MISLE DATA CDR Michael J. Simbulan, USCG

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Presentation transcript:

MISLE DATA CDR Michael J. Simbulan, USCG Chief, Casualty Analysis Division Office of Investigations & Analysis

MERPAC MERPAC's purpose is to advise the Secretary of the Department of Homeland Security (DHS), via the Commandant, U.S. Coast Guard, on matters relating to the training, qualification, licensing, certification and fitness of seamen in the merchant marine. http://www.uscg.mil/hq/cg5/cg522/cg5221/merpac.asp

What can CG MISLE data tell us about the “…training, qualification, licensing, certification and fitness of seamen in the merchant marine” ? Good Question! I wish I could easily answer that question – but I cannot. I can tell you what the data says, I need your help to tell me if it is meaningful. I also need your help to tell me where to look. Just because there is data there, does not mean it is good.

DOCUMENTATION OF WHAT HAPPENED? ACCIDENT WHAT HAPPENED? DOCUMENTATION OF WHAT HAPPENED? a.k.a. DATA THE INVESTIGATION INTO THE ACCIDENT

Marine Information for Safety and Law Enforcement (MISLE) Database Incident Investigation Facility Inspection Platform Inspection Vessel Operational Control Boarding Container Inspection Fishing Vessel Exam Enforcement Uninspected Towing Vessel Exam Sighting Incident Management Resource Sortie Facility Operational Control Waterway Management LE Event Maritime Security Response Operation Preliminary Investigation Vessel Security Plan Facility Security Plan Vessel Transfer Monitor Facility Transfer Monitor Bridge Investigation Third Party Oversight 24 CG Field Activity Types 3 Activity Types contain info related to training, qualification, licensing, certification and fitness of mariners. Preliminary Investigation Activities Incident Investigations Activities Marine Casualties Pollution Discharges Violations of Laws or Regulations Enforcement Activities Suspension & Revocation Civil Penalties

S&R Offenses (This is what Investigators are charging MMC holders with) Cite` Description 2012 2013 2014 2015 2016 46CFR5.27 Misconduct 235 223 178 227 240 46CFR5.29 Negligence 65 52 36 49 45 46CFR5.31 Incompetence 2 7 10 37 46CFR5.33 Violation of Law/Reg 66 64 39 30 46CFR5.35 Dangerous Drug Law 11 46 8 46CFR5.35 (Conviction) Conviction of dangerous drug law 44 29 23 21 22 46CFR5.35 (Use) Use of dangerous drug 428 445 312 330 385 46USC7702(d)(1)(B)(i) Temporary suspension 1 46USC7702(d)(1)(B)(ii) 46USC7702(d)(1)(B)(iii) 46USC7703(2) Conviction of offense which wold prevent issuance/renewal of MMC 33 5 13 46USC7703(3) Conviction of NDR Act offense 67 50 38 35 TOTAL   954 935 664 786 779 About 50% are drug related. About 25% are misconduct – lots of failed alcohol tests, violation of company policies, an According to the NMC Website, as of 2015 there were 209,901 active merchant mariners http://www.uscg.mil/nmc/reports/default.asp?tab=2#TabbedPanels1

Use of Dangerous Drugs Positive Drug Tests by Drug Test Type CY 2012 TOTAL Random 127 105 137 109 96 574 Pre-employment 99 103 121 101 63 487 Post-casualty 35 27 30 54 34 180 Other 9 12 33 8 74 Periodic 13 17 14 65 Post Accident 1 39 Probable cause 3 7 2 Reasonable Suspicion/Cause 5 32 Follow Up Return to Duty 305 294 351 330 221 1,501 38% Random 32% pre-employment 16% post-casualty

Fatalities Involving Vessel Crew Members CY 2012 to 2016

Fatalities Involving Vessel Crew Members CY 2012 to 2016 Crew Fatalities by Accident Type 2012 2013 2014 2015 2016 TOTAL Existing Medical Condition Event 17 20 22 14 18 91 Contact Injury- Fall into water 15 12 6 61 Other Injury Type 1 2 4 33 5 45 Noncontact Injury- Asphyxiation 8 7 13 40 Unknown Injury Type 9 3 35 Noncontact Injury- Other 26 Diseases- General   Assault, Homicide, Suicide, or Self-Inflicted Injury Contact Injury- Other 12 OTHER TYPES 16 21 11 78

https://www.bls.gov/iif/oshwc/cfoi/cfch0014.pdf

https://www.bls.gov/iif/oshwc/cfoi/cfch0014.pdf

https://www.bls.gov/iif/oshwc/cfoi/cfch0014.pdf

Serious, Severe, Critical Injuries Involving Vessel Crew Members CY2012 to 2016 1.7 % existing medical condition 1.7% diseases

