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Presentation to CMAC
John Clarkson
Member of the Board
Transportation Safety Board
Ottawa, ON
6 November 2012
1
Outline
• TSB mandate
• Investigation process
• Watchlist 2012: What is it? What’s New?
• Safety Issues Investigation
• Q&A
2
About the TSB
3
TSB Investigations
• 4000+ occurrences reported annually
• All occurrences tracked in database
• Marine Branch: 544 reportable marine
incidents and accidents in 2011 (20
fatalities)
• 2011: 10 investigations started, 14
safety letters, 2 Board recommendations
4
Board Responsibilities
• Safety-critical information is shared ASAP
• “Designated reviewers” comment on early drafts
and provide feedback
• The Board approves all investigation reports
• Recommendations for difficult, systemic issues
• Safety Information Letters
• Safety Advisories
5
Watchlist 2012
Marine Safety Management Systems
Loss of Life on Fishing Vessels
Landing Accidents
and Runway Overruns
Air Safety Management Systems
Risk of Collisions
on Runways
Collisions with Land and Water
Passenger Trains
Colliding with Vehicles
On-Board Video and Voice Recorders
Following Signal Indications
6
Marine SMS
Issue:
TC does not always provide effective oversight of
marine transportation companies transitioning to
safety management systems, while some
companies are not even required to have one.
Solution:
TC should require all commercial vessels to have
SMS, and all SMS should be certified and audited.
7
Loss of Life on Fishing Vessels
Issue:
The number of accidents involving loss of life on
fishing vessels remains too high.
Solution:
Concerted and coordinated action is required by
leaders in the fishing community to implement a
safety culture approach to fishing operations,
recognizing the interaction of safety deficiencies.
8
Safety Issues Investigation
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Fishing safety video: http://www.tsb.gc.ca/eng/mediasmedia/videos/surveillance-watchlist/marine/marinevideo-01.asp
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