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Fig. 1 Flow chart of proposed risk assessment for collisions considering human factors
Problem definition and the actions required at each sequence. Since the encoded
As a preparation step, one of the issues is defined as the anal- factors are related to detection/watchkeeping (cognition) and
ysis objective for the risk assessment in accordance with FSA judgment (decision-making process), they are called “codes of
from the statistic data, reports or new development area, and cognition-decisionmaking factors“ in our study.
so on. The analysis objective is selected considering ship cat-
egory, ship systems or functions, ship operation, external influ- Estimation of Probabilities
ences on the ship, accident category and risks associated with
consequences such as injuries and/or fatalities, environmental The probability of collisions is estimated from the ship traffic
impact, damage to the ship/port facilities or commercial im- volume and the number of crossing situation obtained from the
pact. analysis of the ship traffic data and the number of collisions
In this paper, the collision between fishing vessels and cargo obtained from the database. The estimated probabilities of col-
vessels is selected as analysis objective from the statistic data lision based on the ship traffic volume are 7.32x10-5 for fish-
and the public demands due to a lot of media attention as de- ing vessels and 1.37x10-5 for cargo vessels, and the one based
scribed in INTRODUCTION, and the fact that few researches on the number of crossing situation is 1.26x10-4 which is 10
and countermeasures against the collisions for fishing vessels times higher than the ones based on the ship traffic volume.
have been implemented compared for merchant vessels. The probabilities highly depend on the application theory and
the clear policy how to calculate the probabilities and criteria
Identification of Hazards are essential for the guidelines to obtain the reliable and con-
solidated results. These results are reviewed in accordance
Extract of Human Factors by VTA and Database Construction with the acceptance criteria in FSA Guidelines Appendix 5
and these estimated probabilities are within ALARP, then it is
The hazards are identified by Variation Tree Analysis Method concluded that the analysis objective “collisions between fish-
(VTA) focused on human factors related to collisions using ing vessels and cargo vessels” is “hazard” and subject to the
the records of the adjudication of marine accident inquiries formal safety assessment.
released by the Japan Marine Accident Tribunal. The human
factors are extracted from the reports as “variation factors” Risk Assessment
which depart from usual procedures of navigation by VTA
method. Risk assessment is carried out by Event Tree Analysis (ETA)
The marine casualty database is constructed from the results method. Event tree is developed following the sequence of
of VTA with 217 collisions broken out between 2001 and 2008 the crossing situation with the extracted human factors, the
in the areas covered by ex. Moji Marine Accident Inquiry. codes of cognition-decisionmaking factors. The number of
The database items consist of human factors extracted from cases at each bifurcation in the event tree is obtained from the
VTA and the facts of the casualty such as date, time, location, database. The results of ETA provide the risk distribution for
weather/sea conditions, related vessels’ particulars, status of the crossing situation and also show the patterns of collisions
crossing situations and so on. The human factors in the da- focused on human factors.
tabase are coded based on the sequence of crossing situation
Yuka Tamura, Takeshi Shinoda
Suggestion of Risk Control Options (RCOs) The risk assessment of collisions between fishing vessels and
From the results of the database analysis and ETA, the route cargo vessels is attempted on the basis of the above-mentioned
causes contributing to the collisions are identified. RCOs are methodology which shows the consistent application of the
suggested to eliminate such causes or reduce their occurrence. codes of cognition-decisionmaking factors for each step in the
Their efficiencies are estimated by ETA with the impact to the procedure.
reduction of the occurrence considering the codes of cognition-
decisionmaking factors. CONSTRUCTION OF DATABASE
the sequence of variation factors at each moment at the prog- E), 67% of fishing vessels have been found as not take any
ress of crossing situations. avoidance action to prevent the collision. Since a collision is
VTA has been applied to 57 records issued by ex Moji Marine happened due to multiple items, the total ratios of each factors
Accident Inquiry between 2004 and 2005. These 57 records exceed 100%.
