Investigation number
339-MO-2018-002
Occurrence date
Location
About 3 NM (5.5 km) south-east of Gabo Island
State
Victoria
Report release date
Report status
Final
Investigation level
Short
Investigation type
Occurrence Investigation
Investigation phase
Final report: Dissemination
Investigation status
Completed
Occurrence category
Serious Incident
Highest injury level
None

What happened

On 23 January 2018, at about 0015 Eastern Daylight-saving Time,[1] the fishing vessel Saxon Onward (Figure 1) collided with the container ship Beijing Bridge (cover) about 3 nautical miles (NM) south-east of Gabo Island, Victoria. Saxon Onward was bound for Eden, New South Wales while Beijing Bridge was en route to Melbourne, Victoria from Taiwan.

Figure 1: Saxon Onward, alongside in Hobart, Tasmania, 2010

Figure 1: Saxon Onward, alongside in Hobart, Tasmania, 2010. Source: Theo Van LoonSource: Theo Van Loon

At about 2030 on the evening of 22 January 2018, the 294 m container ship Beijing Bridge was about 29 NM off the southern coast of New South Wales bound for Melbourne with arrival expected late the next evening. The ship’s master had retired to his cabin for the night and the third officer was the officer of the watch (OOW) and sole lookout on the navigational bridge (bridge). The ship was on autopilot maintaining a heading[2] of about 206º with a speed of about 17 knots. The night was clear with good visibility and the seas calm, with a south-westerly wind at about 5-10 knots and little swell.

Meanwhile, Saxon Onward, a 32 m long trawler, was northbound for the port of Eden to discharge its catch having completed a few days fishing off the coast of Tasmania. The trawler was on autopilot maintaining a heading of about 038º with a speed of about 8.5 knots.[3] At about 2200, the skipper handed over the watch to the 2200-2400 watchkeeper. The fishing vessel Rubicon, also bound for Eden, was on a parallel course about 3 NM away on the starboard bow, slowly being overtaken by Saxon Onward.

Sometime between 2320 and 2330, Saxon Onward’s watchkeeper sighted the masthead lights and green sidelight of an approaching ship (Beijing Bridge) on the starboard bow. The ship was also detected on radar but was not acquired for tracking at that time.

Shortly after, at about 2335, with the ship on a heading of 209º, Beijing Bridge’s OOW sighted two approaching vessels (Saxon Onward and Rubicon) on the starboard bow. The two vessels were also detected and subsequently acquired on the ship’s radar by the OOW. By about 2352, the two fishing vessels were about 10 NM from Beijing Bridge. The OOW continued to monitor the two vessels, both visually and by radar, while making small adjustments to the heading to maintain the ship on the planned track.

At about 2356 (Figure 2), with Beijing Bridge now on a heading of 216º, the OOW commenced a course alteration to starboard about 3.2 NM in advance of a planned course alteration position (waypoint). Over the next 10 minutes, the OOW made a succession of small heading alterations that took the ship further to starboard, away from the planned track.

Figure 2: Section of navigational chart Aus 395 showing times of key events

Figure 2: Section of navigational chart Aus 395 showing times of key events. Source: Australian Hydrographic Service, modified by the ATSBSource: Australian Hydrographic Service, modified by the ATSB

Meanwhile, at about midnight, Saxon Onward’s 2400-0200 watchkeeper made his way to the vessel’s wheelhouse to take over the watch. The previous watchkeeper stayed on for a few minutes to handover before retiring to his cabin. After taking over the watch, the 2400-0200 watchkeeper immediately acquired Beijing Bridge on the radar and noted that the approaching ship on the starboard bow was about 6.5 NM away on a south-westerly course with a speed of about 17.5 knots. He also noted that Rubicon was now about 1.5 to 2 NM away on the starboard beam.

At about 0005 on 23 January, with Beijing Bridge about 4 NM away, Saxon Onward’s watchkeeper left the wheelhouse and walked the short distance to the trawler’s bow to better assess the situation. He sighted Beijing Bridge fine on the starboard bow with the ship’s two masthead lights (nearly in a line), green sidelight and deck lights visible. He then returned to the wheelhouse and continued to monitor the approaching ship visually and by radar while maintaining Saxon Onward’s course and speed.

