
   8. 2.1.5 Emergency Procedures
   9. 2.1.6 Dangerous Goods
   10. 2.2 Communications
   11. 2.3 Passenger Safety
   12. 2.3.1 Emergency Duties Performance and Training
   13. 2.3.2 Identification of Crew in Emergencies
   14. 2.3.3 Passenger and Crew Information
   15. 2.3.4 Passengers Remaining in Vehicles During Transit
   16. 2.3.5 Passenger Evacuation
3. 3.0 Conclusions
   1. 3.1 Finding as to Causes and Contributing Factors
   2. 3.2 Findings as to Risks
   3. 3.3 Other Finding
4. 4.0 Safety Action
   1. 4.1 Action Taken
   2. 4.1.1 Fire Detection and Internal Communications
   3. 4.1.2 Positioning of Emergency Lights
   4. 4.1.3 Passengers Remaining in Vehicles
   5. 4.1.4 Passenger Safety - Adequacy of Crew Training
   6. 4.1.5 Vehicle Deck Fire Hoses
   7. 4.2 Safety Concerns
   8. 4.2.1 Automatic, Local-Sounding Alarm
   9. 4.2.2 Inadequate Identification of Crew by Passengers
   10. 4.2.3 Passenger Safety Management Training
5. Appendices
   1. Appendix A - Sketch of the Occurrence Area
   2. Appendix B - Outboard Profile
   3. Appendix C - Damage to Vehicles
   4. Appendix D - Glossary
6. Figures
   1. Figure 1 - Deck 1 - Deluge Zones and Location of Fire
   2. Figure 2 - Deck 5
7. Photos
   1. Photo 1 - The Joseph and Clara Smallwood
   2. Photo 2 - Damage to Deckhead
   3. Photo 3 - Deluge Spray Head
   4. Photo 4 - Typical Manual Pull Station
   5. Photo 5 - Typical Spacing Between Vehicles and Deck Perimeter

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