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Safety Recommendation Details

Safety Recommendation M-95-027
Details
Synopsis: ABOUT 2225, ON 6/10/95, THE PANAMANIAN PASSENGER SHIP ROYAL MAJESTY GROUNDED IN ABOUT 11 FEET OF WATER ON ROSE & CROWN SHOALS ABOUT 10 MILES EAST OF NANTUCKET ISLAND, MASSACHUSETTS. THE VESSEL, WITH 1,509 PERSONS ON BOARD, WAS EN ROUTE FROM ST. GEORGES, BERMUDA, TO BOSTON, MASSACHUSETTS, WHEN THE ACCIDENT OCCURRED. THE GROUNDING OCCURRED IN AN AREA OF HARD SAND THAT CAUSED THE VESSEL TO BE TRIMMED ABOUT 10 FEET BY THE STERN & TO ASSUME A 3.5 DEGREES STARBOARD LIST. THE VESSEL'S ENGINEERING & HABITABILITY SYSTEMS, HOWEVER, REMAINED FULL OPERATIONAL.
Recommendation: THE NTSB RECOMMENDS THAT THE USCG: IMMEDIATELY ADVISE MARITIME VESSEL OPERATORS OF THE CIRCUMSTANCES OF THE ROYAL MAJESTLY GROUNDING & URGE THEM TO REVIEW THE DESIGN OF THEIR INTEGRATED BRIDGE SYSTEMS WITH THE MANUFACTURER TO IDENTIFY POTENTIAL SYSTEM & OPERATIONAL FAILURE MODES THAT MIGHT RESULT IN UNDETECTED CHANGES TO THE AUTOPILOT FUNCTION, & DEVELOP MODIFICATIONS AS REQUIRED. (URGENT)
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Marine
Location: Atlantic Ocean, AO, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA95MM042
Accident Reports:
Grounding of the Panamanian Passenger Ship Royal Majesty on Rose and Crown Shoal
Report #: MAR-97-01
Accident Date: 6/10/1995
Issue Date: 8/9/1995
Date Closed: 1/16/1996
Addressee(s) and Addressee Status: USCG (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: NTSB
To: USCG
Date: 1/16/1996
Response: THE BOARD IS PLEASED THAT THE USCG PUBLISHED A SAFETY NOTE IN THE NOVEMBER-DECEMBER 1995 ISSUE OF THE PROCEEDINGS OF THE MARINE SAFETY COUNCIL & ISSUED A "NOTICE TO MARINERS" ADVISING THEM TO REVIEW THE OPERATION OF THEIR INTEGRATED BRIDGE SYSTEMS TO IDENTIFY FAILURE MODES THAT COULD RESULT IN UNDETECTED CHANGES IN THE AUTOPILOT FUNCTION. FURTHER, EACH OF THESE PUBLICATIONS PROVIDED A SYNOPIS OF THE ROYAL MAJESTY ACCIDENT. BECAUSE THE REQUIREMENTS OF THE RECOMMEDED ACTION HAVE BEEN SATISFIED, M-95-27 HAS BEEN CLASSIFIED "CLOSED--ACCEPTABLE ACTION."

From: NTSB
To: USCG
Date: 11/14/1995
Response: THE BOARD NOTES THAT THE USCG WILL PUBLISH SYNOPIS OF THE OF MAJEST CASUALTY OF ASSOCIATED RECOMMENDATIONS IN THE NEXT ISSUE OF THE PROCEEDINGS OF THE MARINE SAFETY COUNCIL & IN ADDITION, WILL ISSUE AN APPROPRIATE NOTICE TO MARINES. CONSEQUENTLY, M-95-27 HAS BEEN CLASSIFIED "OPEN--ACCEPTABLE RESPONSE," PENDING PUBLICATION OF THE PROCEEDINGS ARTICLE & NOTICE TO MARINERS.

From: USCG
To: NTSB
Date: 9/20/1995
Response: I CONCUR WITH THIS RECOMMENDATION. THE USCG WILL PUBLISH A SYNOPIS OF THE ROYAL MAJEST CASUALTY & THESE RECOMMENDATIONS IN THE NEXT ISSUE OF THE PROCEEDINGS OF THE MARINE SAFETY COUNCIL. IN ADDITION, AN APPROPRIATE NOTICE TO MARINERS WILL BE ISSUED.