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Safety Recommendation Details

Safety Recommendation M-17-018
Details
Synopsis: On September 7, 2015, about 1133 local time, a fire broke out in the engine room aboard cruise ship Carnival Liberty. At the time, the vessel was alongside the dock in the Port of Charlotte Amalie, St. Thomas, US Virgin Islands. The master ordered the passengers aboard the vessel to evacuate to the dock. The crew used the ship’s water mist- and carbon dioxide (CO2) firefighting systems to extinguish the fire. No one was injured, nor was any environmental damage reported. Fire damage to the ship was estimated at $1.725 million.
Recommendation: TO CARNIVAL CORPORATION: Implement ship-specific familiarization training regarding the use and limitations of fixed water-based local application systems in machinery spaces.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Marine
Location: St. Thomas, CB, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA15FM035
Accident Reports: Engine Room Fire Aboard Cruise Ship Carnival Liberty
Report #: MAB-17-21
Accident Date: 9/7/2015
Issue Date: 6/29/2017
Date Closed: 1/18/2018
Addressee(s) and Addressee Status: Carnival Corporation (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: Carnival Corporation
Date: 1/18/2018
Response: We note that, in response to the Carnival Liberty incident and to our recommendation, you implemented a program to improve training and familiarity with the water mist “Hi-Fog” systems used on your ships. The program includes onboard training conducted by “Hi-Fog” representatives after every annual inspection, as well as a comprehensive training and certification program, developed in conjunction with the manufacturer, for operation and maintenance personnel. The training program includes theory, hands-on exercises, and a final written test. The program described in your letter satisfies Safety Recommendation M 17 18, which is classified CLOSED--ACCEPTABLE ACTION.

From: Carnival Corporation
To: NTSB
Date: 9/28/2017
Response: -From Martin Landtman, Senior Vice President, Marine Operations: In response to our own review of the Liberty fire incident, the company implemented a multistage process to address improved training and familiarity with the water mist "Hi-Fog" systems in use on our ships. This response effort also addresses the above recommendation from NTSB. In summary, the stages were as follows: • The first stage was to implement a series of fleet-wide communications relevant to instructions on how to operate the system. This was done within the weeks following the Liberty fire and new signage with easy to understand instructions was created and tailored by class/ship as appropriate for posting at all the system control locations. Relevant training was conducted. • The second stage is continuous and on-going involving training conducted on board by Marioff (equipment manufacturer) representatives after every annual inspection. • The third stage is a comprehensive training and certification program for both operation and maintenance personnel developed in conjunction with Marioff. It extends beyond the engine machinery spaces to also include accommodation and galley locations. The training program is comprehensive including theory, hands-on training and a final written test. The training will be carried out by a Marioff certified trainer on board each ship twice per year and certification valid for three years. Roll out of this training program to the fleet is expected in Q4 2017.

From: NTSB
To: Carnival Corporation
Date: 6/29/2017
Response: On June 21, 2017, we adopted our marine accident brief concerning the September 7, 2015, engine room fire aboard cruise ship Carnival Liberty. Additional information about this accident and the resulting recommendations may be found in the report of the investigation, which can be accessed at our website, www.ntsb.gov, under report number NTSB/MAB-17/21. As a result of this investigation, we issued three new safety recommendations, including one to the Cruise Lines International Association, and the following two recommendations to Carnival Corporation & PLC.