Costa Concordia

[tech2101]

Great site here called GCaptain.

The First Fatal Mistake

Accidents are a result of many small events which latch together to form an incident chain. Taken separately, each mistake is minor but when strung together, they lead to disaster. Remove one link, one minor mistake along the timeline, and the chain is destroyed… disaster is avoided. It is beyond the scope of this article to reach back and uncover each mistake that was made, mistakes that reach back well before the vessel was even designed. I only mention this because the first major failing may sound small to some, but it’s critically important to the safe operation of ship.

The first fatal mistake was likely in the training of the bridge crew. The job of the captain is to give orders and the crew must accept even foolish ones, but it’s the understanding and execution of these orders which is most important.

When Captain Schettino ordered a “flyby” of the local port, it was the mate on watch’s responsibility to lay the course line down on the chart, check for hazards and advise the captain of obvious dangers. Once underway, it’s the mate’s job to follow the planned route and monitor any identified hazards.

“Flyby’s” or “showboating” maneuvers are in-fact dangerous, but are preformed every single day by countless ships around the world. So why did this one run aground?

The most likely answer is the mate on watch got distracted and missed the turn. This is easy to do with today’s reliance on a myriad of electronic navigation devices and the distraction that comes from phone calls to the bridge, logbook entries and, yes, sometimes the call of Facebook updates streaming into a cell phone.

We do not know why the mate on watch missed the pre-assigned turn, maybe it wasn’t laid out on the chart in the first place or maybe the Captain ignored the course line, we don’t know, but the turn was missed.

A classic failure of bridge resource management and crew training.

Link to full article and the other fatal mistakes made

Accidents are similar in all industries. This sounds strikingly familiar to many that all of us in the aviation industry have studied (and tried to avoid and prevent) for many years.