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Office of Marine Safety The Decision to Cross the Bar

Office of Marine Safety The Decision to Cross the Bar

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National Transportation Safety Board Influencing Factors Situational Vessel Personal

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Page 1: Office of Marine Safety The Decision to Cross the Bar

Office of Marine Safety

The Decision to Cross the Bar

Page 2: Office of Marine Safety The Decision to Cross the Bar

National Transportation Safety Board

The Decision to Cross the Bar

• Factors influencing the decision• How the decision was made

Page 3: Office of Marine Safety The Decision to Cross the Bar

National Transportation Safety Board

Influencing Factors

• Situational• Vessel• Personal

Page 4: Office of Marine Safety The Decision to Cross the Bar

National Transportation Safety Board

Situational

• Marine forecast • Restricted bar• Visible high waves• Other vessels• Transmissions

Page 5: Office of Marine Safety The Decision to Cross the Bar

National Transportation Safety Board

Rough Seas

Page 6: Office of Marine Safety The Decision to Cross the Bar

National Transportation Safety Board

Vessel

• Size• Power • Previous crossings

Page 7: Office of Marine Safety The Decision to Cross the Bar

National Transportation Safety Board

Personal

• Successful crossing experience• Familiar with vessels and their

masters• Owned two of the four vessels • Specifically requested by charter

group members

Page 8: Office of Marine Safety The Decision to Cross the Bar

National Transportation Safety Board

Steps/Actions

• Obtained weather/bar forecasts• Decided against setting out crab

pots • Left dock with passengers • Transited to the end of the inlet

Page 9: Office of Marine Safety The Decision to Cross the Bar

National Transportation Safety Board

Steps/Actions

• Observed seas and actions of other vessels

• Heard marine radio transmissions • Attempted to cross after the D & D

Page 10: Office of Marine Safety The Decision to Cross the Bar

National Transportation Safety Board

To Cross or Not to Cross

PRO• Previous crossings

successful• Other vessels

crossed • Passenger

considerations

CON• Waves/swells > 10

feet• Seas

unpredictable• Warnings from

other vessels

Page 11: Office of Marine Safety The Decision to Cross the Bar

National Transportation Safety Board

Context• Dynamic conditions• Considerable data • Conflicting information • Single decision-maker• Limited time • Potentially catastrophic

consequences

Page 12: Office of Marine Safety The Decision to Cross the Bar

National Transportation Safety Board

Critical Factors

• Significance of D & D • Difficulty of being lone decision-

maker

Page 13: Office of Marine Safety The Decision to Cross the Bar

National Transportation Safety Board

Summary

• Poor predictability• Limited margin of error• Wrong cues• Luck

Page 14: Office of Marine Safety The Decision to Cross the Bar

National Transportation Safety Board

Decision Making in This Accident