Injuries by Accident Type Serious, Severe, Critical Injuries Involving Vessel Crew Members CY2012 to 2016 Injuries by Accident Type 2012 2013 2014 2015 2016 Total Contact Injury- Fall onto surface 44 41 47 40 27 199 Contact Injury- Crushed between objects 19 18 23 15 14 89 Contact Injury- Struck by Moving Object 20 16 10 86 Contact Injury- Line handling/caught in lines 11 24 13 84 Contact Injury- Collision with Fixed Object 12 3 5 45 Contact Injury- Other 7 2 34 Noncontact Injury- Burn 4 30 12 OTHER ACCIDENT TYPES 26 97

Serious Marine Incidents CY 2012 to 2016

Serious Marine Incident (a) Any marine casualty or accident as defined in § 4.03-1 which is required by § 4.05-1 to be reported to the Coast Guard and which results in any of the following: (1) One or more deaths; (2) An injury to a crewmember, passenger, or other person which requires professional medical treatment beyond first aid, and, in the case of a person employed on board a vessel in commercial service, which renders the individual unfit to perform routine vessel duties; (3) Damage to property, as defined in § 4.05-1(a)(7) of this part, in excess of $100,000; (4) Actual or constructive total loss of any vessel subject to inspection under 46 U.S.C. 3301; or (5) Actual or constructive total loss of any self-propelled vessel, not subject to inspection under 46 U.S.C. 3301, of 100 gross tons or more. (b) A discharge of oil of 10,000 gallons or more into the navigable waters of the United States, as defined in 33 U.S.C. 1321, whether or not resulting from a marine casualty. (c) A discharge of a reportable quantity of a hazardous substance into the navigable waters of the United States, or a release of a reportable quantity of a hazardous substance into the environment of the United States, whether or not resulting from a marine casualty.

??? EVENTS 2012 2013 2014 2015 2016 Material Failure/Malfunction 3,140 3,571 3,798 2,936 1,877 Discharge/Release - Pollution 1,906 2,218 2,397 2,001 1,623 Loss/Reduction of Vessel Propulsion/Steering 2,101 2,293 2,445 1,933 1,278 Grounding 1,329 1,185 1,075 987 769 Allision 794 910 872 768 675 Set Adrift 333 417 418 362 472 Collision 314 312 347 293 219 Flooding - Initial 265 281 273 231 Loss of Electrical Power 291 295 307 255 166 Sinking 207 222 213 191 164 Vessel Manuever 72 78 85 271 321 Fire - Initial 172 181 129 128 100 Flooding - Progressive 167 150 95 80 Fouling 101 133 131 113 84 Capsize 50 53 44 46 32 Loss of Stability 60 75 36 24 16 Abandonment 51 33 Fire - Reflash 12 18 4 Cargo/Fuel Transfer/Shift 8 10 41 Vessel Yawl/Pitch/Roll/Heel 1 14 35 Explosion 7 Damage to Cargo 6 Wave(s) Strikes/Impacts 2 22 Well Blowout 5 Implosion Personnel Casualty - Injury Personnel Fall into Water ???

EVENTS 2012 2013 2014 2015 2016 Grounding 1,329 1,185 1,075 987 769 Allision 794 910 872 768 675 Collision 314 312 347 293 219 Execution Error – Attention Failure 677 Other 169 Planning Error - Knowledge-based Mistake (Heuristic) 89 Planning Error - Rule-based Mistake (Misuse of a good rule) 85 Execution Error – Memory Failure 54 Planning Error - Knowledge-based Mistake (Bias) 53 Planning Error - Rule-based Mistake (Use of a bad rule) 32 Planning Error - Violation (Routine Adaptation) 29 Planning Error - Violation (Willful Violation) 13 Planning Error - Violation (Exceptional Adaptation) 4 Planning Error - Violation (Sabotage) 1