were selected from the latest for two years at the time of the On the other hand, the situation onboard the cargo vessels is
database construction. described as follows: At the earlier phases of crossing situa-
tion, the ratio of “AP3 Failure of detection” and “BP4 Insuffi-
Marine Casualty Database cient watchkeeping” is 72%. When the perilous close quarters
The marine casualty database was constructed with variation condition prevails, the cargo vessels do not take any avoidance
human factors extracted from the visualized VTA and the facts actions due to their optimistic expectation that the smaller and
obtained from the records of adjudication of marine accident more manoeverable fishing vessel will take avoidance action
inquiry, such as accident attribution (date, time, location, sea- (CJ63, CJ64 and CJ65) even though the cargo vessel has rec-
son, weather/sea condition, visibility), vessel attribution (ship ognized the danger of collision and they are “give-way“ ves-
type, length, gross tonnage, speed, course, bridge resources, sel.
roles at crossing situation (give-way or stand-on)), status of The following significant point is emphasized: 67% of fish-
crossing situation and other factors. It is confirmed that the ing vessels do not take any avoidance actions at the phase of
variation factors extracted from 57 cases are considered as crisis condition of collision, while 59% of cargo vessels do
common among other cases and show the significant charac- ultimately take actions. This results may come from the differ-
teristics by the comparison with the additional 43 cases. Ac- ent objectives at sea for fishiermen and crews: fishing and safe
cordingly they are used as database items and shown in Table 1. navigation.
The total entry is 217 cases that were judged at ex Moji From the database analysis, the success of detection, continu-
Marine Accident Inquiry from 1998 to 2008. Variation hu- ous watchkeeping and proper judgment in taking avoidance
man factors are categorized into 4 majors codes based on the actions are key factors to reduce the collisions.
sequence of the crossing situation as shown in Table 1. The
situation code is defined in Table 2 and the level of cognition/ IDENTIFICATION OF HAZARD
decision-making factors are shown in Table 3. The minimum
required actions at crossing situations A through D are defined Estimation of Probabilities of Collisions
“detection“, “watch-keeping“, “judgment“ and “operation“. The probabilities of collisions are estimated by combining the
The exstracted human factors are sorted out to each situation. marine casualty database and the navigation track data. The
navigation track data is obtained through the analysis of the
Results of Database Analysis ship traffic survey carried out at Kanmon Channel for 72 hours
continuously from 00AM on 14 November 2006 to 12AM on
The overall results by the database analysis focused on hu- 16 November 2006. The traffic data on all vessels were ob-
man factors are as follows: On the part of fishing vessels, 70% served by marine radars, AIS and visual observation at every
of collisions among 217 cases are caused by mis-detection, 1 to 3 minutes, and vessel types and their sizes were observed
and the background causes of mis-detection are “AP32 Dis- visually or by IMO ship identification data. The database
traction of the watchkeeper by other works (37%)” and “AP33 consists of 217 collisions happened at sea areas covered by ex
Improper watch (53%)”. Even though the crossing situation Moji Marine Accident Inquiry, including Kanmon Channel.
develops, in 16% of cases, insufficient watchkeeping due to Since we obtain the ship traffic data at Kanmon Channel, 18
the watchkeeper’s distraction by other works (AP32) has been collisions are extracted from the database, which occurred at
identified. At the time of a close quarters when perilous situ- Kanmon area for 5 years.
ation has arisen, fishing vessels take no avoidance actions. Table 4 shows the results of trial calculations of the prob-
This implies that fishing vessels do not reach to the phases to abilities of collisions for both fishing vessels and cargo vessels
assess the situation and can not take appropriate action since based on the ship traffic volume and the number of crossing
they don’t realize the presence of the approaching cargo ves- situations. In our calculations, we took into account the spe-
sel. At the critical phase immediately prior to contact (Situation cial regulations at Kanmon Channel and the areas/situations
affected by Vessel Traffic Control are excluded. We consider dividual Risk and Social Risk, are suggested for the judgment
that this proposed calculation method is versatile and also ap- of hazard. Individual Risk is used, when the risk from an ac-
plicable to the other sea areas to evaluate the probabilities of cident is to be estimated for a particular individual at a given
marine accidents using the traffic data and marine casualty location. Social Risk is used to eliminate risks of accidents
data. affecting many people and its expressions can be generated for
In this analysis, the “crossing situation” is defined as follows: each type of accident (e.g. collision) or a single overall Social
When two vessels, Ship A and Ship B, keep their speed and Risk expression can be obtained, e.g. for a ship type by com-
courses toward the intersection of their course, the crossing bining all accidents together (e.g. collision, grounding, fire).
situation appears. This intersection is defined as the “estimated Social Risk represents the risk to a (large) group of people. In
collision point”. When Ship A reaches the estimated collision this group, the risk to individuals may be quite different. The
point and Ship B is within the longer vessel’s length between Social Risk value therefore represents an average risk.