By about 0008, Beijing Bridge was steady on the new course with a heading of 241º and was about 0.75 NM to starboard of the ship’s planned track with Saxon Onward fine on the ship’s port bow. About a minute later, the OOW[4] altered the ship’s heading to port with the intention of passing between the two trawlers and increasing the distance at which Saxon Onward’s closest point of approach (CPA)[5] would occur. The ship eventually settled on a heading of 228º at about 0012 with Saxon Onward, now on the ship’s starboard bow.

Shortly after, Saxon Onward’s watchkeeper commenced a rapid turn to starboard at a distance of about 1 NM from Beijing Bridge.

In response, Beijing Bridge’s OOW altered the ship’s heading to port from 228º to 225º and flashed the ship’s Aldis lamp[6] at Saxon Onward followed by a long blast on the ship’s whistle. Woken by the whistle, the ship’s master called the OOW on the bridge telephone to find out what was happening and was told that he was needed on the bridge. The OOW then continued to sound long blasts on the ship’s whistle. At about 0014, the OOW changed the steering over from autopilot to hand steering and placed the wheel hard to port.

A few seconds later, the master arrived on the ship’s bridge and saw the lights of the trawler, on the starboard side, rapidly closing on the ship. He also immediately ordered ‘hand steering’ and ‘hard to port’ and confirmed that the ship was beginning to turn to port. The master ordered the OOW to continue blowing the whistle and then went out on to the starboard bridge wing.

Meanwhile, on Saxon Onward, the watchkeeper realised that the trawler was in danger and shouted to alert the skipper and crew. At about 0015, as the skipper arrived in the wheelhouse, Saxon Onward collided with Beijing Bridge (Figure 3). The trawler’s port bow impacted the ship’s starboard side in the region of cargo hold number 3, about 94 m aft of the ship’s bow. As the trawler then scraped down the ship’s side, the skipper stopped the engine and the crew mustered in the wheelhouse. The trawler heeled over sharply to starboard and took on some water before it righted itself, passed the ship’s stern and drifted away to the north-east.

Beijing Bridge continued turning to port with a corresponding reduction in speed. The master then ordered ‘hard to starboard’ and shortly after, ‘stop engine’. At about 0017, the master called Saxon Onward on the radio and requested a damage report. At about the same time, Rubicon passed clear to port of Beijing Bridge at a distance of about 0.5 NM and continued its passage to Eden.

In the following minutes, as Saxon Onward’s crew inspected the trawler for damage, the skipper advised Beijing Bridge of the trawler’s name and that they did not require assistance. Beijing Bridge’s master then made contact with their company superintendent and designated person ashore to brief them on the situation and obtain advice. He also ordered a damage assessment of the ship and initiated the save procedure for the ship’s voyage data recorder (VDR).[7]

Figure 3: Section showing detail of collision

Figure 3: Section showing detail of collision. Source: ATSB (using electronically recorded data)Source: ATSB (using electronically recorded data)

At about 0035, after seeking advice from the company superintendent and designated person ashore, Beijing Bridge’s master made two attempts to contact Saxon Onward on the radio with no response received. Shortly after, Beijing Bridge’s main engine was restarted and the ship’s heading was gradually altered to resume its original course. At about 0039, analysis of VDR data from Beijing Bridge shows that Saxon Onward turned around and began slowly to make its way back towards Beijing Bridge. A few minutes later, the trawler’s skipper broadcast a call on the radio with no response received. As Beijing Bridge resumed its south-westerly course, Saxon Onward increased speed in an attempt to catch-up with Beijing Bridge. However, at about 0047, with Beijing Bridge steadily increasing speed and moving away, Saxon Onward also turned back onto a north-easterly course and resumed its passage to Eden.

Beijing Bridge berthed at Melbourne later that night and was attended by Australian Maritime Safety Authority (AMSA) surveyors the next day (24 January). The ship sustained minor damage, including indentations to the hull and scratch marks down most of the ship’s starboard side (Figure 4). Beijing Bridge was detained while the authorities conducted inspections and collected evidence before being released to continue its voyage on 25 January.

