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Safety Recommendation Details

Safety Recommendation M-01-015
Details
Synopsis: The recommendations address the following safety issues: the adequacy of shipboard training and drills for masters and other officers in firefighting management; the adequacy of policies, procedures, training and drills for limiting and controlling the spread of smoke during a fire; and the adequacy of internal and external audits of the company's safety management system. The recommendations are derived from the Safety Board's investigation of the fire on board the Netherlands-registered passenger ship Nieuw Amsterdam in Glacier Bay, AK, on 5/23/00, and are consistent with the evidence we found and the analysis we performed. As a result of this investigation, the Safety Board has issued six safety recommendations, one of which is addressed to 13 cruise line companies, and one of which is addressed to the U.S. Coast Guard. The remaining four recommendations are addressed to Holland America Line Westours, Inc. (Holland America). Information supporting the recommendations to Holland America is discussed below. The Safety Board would appreciate a response from you within 90 days addressing the actions you have taken or intend to take to implement our recommendation.
Recommendation: The NTSB recommends that the Holland America Line Westours, Inc.: Revise shipboard procedures for controlling smoke to incorporate proactive measures that ensure the rapid clearing of passengers and crew from decks and that prevent the migration of smoke.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Marine
Location: Bays, AK, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA00MM027
Accident Reports:
Fire on Board the Netherlands-Registered Passenger Ship Nieuw Amsterdam
Report #: MBR-01-01
Accident Date: 5/23/2000
Issue Date: 8/8/2001
Date Closed: 7/22/2002
Addressee(s) and Addressee Status: Holland America Line, Inc. (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: Holland America Line, Inc.
Date: 7/22/2002
Response: The Safety Board has reviewed HAL's revised Firefighting Doctrine and determined that it incorporates the essential elements of Safety Recommendations M-01-14 through -17 as follows: § M-01-14: pages 5 and 6, and the Firefighting Philosophy on page 7, indicates that HAL has reviewed its shipboard training and drills and has taken action to address its management responsibilities during a fire emergency and firefighting command and control activities; § M-01-15: the Firefighting Philosophy require revisions to instructions regarding the migration of smoke; § M-01-16: Appendix B (not C as noted on page 13 of document) provides examples of practice drill scenarios that test the crew's ability to respond to fires and varying smoke conditions; and § M-01-17: is addressed in the Firefighting Philosophy and by the caveat at the end of each senior crewmembers responsibility "review ways to improve firefighting team responses." Accordingly, because HAL has addressed each recommendation appropriately in its revised Firefighting Doctrine, Safety Recommendations M-01-14 through -17 are classified "Closed--Acceptable Action."

From: Holland America Line, Inc.
To: NTSB
Date: 4/23/2002
Response: Letter Mail Controlled 05/13/2002 1:00:14 PM MC# 2020480 As a follow on to my letter of 10-2-01, I am pleased to advise you that we have adopted referenced recommendations primarily through the development of a comprehensive Firefighting Doctrine, copy enclosed, which has been implemented by our vessels. Oversight of compliance with this doctrine is done through out compliance department utilizing in-house and third party auditors.

From: NTSB
To: Holland America Line, Inc.
Date: 12/26/2001
Response: The Safety Board is pleased to learn that HAL plans to adopt these safety recommendations to the fullest extent possible. The Safety Board understands and appreciates that recent national events have affected your ability to implement the recommendations as soon as you had hoped. Under the circumstances, your commitment to implement the recommendations by the end of the year is commendable. Pending further information regarding action HAL has taken or plans to take to implement these recommendations, Safety Recommendations M-01-14 through -17 are classified "Open--Acceptable Response."

From: Holland America Line, Inc.
To: NTSB
Date: 10/2/2001
Response: