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Marine Casualties Investigative Body

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Marine Casualties Investigative Body MINISTRY OF INFRASTRUCTURES AND TRANSPORTS Marine Casualties Investigative Body Cruise Ship COSTA CONCORDIA Marine casualty on January 13, 2012 Report on the safety technical investigation Email: [email protected] Tel: +39 06 5908 3447 INDEX INDEX ....................................................................................................................................... 1 0. GLOSSARY OF ABBREVIATIONS AND ACRONYMS ..................................................... 1 1. SUMMARY ........................................................................................................................ 3 2. FACTUAL INFORMATION .............................................................................................. 11 2.1 Ship Facts ..................................................................................................................... 11 2.2 Voyage particulars ......................................................................................................... 13 2.3 Information about the marine casualty ......................................................................... 13 2.4 Search and Rescue Activities ........................................................................................ 14 2.4.1 National SAR Organization ..................................................................................... 14 2.4.2 Agencies and Departments SAR organization involved .......................................... 14 2.4.3 Naval units and aircrafts of the Italian Organization used in the early SAR operations until the morning of the day 14.01.2012. ........................................................ 16 2.4.4 Naval and aviation units of other government departments and private companies used in the early SAR operations ................................................................................... 16 2.4.5 Chronology about most significant events .............................................................. 16 2.4.6 Achievements ......................................................................................................... 25 2.4.7 Considerations on the measures taken and the ability to react after the event acknowledgment .............................................................................................................. 25 3. NARRATIVE .................................................................................................................... 27 INTRODUCTION ................................................................................................................. 27 4. ANALYSIS ....................................................................................................................... 37 PREAMBLE ......................................................................................................................... 37 4.1 Ship Organization .......................................................................................................... 37 4.1.1 Recruiting ............................................................................................................ 39 4.1.2 Minimum Safe manning – Crew asset ................................................................. 39 4.1.3 Language of work on board................................................................................. 41 4.1.4 Muster List ........................................................................................................... 41 4.1.5 Hours of work on board ....................................................................................... 41 4.2 Preparation for departure ............................................................................................. 42 4.2.1 Certificates of safety and operating limitations........................................................ 42 4.3 Navigation .................................................................................................................... 43 4.3.1 Planning the voyage ............................................................................................... 43 Marine Casualties Investigative Body – C/S Costa Concordia Pag. I 4.3.2 Nautical charts and publications updating, use of ECDIS (electronic chart display and monitoring system) and VDR .................................................................................... 46 4.3.3 Watchkeeping and conduct of navigation ............................................................... 47 Actuating the rudder ........................................................................................................ 51 4.3.4 Checks and before departure ................................................................................. 55 Checks on watertight doors and side scuttles .................................................................. 56 Check trim and stability .................................................................................................... 58 Left engine propulsion ..................................................................................................... 58 Control Life Saving And Checking The Fitness 'Ship ....................................................... 58 4.3.5 Recording system of passengers ............................................................................ 59 4.3.5 Instructions and appeals to passengers ................................................................. 60 4.4 Navigation before the impact phase .......................................................................... 61 4.5 Abandon ship ............................................................................................................. 68 4.6 Decision-making ........................................................................................................ 74 4.6.1. Emergency management ....................................................................................... 74 4.7 Second grounding, flooding and stability phases ....................................................... 91 4.7.1 Breach and flooding – Preamble ............................................................................ 93 4.7.2 Description of the damage ...................................................................................... 99 4.7.3 Watertight doors ................................................................................................... 105 4.7.4 Splashtight doors .................................................................................................. 107 4.7.5 Bulkhead deck permeability .................................................................................. 110 4.7.6 Consequences of the internal compartments flooding .......................................... 111 4.7.7 Bilge pump functionality ........................................................................................ 112 4.7.8 Stability ................................................................................................................. 113 Applicable Regulations .................................................................................................. 113 Subdivision .................................................................................................................... 113 Ship’s intact stability criteria ........................................................................................... 114 Damage stability ............................................................................................................ 114 Stability test ................................................................................................................... 115 Stability information to the Master.................................................................................. 115 Approved documentation ............................................................................................... 115 4.7.9 Flooding simulation ............................................................................................... 116 4.7.10 Enhancement of deterministic methods .............................................................. 125 4.7.11 Distribution Equipment-board ............................................................................. 127 Marine Casualties Investigative Body – C/S Costa Concordia Pag. II 4.7.12 Evaluation on application of probabilistic method ............................................... 128 4.8 Flooding management support ................................................................................ 129 4.8.1 Decision Support Systems ................................................................................ 129 Damage Control Plan and Damage Control Booklet...................................................... 129 NAPA ............................................................................................................................. 130 4.9 Emergency Diesel Generator functionality. ................................................................. 132 4.9.1 Focusing on the Emergency electric source of power. (details in Appendix 9) ..... 135 Requirements ................................................................................................................ 135 Temporary emergency power supply constituted by batteries. ...................................... 135 Description of the activities related to the technical investigation on the EDG and ES. 137 Scope of activities .......................................................................................................... 139 Methodology
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