Figure 4: Beijing Bridge showing surface damage to the hull on the starboard side

Figure 4: Beijing Bridge showing surface damage to the hull on the starboard side. Source: Australian Maritime Safety Authority (AMSA)Source: Australian Maritime Safety Authority (AMSA)

Saxon Onward arrived safely in Eden at about 0600, six hours after the collision and was attended by AMSA later that afternoon. The trawler sustained substantial damage to the port bow (Figure 5), structural cracks and displacement of the port side A-frame arm and structural damage to deck fittings. The trawler also lost a net overboard and sustained seawater damage to an auxiliary engine, a generator and to cabin fittings.

Figure 5: Saxon Onward, alongside in Eden

Figure 5: Saxon Onward, alongside in Eden. Source: Australian Maritime Safety Authority (AMSA)Source: Australian Maritime Safety Authority (AMSA)

Beijing Bridge

Beijing Bridge’s master joined the ship in November 2017 and held a Bulgarian master’s certificate of competency with at least 14 years’ experience in the rank of master. The third officer joined the ship in July 2017 and held a Philippines watchkeeping deck officer’s certificate of competency with at least 8 years’ experience as an OOW.

The ship was fitted with the required navigational equipment including electronic chart display and information systems, radar with automatic radar plotting aid capability, automatic identification system (AIS),[8] VDR and radio equipment as required by SOLAS.[9]

Lookout

International regulations and Beijing Bridge’s company procedures both specified that the OOW could be the sole lookout on the bridge only during daylight hours. However, there was no lookout posted on the bridge during the 2000-2400 watch, at the time of the collision and for several weeks preceding. The ship’s master had the 2000-2400 lookout re-assigned to day work duties in an effort to direct more manpower towards maintenance and repair activities. Repairs of the ship had been ongoing since it had re-entered service in July 2017 after being laid-up for 18 months. Safety and maintenance related deficiencies had been identified by an AMSA inspection during the ship’s port call at Melbourne in September 2017 resulting in the ship being detained and issued with two prohibition notices. AMSA inspections during subsequent port calls at Melbourne in November and December also resulted in the issuance of prohibition, improvement or direction notices to the ship.

Following the collision, AMSA detained the vessel in Melbourne based on several identified deficiencies such as the lack of a bridge lookout on the 2000-2400 watch. The nature of the identified deficiencies indicated that the ship’s safety management system (SMS) as implemented, did not ensure compliance with procedures for critical shipboard operations such as navigational watchkeeping. The AMSA report of inspection also noted that the ship’s last internal audit in September 2017 identified similar SMS related deficiencies indicating ineffective internal audit processes.

Collision avoidance

Beijing Bridge’s company procedures and master’s standing orders required early and effective action be taken to avoid collision, in accordance with the International Regulations for Preventing Collisions at Sea, 1972, as amended, (COLREGs). The procedures and standing orders specified that course alterations were to be clear and made in sufficient time so as to leave no doubt as to the ship’s intentions. The procedures and standing orders also required the action to result in the ship keeping a minimum CPA of at least 1 NM from other vessels. If the OOW’s action did not have the desired effect and the minimum CPA could not be maintained, the master was to be called.

Saxon Onward

Saxon Onward’s skipper held a skipper’s certificate of competency with about 33 years’ experience in the fishing industry. The 2400-0200 watchkeeper had recently obtained his deck watchkeeper’s certificate of competency and had about 4 years’ experience in the fishing industry.

The trawler was equipped with the required navigational equipment for a vessel of its class including radar with automatic radar plotting aid capability, chart plotter, echo sounder and radio equipment. The trawler was not equipped with, nor was it required to be equipped with AIS or VDR.

Collision Regulations

The International Regulations for Preventing Collisions at Sea, 1972, as amended (COLREGs) provide internationally agreed rules to prevent collisions and generally apply to all vessels at sea. The COLREGs lay out requirements for every vessel to maintain a lookout, to take action to avoid collision in accordance with the rules and to exhibit specific lights (navigation lights) from sunset to sunrise.

