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Safety Recommendation Details

Safety Recommendation M-17-012
Details
Synopsis: The National Transportation Safety Board (NTSB) is providing the following information to urge the National Oceanic and Atmospheric Administration (NOAA), the National Weather Service (NWS; a component of NOAA), and the US Coast Guard to take action on the safety recommendations in this report. The recommendations address, in the interest of mariner safety, the development of tropical cyclone information and its availability to mariners. The recommendations derive primarily from factual information gathered during the NTSB’s ongoing investigation into the sinking of cargo vessel El Faro on October 1, 2015. The factual data revealed that critical tropical cyclone information issued by the NWS is not always available to mariners via well-established broadcast methods. The data also suggest that modifying the way the NWS develops certain tropical cyclone forecasts and advisories could help mariners at sea better understand and respond to tropical cyclones. Further, factual data on the official forecasts for Hurricane Joaquin and other recent tropical cyclones suggest that a new emphasis on improving hurricane forecasts is warranted. The NTSB has yet to determine the probable cause of, or contributing factors in, El Faro’s sinking. Nevertheless, based on the meteorological facts gathered thus far, plus discussions with the NWS and the Coast Guard, the NTSB makes ten recommendations in this report. Two recommendations are addressed to NOAA, seven to the NWS, and one to the Coast Guard.
Recommendation: TO THE NATIONAL WEATHER SERVICE: Modify your directives to ensure that the “next advisory” time in a Tropical Cyclone Forecast/Advisory clearly indicates when to expect the next update of “current” or forecast information for that particular tropical cyclone.
Original recommendation transmittal letter: PDF
Overall Status: Open - Acceptable Response
Mode: Marine
Location: 36 NM Northeast Crooked Island Bahamas, AO, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA16MM001
Accident Reports: Tropical Cyclone Information for Mariners Sinking of US Cargo Vessel SS El Faro Atlantic Ocean, Northeast of Acklins and Crooked Island, BahamasSinking of the US Cargo Vessel El Faro: Illustrated Digest
Report #: MSR-17-02
Accident Date: 10/1/2015
Issue Date: 6/29/2017
Date Closed:
Addressee(s) and Addressee Status: United States Department of Commerce, National Oceanic and Atmospheric Administration, National Weather Service (Open - Acceptable Response)
Keyword(s):

Safety Recommendation History
From: NTSB
To: United States Department of Commerce, National Oceanic and Atmospheric Administration, National Weather Service
Date: 4/22/2019
Response: We note that, in addition to the current practice of indicating the time of the next full advisory, the National Hurricane Center has agreed to adjust the forecast/advisory product to indicate the time of the next intermediate public advisory when coastal watches or warnings are in effect. Pending completion of that action, Safety Recommendation M-17-12 remains classified OPEN--ACCEPTABLE RESPONSE.

From: United States Department of Commerce, National Oceanic and Atmospheric Administration, National Weather Service
To: NTSB
Date: 7/15/2018
Response: -From Andrew Stern, Director, Analyze, Forecast, and Support Office, NOAA/ National Weather Service: I would like to bring to your attention increased support that NWS is providing to the U.S. Coast Guard with respect to improving dissemination of hazards in the oceanic domain. Starting last week, the NWS Ocean Prediction Center, in coordination with the National Hurricane Center and the NWS National Operations Center began providing weekly PPT briefings to USCG District 5. Note in the attached Memo from OPC to the NWS Chief Operating Officer that the actions fully support safety recommendations from the NTSB El Faro report. The second attached file, called "Briefing Slides.pdf", contains briefing slides from last week. The first two slides were presented to the USCG on July 9 and highlighted hazards associated with cyclones Chris and Beryl. The 3rd and 4th slides show updates to NWS leadership regarding oceanic impacts from Hurricane Chris. Slide 3 shows AIS data and ship avoidance maneuvers in advance of Chris - leaving a mostly ship free northeastward slot. Slide 4 shows a tanker who appeared to move close to or through the eye wall. OPC later reported that the tanker turned northwest and headed toward the NY Bight once the storm had passed. The NWS continues to improve decision support services with our core partners in support of transportation safety. Thought that you would be interested.

From: United States Department of Commerce, National Oceanic and Atmospheric Administration, National Weather Service
To: NTSB
Date: 6/22/2018
Response: -From Andrew D. Stern, Director, National Weather Service, Analyze, Forecast and Support Office: In progress. NHC has agreed to adjust Forecast/Advisory product to indicate the time of the next intermediate public advisory (in addition to the next full advisory) when coastal watches/warnings are in effect. This will be implemented in 2019.

From: NTSB
To: United States Department of Commerce, National Oceanic and Atmospheric Administration, National Weather Service
Date: 2/20/2018
Response: We note that you agree that the NHC could address this recommendation by adjusting the forecast/advisory product to indicate the time of the next intermediate public advisory (in addition to the current practice of indicating the time of the next full advisory) when coastal watches or warnings are in effect. Pending completion of that action, Safety Recommendation M-17-12 is classified OPEN--ACCEPTABLE RESPONSE.

From: United States Department of Commerce, National Oceanic and Atmospheric Administration, National Weather Service
To: NTSB
Date: 11/30/2017
Response: -From Andrew D. Stern, Director, Analyze, Forecast, and Support Office, National Weather Service: While the NWS believes that current policy is already primarily in alignment with this recommendation, the NHC could further address this recommendation by adjusting the Forecast/Advisory product to indicate the time of the next intermediate public advisory (as well as the time of the next full advisory, which is current practice) when coastal watches/warnings are in effect.

From: NTSB
To: United States Department of Commerce, National Oceanic and Atmospheric Administration, National Weather Service
Date: 6/29/2017
Response: On June 20, 2017, the National Transportation Safety Board (NTSB) adopted its safety recommendation report Tropical Cyclone Information for Mariners, related to the October 1, 2015, sinking of cargo vessel El Faro. Additional information about this accident and the resulting recommendations may be found in the safety recommendation report, which can be accessed at our website, www.ntsb.gov, under report number NTSB/MSR-17/02. As a result of this investigation, we issued two recommendations to the National Oceanic and Atmospheric Administration, one recommendation to the US Coast Guard, and the following seven recommendations to the National Weather Service.