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Safety Recommendation Details

Safety Recommendation M-08-004
Details
Synopsis: At 1406 on July 18, 2006, the Bermuda-registered cruise ship Crown Princess, which was operated by Princess Cruises and had been in service about a month, departed Port Canaveral, Florida, for Brooklyn, New York, its last port on a 10-day round-trip voyage to the Caribbean. The vessel was equipped with an integrated navigation system1 that included a trackpilot (autopilot). About an hour after leaving port, the crew shifted from manual steering to the trackpilot. Two minutes later, the vessel’s heading began to fluctuate around the set heading. In response to an alarm indicating that the rudder had reached its set limit of movement (5° ), the staff captain increased the trackpilot’s rudder limit setting to 10° . Shortly afterward, the captain and staff captain left the bridge, leaving the second officer in charge of the navigation watch. The vessel was traveling at nearly full speed, about 20 knots, by that time.
Recommendation: The National Transportation Safety Board recommends that the Cruise Lines International Association take the following action: Through your website, publications, and conferences, inform your members about the circumstances of this accident and urge them to incorporate into their safety management systems and training programs for officers in charge of the navigational watch (1) information about the effects on vessel performance of high-speed vessel operations in shallow water and (2) initial and recurrent training for emergency ship-handling scenarios based on the lessons learned from serious marine incidents and accidents.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Marine
Location: Port Canaveral, FL, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA06MF018
Accident Reports:
Heeling Accident on M/V Crown Princess
Report #: MAR-08-01
Accident Date: 7/18/2006
Issue Date: 2/5/2008
Date Closed: 5/1/2009
Addressee(s) and Addressee Status: Cruise Lines International Association, Inc. (Closed - Acceptable Action)
Keyword(s): Training and Education, Safety Management Systems

Safety Recommendation History
From: NTSB
To: Cruise Lines International Association, Inc.
Date: 5/1/2009
Response: The Safety Board notes that CLIA agreed with this recommendation and took the following actions as a result: ·Discussed this matter at its technical committee meeting on July 22, 2008; ·Distributed a copy of the Board’s Crown Princess report to its technical and operations committees and posted the report at the CLIA members-only website; ·Met with Safety Board Members Higgins and Chealander along with the Board’s marine staff on July 23, 2008, to fully discuss this issue; ·Recommended that its members incorporate into their safety management systems, or equivalent for non-SOLAS (Safety of Life at Sea)-certificated ships, the training programs as outlined in the recommendation. The Safety Board recognizes that individual companies are responsible for taking action on this recommendation consistent with the requirements of the International Convention on Standards of Training, Certification and Watchkeeping for Seafarers. The Safety Board notes that the CLIA technical committee will continue to discuss this issue periodically to identify a best practice regarding training and to identify and make available additional salient information regarding shallow water operations. These actions satisfy Safety Recommendation M-08-4; accordingly, the recommendation is classified Closed Acceptable Action.

From: Cruise Lines International Association, Inc.
To: NTSB
Date: 11/26/2008
Response: Letter Mail Controlled 1/7/2009 3:07:49 PM MC# 2080761: 11-26-08: The Cruise Lines International Association (CLIA) agrees and discussed this matter at the Technical Committee meeting on July 22, 2008. Additionally, we met with Members Higgins and Chealander together with NTSB Marine Safety Staff on July 23, 2008 to more fully discuss the matter. CLIA distributed a copy of the NTSB report concerning the Crown Princess heeling incident to our Technical Committee and to our Operations Committee and it is posted at our members’ only web site. Additionally, CLIA has recommended to its members that they incorporate into their safety management systems, or equivalent for non-SOLAS certificated ships, the training programs as indicated in this recommendation. While it is an individual company responsibility to take action on this recommendation consistent with the requirements of STCW, the CLIA Technical Committee will continue to discuss the matter periodically to identify best practices regarding training and to identify and make available additional salient information regarding shallow water operations. We request that Recommendation M-08-4 be considered as Closed, Acceptable Action.