Beijing Bridge and Saxon Onward both exhibited the navigation lights required by the COLREGs for power-driven vessels of their size. In addition, both vessels also had some of their deck lights on.

The COLREGs also provide rules detailing the actions required of vessels in specific situations involving risk of collision such as head-on situations, crossing situations and overtaking situations. Rule-14 requires vessels meeting in a head-on situation involving risk of collision to each alter their course to starboard. The rule also makes it clear that in the event a vessel is in any doubt as to whether a head-on situation exists, they are to assume that it does and act accordingly.

The rules also state that any action to avoid collision should, among other things, be positive, be large enough to be apparent to an observing vessel (while avoiding a succession of small course and/or speed alterations) and be made in ample time. More specifically, the rules require that any alteration of course to avoid a close quarters situation should be made in good time, be substantial and not result in another close-quarters situation.

Finally, Rule-2 of the COLREGs allows that in special circumstances, it may be necessary for vessels to deviate from these rules in order to avoid immediate danger.

Safety analysis

While Beijing Bridge was on its planned track, the traffic situation was relatively benign with neither Saxon Onward nor Rubicon posing a risk of collision. Beijing Bridge’s officer of the watch (OOW) then commenced a course alteration to starboard more than 3 NM in advance of the planned waypoint in the vicinity of Gabo Island, Victoria. The OOW, believing it was safe to do so, commenced the course alteration early to effect a ‘short-cut’ and indicated that it was common practice for him to do so. While it is not unusual for ships to make minor departures from the passage plan, in this instance, the decision to alter course in advance of the planned waypoint resulted in a close quarters situation with risk of collision developing with Saxon Onward.

Beijing Bridge's company procedures and master's standing orders required early and effective action be taken to avoid collision in accordance with the COLREGs. They also specified that course alterations were to leave no doubt as to the ship's intentions. Shortly before the collision, at a range of about 3 NM from Saxon Onward, Beijing Bridge’s OOW carried out a 13° course alteration to port in an attempt to increase the distance at which Saxon Onward’s closest point of approach (CPA) would occur. This action was based on the OOW’s assumption that Saxon Onward would cross the ship’s bow from port to starboard and pass clear down the ship’s starboard side. However, this action failed to resolve the close quarters situation and would have resulted in a CPA that was less than the minimum distance required by the procedures. The action also increased the risk of a collision in the event Saxon Onward decided to take action in accordance with the COLREGs, as subsequently occurred. Further action, taken in response to Saxon Onward’s course alteration to starboard, including the final turn to port, was not effective in avoiding the collision either. Furthermore, the master was not called during the developing situation and was only alerted to the impending collision by the ship’s whistle. Consequently, he arrived on the bridge too late to affect the outcome of the situation.

Saxon Onward’s 2400-0200 watchkeeper had acquired Beijing Bridge on radar and then continued to monitor the situation, including Beijing Bridge’s succession of course alterations, both visually and by radar. The watchkeeper then assessed the trawler and the ship to be in a head on situation with risk of collision. In response, and in accordance with the COLREGs, the watchkeeper then initiated a bold alteration of course to starboard. However, this action, taken at the relatively close range of about 1 NM, was too late to have a positive effect on the situation and resulted in the collision.

On board Beijing Bridge, the re-assignment of the bridge lookout to day work duties left the OOW as the sole lookout on the bridge during the hours of darkness of the 2000-2400 watch on the night of the collision and for several weeks preceding. This was in contravention of the company’s procedures and international regulations. While in this case, the absence of the bridge lookout did not affect the OOW’s ability to detect Saxon Onward, it increased the risk of vessels going undetected over a period of several weeks prior to the collision.

Findings

These findings should not be read as apportioning blame or liability to any particular organisation or individual.

