Investigation Report
Loss of control and grounding of ro-ro passenger ferry Hebrides
Loss of control and grounding of ro-ro passenger ferry Hebrides
- MAIB
- Investigation Report
- Human FactorsMarine Operations
- Human factorsMechanical failureVessel collisionVessel grounding
- Inspection and maintenanceNavigation
- Operator displays and control interfaces
- Alarm managementEmergency responsePreventive maintenanceSafety communication
- Marine industry
- Port and quaysideVessel
Summary
Investigation of Hebrides’ loss of propeller pitch control approaching Lochmaddy, followed by pontoon damage, grounding and pier contact. It examines actuator setscrew loosening, missing maintenance instructions, unimplemented control upgrades and difficulties coordinating emergency actions. Recommendations address propulsion-failure drills, contingency planning and handling manufacturers’ advice.
Classifications: Human factors; human performance; ergonomics.
Classifications: Mechanical failure; equipment failure.
Classifications: Vessel collision; ship collision; marine allision.
Classifications: Vessel grounding.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Navigation; vessel navigation; passage planning.
Classifications: Operator displays and control interfaces.
Classifications: Alarm management.
Classifications: Emergency response; emergency preparedness.
Classifications: Preventive maintenance; preventative maintenance; planned maintenance.
Classifications: Safety communication; toolbox talk; toolbox talks.
Classifications: Marine industry; shipping industry; maritime sector.
Classifications: Port and quayside; quayside; harbour; harbor.
Classifications: Vessel; aboard ship; onboard vessel.
Themes: human factors, marine operations.