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Monday, 27 April 20
INCIDENT INVESTIGATION: SEARCH FOR THE CAUSE, NOT THE VILLAIN - GARD
Incident investigations often conclude with placing the blame for an incident on the crew. Causes of the incidents are usually identified as procedural violations, incompetence, lack of situational awareness or the catch all, human error. Take for example a grounding incident which occured because the officer on watch fell asleep. Investigations of such incidents would usually blame the fatigued officer or the Master when the investigation is limited to individuals.
An investigation should ask questions such as why he fell asleep?
Were last port operations too strenuous on the officer?
Was the manning adequate for the vessel’s operations?
What commercial pressures were at play? How would the company have reacted if the master was to request a delayed departure citing fatigue as a reason?
And finally, what is the company culture like?
The above questions can provide an overview of the conditions that led to the incident and to help understand the underlying issues.
An investigator’s ability to conduct a fact based investigation and understand the conditions that prevailed during the incident is sometimes derailed by their focus on finding a guilty individual. This is known as the ‘blame instinct’ and greatly undermines the ultimate aim of incident investigation, which is to find the root cause and prevent a similar occurrence happening in the future. Such practices are usually reflective of an organisational culture that does not support open and honest reporting of failures due to the fear of consequences.
To bring about a change in the way we investigate incidents, we should bear in mind that it is not just about the individual or group of individuals involved in the incident, but multiple interacting causes which make up the conditions surrounding the incident.
Next time there is an incident, no matter how small, treat it as a symptom that there is something in the system that needs improving. It is about learning, not blaming.
Source: Gard
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Wednesday, 22 March 23
MARKET INSIGHT - INTERMODAL
The crude tanker market continues to gather momentum as we head towards the end of 1Q2023, against a backdrop of strong U.S. exports paired with a ...
Wednesday, 22 March 23
WILL LOWER GAS PRICES SPARK SWITCHING IN EUROPE AND ASIA?
Record high prices devastated demand for gas and LNG across Asia and Europe last year. But with prices falling, companies are starting to re-evalua ...
Monday, 20 March 23
NTPC MULLS 5.4 MILLION TONNES COAL IMPORT IN FIRST HALF OF 2023-24: PTI
State-run power giant NTPC is planning to import around 5.4 million tonnes of coal to meet the supply shortage during the first half 2023-24 fiscal ...
Monday, 20 March 23
S. AFRICA’S EXXARO RESOURCES SAYS COAL PRICES COOLING OFF - REUTERS
South Africa’s Exxaro Resources on Thursday posted a 28% jump in 2022 profit after seeing average coal prices surge more than 150%, but warne ...
Saturday, 18 March 23
RUSSIAN LNG EXPORTS TO EUROPE REMAIN HIGH - VESSELS VALUE
Russian LNG exports to Europe remained at very high levels in February at 3.6 million CBM, following a 13 month high in January of 4.1 million CBM. ...
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- Sarangani Energy Corporation, Philippines
- Cigading International Bulk Terminal - Indonesia
- Formosa Plastics Group - Taiwan
- Globalindo Alam Lestari - Indonesia
- Tata Chemicals Ltd - India
- Coastal Gujarat Power Limited - India
- Meenaskhi Energy Private Limited - India
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- Singapore Mercantile Exchange
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- Jorong Barutama Greston.PT - Indonesia
- McConnell Dowell - Australia
- Central Electricity Authority - India
- San Jose City I Power Corp, Philippines
- Romanian Commodities Exchange
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- South Luzon Thermal Energy Corporation
- Manunggal Multi Energi - Indonesia
- Indian Energy Exchange, India
- Makarim & Taira - Indonesia
- Kaltim Prima Coal - Indonesia
- Kohat Cement Company Ltd. - Pakistan
- Petron Corporation, Philippines
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- MS Steel International - UAE
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- Wilmar Investment Holdings
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- Global Coal Blending Company Limited - Australia
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- The State Trading Corporation of India Ltd
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- Directorate Of Revenue Intelligence - India
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- White Energy Company Limited
- Asmin Koalindo Tuhup - Indonesia
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- Central Java Power - Indonesia
- Economic Council, Georgia
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- Bangladesh Power Developement Board
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- Bhoruka Overseas - Indonesia
