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This report provides an in-depth analysis of the grounding incident involving the Empress of the North, operated by Majestic America Line. The investigative team, including experts in engineering, deck operations, human performance, and survival factors, examined the events that led to the grounding, focusing on human and operational factors. Key findings included issues related to documentation compliance and Coast Guard inspections, leading to recommendations for systemic safety improvements and training enhancements to prevent future occurrences.
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Investigative Team • Brian Curtis, IIC/Engineering • Rob Jones, Deck Operations • Liam LaRue, Survival Factors • Barry Strauch, Human Performance • Member Higgins, Member on Scene • Denise Daniels, Special Assistant • Charlotte Cox, Writer/Editor • Chris Babcock, VDR Group • Keith Holloway, Public Affairs
Presenters • Overview, B. Curtis • Events leading to grounding, R. Jones • Human factors, B. Strauch • Survival factors, L. LaRue
Majestic America Line • Formed in 2006 • Combined assets of 2 companies • 7 vessels in fleet
Vessel Route Grounding site
Investigation Parties • United States Coast Guard • Majestic America Line
Exclusions • Weather • Aids to navigation • Propulsion and steering • Drugs and alcohol • Watchstander fatigue
Inspection of Vessel’s Documentation • Company required to comply with international regulations • Invalid Document of Compliance • Invalid Safety Management Certificate • Coast Guard inspectors failed to identify either deficiency
Actions Taken by Coast Guard • Periodic lessons-learned staff meetings • Re-evaluation of inspection checklists • Review documents for upcoming inspections • Weekly training
Company Postaccident Actions • Revised Safety Management System • Other safety improvements