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NTSB – Star Princess Grounding – June 1995

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NTSB – Star Princess Grounding – June 1995 PB96-916403 NTSB/MAR-97/02 NATIONAL TRANSPORTATION SAFETY BOARD WASHINGTON, D.C. 20594 MARINE ACCIDENT REPORT GROUNDING OF THE LIBERIAN PASSENGER SHIP STAR PRINCESS ON POUNDSTONE ROCK, LYNN CANAL, ALASKA, JUNE 23, 1995 / 6595A \ 1 ———— —.. —.— -—. -— Abstract: On June 23, 1995, the passenger vessel Star Princess, traveling from Skagway to Juneau, Alaska, grounded on Poundstone Rock in Lynn Canal, about 21 miles northwest of Juneau. The vessel’s bottom sustained significant damage. No injuries or deaths resulted from this accident. The total cost resulting from required repairs and the delay before the vessel could return to service was estimated at $27.16 million. The major safety issues discussed in this report are the adequacy of the pilot’s physical fitness for duty, the importance of bridge resource management, the pilotage practices in the Alaskan cruise industry, and the need for search and rescue planning. As a result of its investigation, the National Transportation Safety Board issued safety recommendations to the U.S. Coast Guard, the State pilot commissions, the Alaska Board of Marine Pilots, the Southeastern Alaska Pilots Association, the Alaska Coastwise Pilot Association, the San Diego Bay Pilots Association, Inc., Princess Cruise Lines, the American Pilots’ Association, and the International Council of Cruise Lines. The National Transportation Safety Board is an independent Federal agency dedicated to promoting aviation, railroad, highway, marine, pipeline, and hazardous materials safety. Established in 1967, the agency is mandated by Congress through the Independent Safety Board Act of 1974 to investigate transportation accidents, determine the probable causes of the accidents, issue safety recommendations, study transportation safety issues, and evaluate the safety effectiveness of government agencies involved in transportation. The Safety Board makes public its actions and decisions through accident reports, safety studies, special investigation reports, safety recommendations, and statistical reviews. Information about available publications may be obtained by contacting: National Transportation Safety Board Public Inquiries Section, RE-51 490 L’Enfant Plaza East, S.W. Washington, D.C. 20594 (202) 314-6551 Safety Board publications may be purchased, by individual copy or by subscription, from: National Technical Information Service 5285 Port Royal Road Springfield, Virginia 22161 (703) 487-4600 GROUNDING OF THE LIBERIAN PASSENGER SHIP STAR PRINCESS ON POUNDSTONE ROCK, LYNN CANAL, ALASKA, JUNE 23, 1995 MARINE ACCIDENT REPORT Adopted: June 20, 1997 Notation 6595A National Transportation Safety Board Washington, DC 20594 CONTENTS EXECUTIVE SUMMARY........................................................................................................... v INVESTIGATION ........................................................................................................................ 1 Accident .......................................................................................................................................... 1 Preaccident Events ..............................................................................................................1 Grounding............................................................................................................................ 6 Postaccident Events........................................................................................................... 11 Injuries........................................................................................................................................... 12 Vessel Damage.............................................................................................................................. 12 Crew Information .......................................................................................................................... 13 Pilot on Watch................................................................................................................... 13 Pilot off Watch .................................................................................................................. 14 Master................................................................................................................................ 14 Second Officer................................................................................................................... 14 Third Officer ..................................................................................................................... 14 Vessel Information ........................................................................................................................ 14 General .............................................................................................................................. 14 Equipment ......................................................................................................................... 15 Waterway Information................................................................................................................... 15 Lynn Canal ........................................................................................................................ 15 Accidents........................................................................................................................... 16 Aids to Navigation ............................................................................................................ 16 Currents ............................................................................................................................. 16 Vessel Bridge-to-Bridge Radiotelephone Act................................................................... 16 Pilot Licensing and Oversight ....................................................................................................... 17 Meteorological Information .......................................................................................................... 19 General .............................................................................................................................. 19 Visibility and Assessment of Distance from Poundstone Rock Buoy .............................. 19 Medical and Pathological .............................................................................................................. 19 Tests Conducted ................................................................................................................ 19 Pilot’s Condition ...............................................................................................................20 Effexor................................................................................................................... 20 Fatigue................................................................................................................... 21 Bridge Resource Management ......................................................................................................22 General .............................................................................................................................. 22 PCL Company Policies ..................................................................................................... 23 VERs ............................................................................................................................................. 24 Survival Factors............................................................................................................................. 25 Other Information.......................................................................................................................... 25 Alaskan Cruise Industry .................................................................................................... 25 Navigation ......................................................................................................................... 27 Contingency Planning and Exercises ................................................................................ 27 iii ANALYSIS................................................................................................................................... 29 Exclusions ..................................................................................................................................... 29 The Accident ................................................................................................................................. 29 Pilot Performance.......................................................................................................................... 29 General .............................................................................................................................. 29 Current............................................................................................................................... 31 Radar ................................................................................................................................. 31 Visual Navigation During Low Light Conditions............................................................. 32 Navigation on a Floating Marker ...................................................................................... 34 Communication ................................................................................................................. 34 Medical Factors ............................................................................................................................
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