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Drifting of Container Ship MV Priamos (AG) Into Shallows Off Kotka on 12 September 2018

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Drifting of Container Ship MV Priamos (AG) Into Shallows Off Kotka on 12 September 2018 Drifting of container ship MV Priamos (AG) into shallows off Kotka on 12 September 2018 M2018-03 PREFACE Under Section 2 of the Safety Investigation Act (525/2011), the Safety Investigation Authority of Finland decided to initiate an investigation into the drifting of the container ship MV Priamos (AG) into shallows off the Port of Mussalo in Kotka on 12 September 2018. The purpose of the safety investigation is to promote general safety, prevent further accidents and incidents, and prevent losses caused by the accidents. Safety investigations are not conducted to allocate legal liability. Licentiate in Technology Olavi Huuska was appointed as the Head of Investigation Team, and Special Investigator Hannu Hänninen, Captain Tero Haapalinna, Captain Sakari Häyrinen and Captain Sami Raappana were appointed as team members. Chief Safety Investigator Risto Haimila served as the Investigator-in-charge. The Safety Investigation Authority, Finland commissioned a simulation of the steering and tugboat assistance of a container ship corresponding to MV Priamos in the conditions that prevailed. In addition, the Safety Investigation Authority, Finland conducted a survey amongst the member ports of the Finnish Port Association on the practices related to limiting traffic established by the ports. The safety investigation examines the course of events, its causes and consequences, and the search and rescue actions as well as any actions taken by the authorities. The investigation specifically examines whether safety had adequately been taken into consideration in the activity leading up to the accident and in the planning, manufacture, construction and use of the equipment and structures that caused the accident or incident or at which the accident or incident was directed. The investigation also examines whether the management, supervision and inspection activity had been appropriately arranged and managed. If necessary, the investigation also examines possible defects in the provisions and orders regarding safety and the authorities. The investigation report includes an account of the course of events of the accident, the factors leading to the accident and its consequences, as well as safety recommendations addressed to the appropriate authorities and other instances regarding measures that are necessary in order to promote general safety, the prevention of further accidents and incidents, the prevention of loss and the improvement of the effectiveness of the operations of search and rescue and other authorities. The parties involved in the accident and the authorities responsible for supervision within the field of the investigated accident have been provided with the opportunity to provide a statement on the draft investigation report. The statements were taken into account when the report was finalised. A summary of the statements is at the end of the investigation report. Pursuant to the Safety Investigation Act, statements from private individuals are not published. The investigation report and summary were translated into Swedish and English by Semantix Oy. The investigation report, summary and appendix have been published 10 JULY 2019 on the Safety Investigation Authority's website at www.sia.fi. Investigation identifier: M2018-03 Cover photo: HaminaKotka Satama Oy Investigation report 9/2019 ISBN: 978-951-836-552-8(PDF) 2 CONTENTS PREFACE ........................................................................................................................................................................ 2 1 EVENTS .................................................................................................................................................................. 5 1.1 Course of events ........................................................................................................................................ 5 1.2 Alarms and rescue operations ............................................................................................................. 7 1.3 Consequences ............................................................................................................................................. 8 2 BACKGROUND INFORMATION .................................................................................................................. 10 2.1 Operating environment, devices and systems ............................................................................ 10 2.1.1 Container ship MV Priamos ....................................................................................................... 10 2.1.2 Tugboats ............................................................................................................................................ 11 2.1.3 Mussalo port area .......................................................................................................................... 13 2.2 Conditions .................................................................................................................................................. 14 2.2.1 Weather conditions ....................................................................................................................... 14 2.2.2 Limitations on piloting a vessel from the port to the fairway ...................................... 16 2.2.3 Forces affecting the vessel during piloting .......................................................................... 18 2.2.4 Piloting practices ............................................................................................................................ 20 2.2.5 Towing practices ............................................................................................................................ 20 2.3 The people, organisations and safety management .................................................................. 21 2.3.1 The roles of the involved people in the accident ............................................................... 21 2.3.2 Safety management on the vessel............................................................................................ 22 2.3.3 Agency ................................................................................................................................................ 23 2.3.4 Pilotage company ........................................................................................................................... 23 2.3.5 Tugboat company .......................................................................................................................... 25 2.3.6 The port organisation ................................................................................................................... 26 2.4 Actions of the authorities .................................................................................................................... 26 2.4.1 The Finnish Transport Infrastructure Agency ................................................................... 26 2.4.2 The Finnish Transport and Communications Agency ..................................................... 27 2.4.3 Ministry of Transport and Communications ....................................................................... 28 2.5 Rescue service organisations and readiness ................................................................................ 28 2.6 Recordings ................................................................................................................................................. 29 2.6.1 VDR ...................................................................................................................................................... 29 2.6.2 VTS ....................................................................................................................................................... 31 2.6.3 AISLab video .................................................................................................................................... 31 2.6.4 Port video recording ..................................................................................................................... 32 2.6.5 Journal printer ................................................................................................................................ 34 2.6.6 ECDIS .................................................................................................................................................. 35 3 2.7 Rules, regulations, instructions and other documents ............................................................ 35 2.8 Other studies ............................................................................................................................................ 36 2.8.1 Computational simulation .......................................................................................................... 36 2.8.2 Survey of the traffic restrictions in the pilotage areas of ports ................................... 40 3 ANALYSIS ............................................................................................................................................................ 42 3.1 Loading and preparation for departure ......................................................................................... 42 3.2 Information exchange and division of duties of the master, pilot and the tugboat's master .....................................................................................................................................................................
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