  • Beijing Bridge's planned alteration of course, to starboard, executed in advance of the passage plan waypoint, placed the ship in a developing close quarters situation involving risk of collision with Saxon Onward.
  • Beijing Bridge's subsequent alteration of course was neither substantial nor made in good time and was inconsistent with the master's standing orders, company procedures and the International Regulations for Preventing Collisions at Sea, 1972, as amended, (COLREGs). The action failed to remove the ship from the existing close quarters situation and increased the risk of a collision.
  • Saxon Onward's alteration of course to starboard was made in response to the head-on situation that the watchkeeper assessed the vessel to be in. The alteration, while substantial, was not made in sufficient time to have a positive effect on the situation and resulted in the collision.
  • Beijing Bridge's officer of the watch was the sole lookout on the bridge during the 2000‑2400 watch on the night of the collision and for several weeks preceding the collision. The absence of the bridge lookout during hours of darkness increased risk and was in contravention of company procedures and international regulations.

Safety action

Whether or not the ATSB identifies safety issues in the course of an investigation, relevant organisations may proactively initiate safety action in order to reduce their safety risk. The ATSB has been advised of the following proactive safety action in response to this occurrence.

V.Ships (Germany)

As a result of this occurrence, Beijing Bridge’s management company, V.Ships (Germany), have advised the ATSB that they have taken the following safety actions:

Circular letter

V.Ships (Germany) issued a circular requiring all managed ships to hold a safety meeting at the earliest opportunity to discuss the collision and its lessons. The circular required the ship’s masters and bridge watchkeeping personnel to review compliance with the COLREGs and the ship’s SMS with particular emphasis on the following:

  • statutory requirement to have a lookout on the bridge during hours of darkness and restricted visibility
  • calling the master in good time
  • safe speed and the use of main engines to avoid collision
  • areas of likely concentrations of fishing vessels to be taken into consideration during passage planning.

The company also mandated that passage plan tracks were to be laid at least 10 NM from the shoreline where possible.

Saxon Onward

As a result of this occurrence, Saxon Onward’s master has advised the ATSB that they have taken the following safety actions:

Watchkeeping

The master has implemented a policy of maintaining two watchkeepers on duty in the wheelhouse when transiting through high traffic density areas.

Automatic identification system (AIS)

The vessel has installed AIS equipment and has since reported an improvement in traffic awareness. The system enables AIS-equipped vessels and shore based AIS stations to send and/or receive identification and navigation information that can be displayed on a chart plotter, compatible radar or a standalone display unit. This provides the watchkeeper with an additional means of making a full appraisal of the situation and of the risk of collision.

Safety message

The ATSB continues to see collisions between small vessels and trading ships on the Australian coast with at least 65 such collisions reported and 39 investigated since 1990. Safety investigations into several of these collisions have shown that taking early and effective avoiding action and the keeping of a proper lookout in accordance with the COLREGs could have prevented most of these collisions.

Planned course alterations at waypoints should be risk assessed taking into account the traffic situation and movement of vessels in the vicinity. Course alterations at waypoints should be conducted so as to minimise the risk of the alteration generating close quarters situations or risk of collision. While an alteration of course, for whatever purpose, may be logical to an officer on their own ship, the action may be confusing and open to interpretation by observing vessels.

The safety of fishermen and people in small boats continues to be a concern in terms of safety at sea. When fishing in waters off the Australian coast, fishing vessels regularly encounter large trading ships carrying a variety of cargoes to and from Australian ports. When these vessels collide, a fishing vessel, being smaller than a ship, will almost always come off worse after a collision, often with potentially serious consequences to the lives of those onboard. The ATSB has published safety bulletins, Safety Bulletin 01 - Ships and Fishing vessels and Safety Bulletin 05 - Fisherman and Safety Awareness at Sea, aimed at highlighting the risks faced by fishing vessels and raising awareness of the common contributory factors present in these collisions.

Ship details

Name: Beijing Bridge
IMO number: 9292230
Call sign: H8FE
Flag: Panama
Classification society: Korean Register of Shipping
Ship type: Container ship
Builder: Hyundai Heavy Industries Company – Ulsan, Republic of Korea
Year built: 2005
Owner(s): Beijing Bridge S.A, Republic of Panama
Manager: V.Ships, Germany
Gross tonnage: 54,519
Deadweight (summer): 65,038 t (4,738 TEU)
Summer draught: 13.5 m
Length overall: 294.12 m
Moulded breadth: 32.2 m
Moulded depth: 21.8 m
Main engine(s): Hyundai MAN B&W 8K98MC-C MK6
Total power: 29,413 kW
Speed: 21.5 knots
Damage: Minor damage to starboard side shell plating

