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Safety Recommendation Details

Safety Recommendation M-97-006
Details
Synopsis: ON 6/10/95, THE PANAMANIAN PASSENGER SHIP ROYAL MAJESTY GROUNDED ON ROSE CROWN SHOAL ABOUT 10 MILES EAST OF NANTUCKET ISLAND, MASSACHUSETTS, & ABOUT 17 MILES FROM WHERE THE WATCH OFFICERS THOUGHT THE VESSEL WAS. THE VESSEL, WITH 1,509 PERSONS ON BOARD, WAS EN ROUTE FROM ST. GEORGE'S, BERMUDA, TO BOSTON, MASSACHUSETTS. THERE WERE NO DEATHS OR INJURIES AS A RESULT OF THIS ACCIDENT. DAMAGE TO THE VESSEL & LOST REVENUE, HOWEVER, WERE ESTIMATED AT ABOUT $7 MILLION.
Recommendation: THE NTSB REITERATES M-93-18 & -19 & RECOMMENDS THAT THE USCG: PROPOSE TO THE INTERNATIONAL MARITIME ORGANIZATION THAT IT DEVELOP STANDARDS FOR INTEGRATED BRIDGE SYSTEM DESIGN THAT WILL REQUIRE MULTIPLE INDEPENDENT POSITION RECEIVER INPUTS; MONITORING POSITION RECEIVER DATA FOR FAILURES/INVALID DATA & SUBSEQUENT POSITIVE ANNUNICATION TO THE CREW; COMPARING POSITION RECEIVER DATA FOR SIGNIFICANT DISCREPANCIES BETWEEN POSITION RECEIVERS, & SUBSEQUENT POSITIVE ANNUNCIATION TO THE CREW; & FAILURE MODES VIA FAILURE MODES & EFFECTS ANALYSES (FMEAS) DURING THE DESIGN PROCESS & ONCE AGAIN WHEN ALL PERIPHERAL DEVICES & EQUIPMENT DETAIL HAVE BEEN "FROZEN" IF THE FEMA DURING THE DESIGN PROCESS DOES NOT ACCOUNT FOR ALL PERIPHERAL DEVICE/EQUIPMENT VARIATIONS.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Reconsidered
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: 4/10/1997
Date Closed: 4/20/1999
Addressee(s) and Addressee Status: USCG (Closed - Reconsidered)
Keyword(s):

Safety Recommendation History
From: NTSB
To: USCG
Date: 4/20/1999
Response: THE SAFETY BOARD IS PLEASED THAT THE IMO MARITIME SAFETY COMMITTEE (MSC) ADOPTED COMPREHENSIVE PERFORMANCE STANDARDS FOR INTEGRATED BRIDGE SYSTEMS AS RESOLUTION MSC.64(67) ON 12/4/96, AND THAT THESE STANDARDS INCLUDE GUIDELINES ON FUNCTIONAL INTEGRATION OF SYSTEMS, DATA EXCHANGE, FAILURE ANALYSIS, HUMAN FACTORS, FUNCTIONALITY OF SYSTEMS, SENSORS, ALARM MANAGEMENT, AND POWERING. IN ADDITION, WE UNDERSTAND THAT PERFORMANCE STANDARDS FOR INTEGRATED NAVIGATION SYSTEMS WERE ADOPTED AT THE 70TH SESSION OF THE MSC IN DECEMBER 1998. BECAUSE THE COAST GUARD MADE THE RECOMMENDED PROPOSALS ON 12/4/96, M-97-6 AND -7 HAVE BEEN CLASSIFIED "CLOSED--RECONSIDERED."

From: USCG
To: NTSB
Date: 11/6/1998
Response: WE CONCUR WITH THE INTENT OF THESE RECOMMENDATIONS. THE IMO MARITIME SAFETY COMMITTEE (MSC) ADOPTED COMPREHENSIVE PERFORMANCE STANDARDS FOR INTEGRATED BRIDGE SYSTEMS AS RESOLUTION MSC.64(67) ON 12/4/96. THE RESOLUTION INCLUDES GUIDELINES ON FUNCTIONAL INTEGRATION OF SYSTEMS, DATA EXCHANGE, FAILURE ANALYSIS, HUMAN FACTORS, FUNCTIONALITY OF SYSTEMS, SENSORS, ALARM MANAGEMENT, AND POWERING. PERFORMANCE STANDARDS FOR INTEGRATED NAVIGATION SYSTEMS WILL BE CONSIDERED FOR ADOPTION AT THE 70TH SESSION OF THE MSC IN DECEMBER, 1998. THE COAST GUARD PARTICIPATED FULLY IN THE DEVELOPMENT OF THESE PERFORMANCE STANDARDS. WE PLAN NO FURTHER ACTION ON THESE RECOMMENDATIONS AFTER THE PERFORMANCE STANDARDS FOR INTEGRATED NAVIGATION SYSTEMS HAVE BEEN ADOPTED, AND WE REQUEST THAT THESE RECOMMENDATIONS BE CLASSIFIED AS CLOSED, ACCEPTABLE ACTION.

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