RICHMOND, BC, March 4, 2014 /CNW/ - The Transportation Safety Board of
Canada (TSB) today released its investigation report (M12W0207) into a
terminal striking by bulk carrier Cape Apricot in Roberts Bank, British Columbia (BC).
At 0045 Pacific Standard Time on 7 December 2012, the bulk carrier Cape Apricot, while under the conduct of a pilot and assisted by two tugs, struck
the causeway and conveyor system at the Roberts Bank terminal. As a
result of the impact, the causeway and conveyor collapsed into the
water, and the vessel's bow sustained damage. There was minor pollution
and no injuries.
In this occurrence, the pilot and master discussed the vessel's passage
and completed the necessary documentation for the pilot-master
exchange. However, the investigation found that the Cape Apricot's course to Roberts Bank placed the vessel in a direct line of approach
to the trestle. This path required a tight alteration of course to
starboard, but given the vessel's speed and direct approach, the Cape Apricot's turn to starboard was neither timely nor sufficient, and the vessel
struck the trestle.
As the vessel approached the basin, the master did not seek
clarification or question the pilot. Nor had the pilot established or
communicated any abort points. Without effective communication
regarding their shared mental model during the approach, the master and
the pilot did not identify the developing risk as the manoeuvre
progressed, and did not take timely corrective action.
On the west coast of Canada, responsibility for the operation,
maintenance and administration of pilot services for compulsory
pilotage areas lies with the Pacific Pilotage Authority (PPA). However,
the PPA does not directly employ pilots, other than those operating in
the Fraser River. Rather, the PPA contracts the British Columbia Coast
Pilots Ltd. (BCCP) to provide pilotage services for vessels along the
A safety management system (SMS) enables risks to be identified,
analyzed and mitigated. Neither the PPA nor the BCCP has a
comprehensive SMS. The investigation determined that neither the PPA
nor the BCCP has:
a formal risk assessment process;
an accident/incident review process;
guidance for pilots to ensure bridge resource management best practices
are in place throughout a voyage.
Without an SMS in place, pilotage organizations may not properly
identify hazards and mitigate them, thereby placing vessels at risk.
Many TSB reports have emphasized the advantages of SMS in the marine
Marine safety management systems is also a TSB Watchlist issue. Watch the TSB video!
The TSB is an independent agency that investigates marine, pipeline,
railway and aviation transportation occurrences. Its sole aim is the
advancement of transportation safety. It is not the function of the
Board to assign fault or determine civil or criminal liability.
SOURCE: Transportation Safety Board of Canada
For further information:
Transportation Safety Board of Canada
The TSB is online at www.tsb.gc.ca. Keep up to date through RSS, Twitter @TSBCanada, YouTube, Flickr and our blog.