Ship A and Ship B from the estimated collision point, this situ- In this paper, the identification of hazard is investigated with
ation changes to a fear of collision. We try to extract the cross- two Social Risk indexes, the probability of collision and the
ing situation by the following calculating method applying to loss of life, using ALARP (As Low As Reasonably Practicable)
the traffic data analysis. First, the course lines of both vessels principal which is commonly accepted as risk criteria used to
are plotted at each one minute from the traffic data by interpo- translate a risk level into value judgment. The ALARP region
lation. When the estimated collision point on the course line is defined between an upper bound 10 -3 and a lower bound
can’t be cleared, it is defined that the crossing situation is de- 10-6, and a risk level is intolerable above an upper bound and
tected. broadly acceptable below a lower bound. The risk in ALARP
The probabilities are calculated through the following steps: region should be reduced cost-effectively. When the social
The average number of cargo vessels par 3 days is 2,152, and risk of the analysis objective is in ALARP region, it is defined
the number of cargo vessels par 5 years is calculated 1,309,133 as hazard and the subsequent risk assessment is to be carried
by converting the average number par day. On the other out.
hand, the number of cases of analyzed crossing situation par 3 The probabilities of collisions based on the ship traffic vol-
days is 235, and the number of cases par 5 years is calculated ume are 7.32x10-5 for fishing vessel and 1.37x10-5 for cargo
142,958. According to the database, 18 collisions occurred at vessel and the ones based on the number of crossing situation
Kanmon area for 5 years. The calculation results are shown in is 1.26x10-4 as shown in Table 4. All of these probabilities are
Table 4. in ALARP region.
The occurrence probability of collisions of fishing vessels, A simple measure of Social Risk is the PLL (Potential Loss
based on the traffic volume, is 5.34 times higher than that of of Life) which is defined as the expected value of the number
cargo vessels. The probability based on the number of cross- of fatalities per year. As per the database, the consequence of
ing situation is 1.72 times for fishing vessels and 9.20 times collisions for 4 fishing vessels is 5 loss of life during 5 years at
for cargo vessels higher than the ones based on the traffic vol- Kanmon Channel. The number of collisions with loss of life
ume, which indicates that the risk of collision is much higher per year is calculated as 0.80 cases and its occurrence prob-
once the crossing situation exists. The probability at nighttime abilities based on fishing vessel’s traffic volume and the num-
based on the number of crossing situation is 8.22 times higher ber of crossing situation are 1.63x10-5 and 2.80x10-5, and their
than the daytime. PLLs are 2.04x10-5 and 3.50x10-5 respectively, which are all
in ALARP region.
Identification of hazard Accordingly, it is concluded that the collision between fishing
As shown in INTRODUCTION, the static data shows that the vessel and cargo vessel is hazard from the probabilities of col-
marine casualties involved by fishing vessels are occurred fre- lisions and PLL and to be the analysis objective for FSA.
quently and its property damages and loss of life are extensive,
and the risk assessment for this casualty seems to meet the
public demands. In FSA, the analysis objective is to be inves-
tigated to judge whether it is considered as “hazard”.
As per FSA Guidelines Appendix 5, two points of view, In-
Risk Assessment on Collisions between Fishing Vessels and Cargo Vessels
RISK ASSESSMENT opponent vessel at an early stage was not succeeded and sub-
sequent watchkeeping/judgment/avoidance actions were not
Event Tree Analysis taken. In this pattern, the failure of detection leads directly
to the collision. The 2nd most frequent pattern for fishing
Event tree analysis (ETA) is a method to visually represent vessel is S8 (12%), where the detection was succeeded at
the sequence of events and to estimate many possible results early stage, however, the subsequent action “watchkeeping”
from an initial event. The event tree bifurcates into success was not carried out properly. The 3rd most frequent is S12
and failure at each phase of the sequence. “Success” is se- (7%), where the detection was succeeded at early stage and
lected when the required actions are taken successfully and the watchkeeping was also carried out properly, however the
“failure” is selected when they are not taken or fail. Each subsequent judgment/actions were not appropriate. In fishing
bifurcation of the event tree relates to some safety character- vessel’s case, only 8 cases (4%) is categorized as S2 where all
istics. Probabilities are applied to success or failure at each the required actions were properly carried out. From the re-
bifurcation respectively. sults, 84% of collisions for fishing vessels are caused by mis-
The even tree is developed as shown in Fig. 2. Four events, detection and insufficient watchkeeping, and the measures to
related to the Sitations in Table 2, “Detection of opponent avoid these failures are required.