Ship details

Name: Saxon Onward
IMO number: 5314987
Call sign: VJT5748
Flag: Australia
Classification society: N.A.
Ship type: Fishing vessel - Trawler
Builder: Grimsby, United Kingdom
Year built: 1960
Owner(s): Seafood Specialists, New South Wales, Australia
Manager: Voyager Seafoods, New South Wales, Australia
Gross tonnage: 209.8
Length overall: 32.16 m
Moulded breadth: 7.03 m
Moulded depth: 3.81 m
Main engine(s): Cummins K-38
Total power: 464 kW
Speed: 11 knots
Damage: Structural damage to port bow, A-frame, deck fittings and water damage to cabins and generator.

Purpose of safety investigations

The objective of a safety investigation is to enhance transport safety. This is done through:

  • identifying safety issues and facilitating safety action to address those issues
  • providing information about occurrences and their associated safety factors to facilitate learning within the transport industry.

It is not a function of the ATSB to apportion blame or provide a means for determining liability. At the same time, an investigation report must include factual material of sufficient weight to support the analysis and findings. At all times the ATSB endeavours to balance the use of material that could imply adverse comment with the need to properly explain what happened, and why, in a fair and unbiased manner. The ATSB does not investigate for the purpose of taking administrative, regulatory or criminal action.

Terminology

An explanation of terminology used in ATSB investigation reports is available here. This includes terms such as occurrence, contributing factor, other factor that increased risk, and safety issue.

Publishing information 

Released in accordance with section 25 of the Transport Safety Investigation Act 2003

Published by: Australian Transport Safety Bureau

© Commonwealth of Australia 2018

Ownership of intellectual property rights in this publication

Unless otherwise noted, copyright (and any other intellectual property rights, if any) in this report publication is owned by the Commonwealth of Australia.

Creative Commons licence

With the exception of the Coat of Arms, ATSB logo, and photos and graphics in which a third party holds copyright, this publication is licensed under a Creative Commons Attribution 3.0 Australia licence.

Creative Commons Attribution 3.0 Australia Licence is a standard form licence agreement that allows you to copy, distribute, transmit and adapt this publication provided that you attribute the work.

The ATSB’s preference is that you attribute this publication (and any material sourced from it) using the following wording: Source: Australian Transport Safety Bureau

Copyright in material obtained from other agencies, private individuals or organisations, belongs to those agencies, individuals or organisations. Where you wish to use their material, you will need to contact them directly.

__________

  1. Eastern Daylight-saving Time (EDT): Coordinated Universal Time (UTC) + 11 hours.
  2. All ship’s headings in this report are in degrees by gyrocompass.
  3. All speeds referred to in this report are ‘made good/over the ground’.
  4. The third officer remained the OOW until 0030 that night as the ship’s clocks were being advanced by 1 hour to bring the ship’s time into alignment with the time zone of their next port of call – Melbourne.
  5. Distance from own ship of the other vessel’s closest point of approach, as forecast.
  6. A hand-held electrically operated signal lamp.
  7. A voyage data recorder (VDR) is designed to collect and store data from various shipboard systems in compliance with SOLAS requirements.
  8. The automatic identification system (AIS) is a very high frequency (VHF) radio broadcasting system which enables AIS equipped vessels and shore-based stations to send and receive identifying information.
  9. The International Convention for the Safety of Life at Sea, 1974, as amended.
Vessel Details
Destination
Eden, NSW
Vessel name
Saxon Onward
Marine vehicle sector
Commercial fishing
Flag
Australian
IMO
5314987
Damage
Substantial
Marine occurrence type
Collision
Marine Operation Type
Commerical fishing
Vessel Operator
Voyager Seafoods, NSW
Vessel Details
Departure point
Kaohsiung, Taiwan
Destination
Melbourne, Australia
Vessel name
Beijing Bridge
Marine vehicle sector
Container
Flag
Panama
IMO
9292230
Damage
Minor
Marine occurrence type
Collision
Marine Operation Type
Container ship
Vessel Operator
V-Ships, Germany