Affiliation:
1. School of Resources & Safety Engineering, China University of Mining and Technology ( Beijing ), China
2. State Key Laboratory of Coal Resources and Safe Mining, China University of Mining and Technology, Beijing , China
3. School of Safety & Environmental Engineering, Capital University of Economics & Business, Beijing , China
Abstract
Abstract
In the present study, the Eastern Star ferry accident was analyzed via 24Model. 24Model, as an accident causation model based on system thinking, holds that all causations of the accident are hazards and all hazards in the system need to be identified and comprehensively controlled in accident prevention. The result showed that five factors were the main causes of the accident. First, the direct causes: bad weather, the bad condition of the hull and the unsafe acts of the captain. Second, the indirect cause: the lack of safety awareness and safety knowledge of both the captain and the company’s senior management. Third, there were loopholes in safety management system, including the training, supervision and execution of the company. Forth, the root cause: the company didn’t establish a good safety culture. Last, the external causes: the severe market pressure, excessive regulatory authorities with puzzled relations and responsibilities-seriously hindered effective supervision. In order to prevent this kind of accident and to secure shipping system, the shipping companies and the relevant regulatory units should draw lessons from the five factors mentioned above, and take measures to identify and control those hazards.
Subject
Mechanical Engineering,Ocean Engineering
Reference17 articles.
1. 1. J. Reason, 1990. Human error. Cambridge university press, New York.
2. 2. Ö. Uğurlu, E. Köse, U. Yıldırım, et al., 2015. Marine accident analysis for collision and grounding in oil tanker using FTA method. Maritime Policy & Management, 42(2), 163-185.
3. 3. M.A.I. Branch, , House C., and Place C., 2004. Bridge watchkeeping safety study. Department for Transportation, Marine Accident Investigation Branch, Southampton.
4. 4. [4] J. Ylitalo, 2010. Modelling marine accident frequency. Aalto University, Helsinki.
5. 5. P. Checkland, 1981. Systems thinking, systems practice. John Wiley & Sons, New York.
Cited by
26 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献