vessel”, “Keeping watch”, “Recognition of peril of collision” On the other hand, the 2nd most frequent pattern for cargo
and “Taking avoidance action” are set as the principal events vessels is S2 (16%), where failure of the avoidance action lead
of each bifurcation. The time sequence of the event tree is to the collision. This occurs because a proper watch was not
expressed by four Situations. The number of cases obtained kept and subsequent recognition of the danger and effective
from the database is indicated at each bifurcation for both fish- actions are not taken while detection was succeeded. The 3rd
ing vessel and cargo vessel. Since the analysis data is the re- most frequent pattern is S8 (12%) where the detection was
cords of adjudication of marine accident inquiries, the number succeeded at early stage, but the watchkeeping was not carried
of successes stemming from avoidance actions is unobtainable. out properly which lead collision. In case of Cargo Vessel,
30% of collisions are happened even though the detection was
Results of ETA succeeded at early stage.
Regarding to the collisions at nighttime, the most frequent
Pattern of Collisions focused on Human Factors pattern both for fishing vessels and cargo vessels is S16 and its
occurrence ratios are 73% for fishing vessels and 47% for car-
The developed event tree shows patterns of collisions. The go vessels, and the results show similar tendency to all cases
most frequent pattern for both fishing vessel (71%) and cargo (day & nighttime). This fact implies that the collision patterns
vessel (50%) is Sequence No. S16, where detection of the are not influenced by the time of navigation.
Situation C Situation D
Situation A Situation B Perilous condition Crisis condition
Normal voyage Crossing situation of collision of collision
Num. of cases (Detection of ( Keeping watch ) ( Recognition ( Taking avoidance Sequence number
at Kanmon channel opponent vessel) of peril of collision ) action ) (Event sequence)
at night 3(3) <2(2)> S S1 ( E1S2S3S4S )
Num. of cases S 3(3) <2(2)>
3(4) <2(2)> 24(7) F S2 ( E1S2S3S4F )
at Kanmon channel 24(7)
S 26(10) 0(1) <0(0)> S S3 ( E1S2S3F4S )
Num. of accident F
9(7) <7(3)> 2(3) F 0(1) <0(0)> S4 ( E1S2S3F4F )
by constructed database 2(3)
cargo vessel 54(34) 3(0) <2(0)> S S5 ( E1S2F3S4S )
(fishing vessel) F 6(3) <5(1)> S 7(1) 3(0) <2(0)> S6 ( E1S2F3S4F )
F
7(1)
28(24) 3(3) <3(1)> S S7 ( E1S2F3F4S )
Encounter Success F
other vessels (S) 21(23) F 3(3) <3(1)> S8 ( E1S2F3F4F )
21(23)
All vessels Failure 0(0) <0(0)> S S9 ( E1F2S3S4S )
caused accident (F) S
0(0) <0(1)> 0(0) F 0(0) <0(0)> S10 ( E1F2S3S4F )
0(0)
S 0(0) 0(0) <0(1)> S S11 ( E1F2S3F4S )
F
0(0) 0(0) <0(1)> S ( E
9(11) <3(7)> F 12 1F2S3F4F )
0(0)
46(66) 0(0) <0(0)> S S13 ( E1F2F3S4S )
F S 0(0) F 0(0) <0(0)> S14 ( E1F2F3S4F )
9(11) <3(6)>
0(0)
46(66) 9(11) <3(6)> S S15 ( E1F2F3F4S )
F
46(66) 9(11) <3(6)> S ( E
F 16 1F2F3F4F )
46(66)
Fig.2 Event tree analysis of collisions between fishing vessels and cargo vessels
Yuka Tamura, Takeshi Shinoda
The event tree indicates the pattern and tendency of the colli- mis-detection and insufficient watchkeeping by fishing ves-
sions focused on variation human factors, the codes of cogni- sel. RCO 4 is effective to support the detection and assist the
tion-decisionmaking factors. judgment of the sitation for both of fishing vessel and cargo
vessel. The effectiveness, advantage/disadvantage, benefit are
Calculation of Probabilities discussed for each RCO and the impact to the cognition-deci-
sionmaking factors is also examined. Table 6 shows a part of
Table 5 shows the probabilities at each bifurcation in the the estimated effectiveness. “E“ means that RCO is effective,
event tree for fishing vessels. The probabilities of the top “Fair” means effective with conditions and a blank means that
event “collision” are 7.32x10-5 based on traffic volume and RCO is not related to that cognition-decisionmaking factor.