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- Rio Tinto Coal - Australia
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- Australian Commodity Traders Exchange
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- Power Finance Corporation Ltd., India
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- Toyota Tsusho Corporation, Japan
- Holcim Trading Pte Ltd - Singapore
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- PetroVietnam Power Coal Import and Supply Company
- Essar Steel Hazira Ltd - India
- Tamil Nadu electricity Board
- Sakthi Sugars Limited - India
- Bharathi Cement Corporation - India
- Dalmia Cement Bharat India
- Kalimantan Lumbung Energi - Indonesia
- Aditya Birla Group - India
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- GN Power Mariveles Coal Plant, Philippines
- Altura Mining Limited, Indonesia
- Parliament of New Zealand
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- Edison Trading Spa - Italy
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- Coal and Oil Company - UAE
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- Thai Mozambique Logistica
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- Minerals Council of Australia
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- India Bulls Power Limited - India
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- Energy Link Ltd, New Zealand
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- New Zealand Coal & Carbon
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- Billiton Holdings Pty Ltd - Australia
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- Attock Cement Pakistan Limited
- Energy Development Corp, Philippines
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- Banpu Public Company Limited - Thailand
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- Miang Besar Coal Terminal - Indonesia
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- Electricity Authority, New Zealand
- Semirara Mining Corp, Philippines
- Coalindo Energy - Indonesia
- Pipit Mutiara Jaya. PT, Indonesia
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- Marubeni Corporation - India
- Karbindo Abesyapradhi - Indoneisa
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- Bulk Trading Sa - Switzerland
- Truba Alam Manunggal Engineering.Tbk - Indonesia
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- Gujarat Sidhee Cement - India
- Mjunction Services Limited - India
- Baramulti Group, Indonesia
- Mercator Lines Limited - India
- Parry Sugars Refinery, India
- The Treasury - Australian Government
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- Indonesian Coal Mining Association
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- Timah Investasi Mineral - Indoneisa
- Heidelberg Cement - Germany
- Trasteel International SA, Italy
- Sinarmas Energy and Mining - Indonesia
- Star Paper Mills Limited - India
- Maheswari Brothers Coal Limited - India
- Karaikal Port Pvt Ltd - India
- Savvy Resources Ltd - HongKong
- Africa Commodities Group - South Africa
- Gujarat Mineral Development Corp Ltd - India
- Siam City Cement - Thailand
- Ambuja Cements Ltd - India
- Simpson Spence & Young - Indonesia
- Kobexindo Tractors - Indoneisa
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- Chettinad Cement Corporation Ltd - India
- Metalloyd Limited - United Kingdom
- Samtan Co., Ltd - South Korea
- Ceylon Electricity Board - Sri Lanka
- PNOC Exploration Corporation - Philippines
- Commonwealth Bank - Australia
- Sindya Power Generating Company Private Ltd
- Eastern Energy - Thailand
- Agrawal Coal Company - India
- LBH Netherlands Bv - Netherlands
- Dr Ramakrishna Prasad Power Pvt Ltd - India
- Ministry of Mines - Canada
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- Independent Power Producers Association of India
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- PowerSource Philippines DevCo
- Posco Energy - South Korea
- SN Aboitiz Power Inc, Philippines
- Ind-Barath Power Infra Limited - India
- Latin American Coal - Colombia
- Indo Tambangraya Megah - Indonesia
- Renaissance Capital - South Africa
- Larsen & Toubro Limited - India
- Barasentosa Lestari - Indonesia
- Wood Mackenzie - Singapore
- Meralco Power Generation, Philippines
- Eastern Coal Council - USA
- Ministry of Transport, Egypt
- Borneo Indobara - Indonesia
- Standard Chartered Bank - UAE
- Global Green Power PLC Corporation, Philippines
- PTC India Limited - India
- Rashtriya Ispat Nigam Limited - India
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- Indogreen Group - Indonesia
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- Kartika Selabumi Mining - Indonesia
- Ministry of Finance - Indonesia
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- Merrill Lynch Commodities Europe
- Antam Resourcindo - Indonesia
- Offshore Bulk Terminal Pte Ltd, Singapore
- European Bulk Services B.V. - Netherlands
- Anglo American - United Kingdom
- Filglen & Citicon Mining (HK) Ltd - Hong Kong
- Asia Pacific Energy Resources Ventures Inc, Philippines
- Bank of Tokyo Mitsubishi UFJ Ltd
- Dong Bac Coal Mineral Investment Coporation - Vietnam
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