A man apart: Fatigue and both physical and cultural differences played key roles in the grounding of the bulker Tundra.
Take one fatigued pilot, add cultural power distance, loss of situational awareness, a dash of unimplemented Bridge Resource Management , inadequate master-pilot exchange and passage planning and there’s a very good change of something unpleasant happening. TSB Canada’s investigation report into grounding of the bulker Tundra off Sainte Anne-de-Sorel, Quebec, is an interesting collection of what-not-to-does.
Groundings in which pilots are involved are among the most expensive. A study by the International Group of P&I Clubs estimated that although groundings only account for 3 per cent of incidents resulting insurance claims of more than $100,000 they accounted for 35 per cent of the cost of claims at a cost of $7.85m for each incident. That compares with collisions, which accounted for 24 per cent of incidents and costs, and fixed and floating object claims which accounted for 64 per cent of incidents but 33 per cent of claims.
There’s money in them thar ills.
When the pilot boarded the Tundra he did not have up-to-date information regarding the buoys he intended to use for navigation. One buoy has been removed, which was not necessarily going to be problem since the next buoy had distinctly different characteristics than the missing device and the pilot would have recognised the situation and adjusted accordingly. He did not have a documented passage plan – his was in his laptop. Continue reading »