1.26x10-4 based on number of crossing situation. The proba- RCO 1 is effective to AP31, AJ22 and BP41, while RCO 4 is
bilities for each sequence based on traffic volume are 4.52x10- effective to them but under the conditions.
5 for S16 and the order of 10-6 for S2, S8, S10, S12 and S14. The efficiencies of each RCO are estimated against each cog-
The probabilities based on number of crossing situation are nition-decisionmaking factors with the risk reduction rate 50%
1.55x10-5 for S10, 1.17x10-5 for S14 and 7.77x10-5 for S16, as the impact of the number of its occurrence. Table 7 shows
which are 10 times to the probabilities based on traffic volume. the results of the estimated reduction of the cases related to
These probabilities are within ALARP region and the coun- the cognition-decisionmaking factors for RCO 1. As shown
termeasures are to be investigated and applied when they are in Table 6, RCO 1 is effective to AP31, AJ 22 and BP41 and
cost-effective and practical. The results of ETA show the point there are 20 cases caused with these cognition-decisionmaking
of time and events that require the effective measures. factors. One case of the sequence No. S8 is caused by BP41
and the number of case is reduced by 50% with RCO 1, ac-
RISK CONTROL OPTIONS (RCOs) cordingly the case will be reduced to 0.5 case when RCO 1 is
applied. For S16, there are total 17 cases and 6 cases among
Suggestion of RCOs them are caused by AP31, 2 by AJ22 and 1 by the combination
AP31 and AJ22. When 50% reduction is applied with RCO
Risk control options (RCOs) to prevent collisions are pro- 1, 6 cases by AP31 is reduced to 3 cases, 2 cases by AJ22 to 1
posed from the results of database analysis and event tree case. These 4 cases contain one case caused by the combina-
analysis which show that more than half of the collisions are tion of AP31 & AJ22 which is reduced to 0.5 by RCO 1 which
caused by mis-detection. In addition, the probabilities at bifur- should be deducted from 4 cases. Then the total reduced num-
cations in the event tree have the order of 10-5 for mis-detec- ber of cases is 3.5. This estimation is applied to all the RCOs.
tion and insufficient watchkeeping which are within ALARP The cognition-decisionmaking factors are useful for the in-
region. Accordingly the measures against mis-detection and vestigation of the efficiency of RCOs and the risk assessment
insufficient watchkeeping are suggested: 1) Improved radar phase.
reflector, 2) Installation of bright instrument to improve the The reduction ratio of 50% is estimated as follows: Accord-
visibility at night, 3) Installation of approach warning system ing to the comparison of the ratio of occurrence probability
and 4) Installation of scaled-down AIS. All of the RCOs are of collisions focused on the recognition levels, the probability
installed onboard fishing vessels. RCO 1 is effective to im- with the recognition level 0 in Table 3 continuously is 9 times
prove the ability of detection by the radars from cargo vessels. greater than that with the recognition levels 1 to 4. The nu-
RCO 2 is also to improve the ability of detection by watch merical value of distribution factor 2.0 by calculating this in-
from cargo vessels at night. RCO 3 is effective to reduce the creased ratio of 91/3 is allocated to each recognition level 1 to 3,
Table 6 Efficiency of RCOs The questionnare surveys were carried out not only for WPT
but for their opinions on the measures for safety at sea. The
results show that 60% of the replies are satisfied with the cur-
Code RCO 1 RCO 2 RCO 3 RCO 4 rent equipment. The reason why the additional measures are
not necessary are that the current equipment is sufficient or
AP31 E E E Fair pay enough attention to watchkeeping and actions. On the
AJ22 E Fair other hand, the implementation of the measures will be sup-
BP41 E E E Fair ported provided they are cost-effective or highly reliable. For
E:Effective, Fair:Effective with conditions the implementation of the scaled-down AIS, 56% is “Yes” at
30s and 50% at 40s, which implies that younger generation is
willing to implement the measures if they are cost-effective
Table 7 Estimated reduction of cases by RCO1 and highly reliable.