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Safety Recommendation Details

Safety Recommendation M-93-017
Details
Synopsis: ON AUGUST 7, 1992, THE UNITED KINGDOM PASSENGER VESSEL RMS (ROYAL MAIL SHIP) QUEEN ELIZABETH 2 (QE2) WAS OUTBOUND IN VINEYARD SOUND, MASSACHUSETTS, WHEN THE VESSEL GROUNDED ABOUT 2 1/2 MILES SOUTH OF CUTTYHUNK ISLAND. NO INJURIES OR DEATHS RESULTED FROM THIS ACCIDENT. HOWEVER, DAMAGE WAS SIGNIFICANT; TEMPORARY AND PERMANENT REPAIRS COST ABOUT $13.2 MILLION. IN ADDITION, THE TOTAL REVENUE LOST FOR THE PERIOD BEFORE THE VESSEL RETURNED TO SERVICE ON OCTOBER 2, 1992, WAS ESTIMATED AT $50 MILLION.
Recommendation: THE NTSB RECOMMENDS THAT THE U.S. GUARD: ESTABLISH STANDARDS AND CURRICULA FOR BRIDGE RESOURCE MANAGEMENT TRAINING FOR FEDERAL PILOTS LICENSED BY THE U.S. COAST GUARD.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Unacceptable Action
Mode: Marine
Location: Bays and Sounds, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA92MM034
Accident Reports:
Grounding of the United Kingdom Passenger Vessel RMS Queen Elizabeth 2
Report #: MAR-93-01
Accident Date: 8/7/1992
Issue Date: 6/25/1993
Date Closed: 9/12/2001
Addressee(s) and Addressee Status: USCG (Closed - Unacceptable Action)
Keyword(s): Crew Resource Management, Training and Education

Safety Recommendation History
From: NTSB
To: USCG
Date: 9/12/2001
Response: The Safety Board has acknowledged in this letter the Coast Guard's leadership in developing the STCW '95, but as pointed out in our letter of May 21, 1997, STCW '95 is only applicable to watch officers licensed for seagoing routes; not all pilots operate on coastwise or ocean routes, even though they may have a coastwise or ocean master or mate license. Conversely, pilots operate in harbors, bays and sounds--areas not covered by the STCW '95 amendments. Accordingly, because the STCW '95 amendments are not applicable to pilots and mariners operating on inland routes, and because the Coast Guard has not developed any BRM training requirements for these licensed individuals, Safety Recommendations M-93-17 and -20 are classified "Closed--Unacceptable Action."

From: USCG
To: NTSB
Date: 7/31/2000
Response: Letter Mail Controlled 04/10/2001 6:34:50 PM MC# 2010310 The Coast Guard has amended its regulations on domestic licensing and documentation of personnel on U.S. seagoing vessels in order to implement the 1978 International Convention on Standards of Training, Certification and Watchkeeping for Seafarers, as amended in 1995. 46 CFR 10.205(o) requires licensed deck officers to produce sufficient documentary proof that they understand and can effectively apply procedures for bridge team work as an essential aspect of maintaining a safe navigational watch if they are going to serve on vessels in ocean or near-coastal service on or after February 1, 2002. Mariners wishing to obtain a pilots license where a Federal License is required for issuance of the pilots license are covered by this regulation.

From: NTSB
To: USCG
Date: 7/14/1998
Response: NTSB REQUESTED A FOLLOWUP.

From: NTSB
To: USCG
Date: 5/21/1997
Response: THE SAFETY BOARD IS PLEASED THAT THE CG INTENDS TO INCORPORATE BRM STANDARDS FOR PILOTS SIMILAR TO THE 1995 AMENDMENTS TO THE STANDARDS OF TRAINING, CERTIFICATION AND WATCHKEEPING (STCW) REQUIREMENTS FOR WATCH OFFICERS. HOWEVER, WE ARE AWARE THAT THE STCW REQUIREMENTS ARE NOT APPLICABLE TO PILOTS WHOSE LICENSE IS PRIMARILY FOR INLAND SERVICE. FURTHER, THE BOARD UNDERSTANDS THAT THE CG HAS PROPOSED THAT CANDIDATES FOR FEDERAL MASTER AND MATE LICENSES BE REQUIRED TO PROVE COMPETENCY IN BRIDGE TEAMWORK (CGD95-062). THIS PROPOSAL, IF APPLICABLE TO PILOTS, MAY SATISFY THE INTENT OF THE RECOMMENDATION. ACCORDINGLY, M-93-17 HAS BEEN CLASSIFIED "OPEN--ACCEPTABLE ALTERNATE RESPONSE," PENDING PUBLICATION OF THE FINAL RULES.

From: USCG
To: NTSB
Date: 8/6/1996
Response: BRIDGE RESOURCE MANAGEMENT (BRM) STANDARDS FOR PILOTS MAY NOT BE IDENTICAL TO BRM STANDARDS FOR WATCH OFFICERS. THE CG SUBMITTED A PROPOSAL (STW 25/3/14) FOR BRM TRAINING FOR PILOTS TO THE 25TH SESSION OF THE IMO SUBCOMMITTEE ON STANDARDS OF TRAINING AND WATCHKEEPING (STW). THIS PROPOSAL WAS NOT WIDELY SUPPORTED AND WAS NOT INCLUDED IN THE 1995 STCW AMENDMENTS. HOWEVER, THE CG WILL CONTINUE TO PROMOTE THE DEVELOPMENT OF BRM TRAINING FOR PILOTS AT IMO, AND THE OUTCOME OF THOSE INTERNATIONAL DELIBERATIONS WILL BE CONSIDERED AS WE IMPLEMENT NATIONAL STANDARDS. IN THE MEANTIME, THE NPRM FOR IMPLEMENTING THE 1995 STCW AMENDMENTS UNDER U.S. REGULATIONS (CGD 95-062) PROPOSES THAT CANDIDATES FOR FEDERAL MASTER AND MATE LICENSES PROVE COMPETENCY IN BRIDGE TEAMWORK PROCEDURES BASED ON BRM PRINCIPLES. THE CG IS ACTIVELY PURSUING THIS RECOMMENDATION AND REQUESTS THAT THE STATUS BE MAINTAINED AS OPEN--ACCEPTABLE ACTION.

From: NTSB
To: USCG
Date: 1/7/1994
Response: THE BOARD IS PLEASED THAT THE USCG CONCURS AND INTENDS TO INITIATE RULEMAKING THAT WILL ESTABLISH THE RECOMMENDED STANDARDS AND CURRICULA. THEREFORE, PENDING PUBLICATION OF THE FINAL RULES, RECOMMENDATION M-93-17 HAS BEEN CLASSIFIED "OPEN--ACCEPTABLE RESPONSE."

From: USCG
To: NTSB
Date: 9/27/1993
Response: I CONCUR WITH THIS RECOMMENDATION. THE USCG WILL INITIATE A RULEMAKING PROJECT TO ESTABLISH THE RECOMMENDED STANDARDS AND CURRICULA. I WILL KEEP THE BOARD INFORMED OF OUR PROGRESS IN THE REGULATORY PROJECT.