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Presentation to CMAC

John ClarksonMember of the Board

Transportation Safety Board

Ottawa, ON6 November 2012

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• TSB mandate

• Investigation process

• Watchlist 2012: What is it? What’s New?

• Safety Issues Investigation

• Q & A

Outline

About the TSB

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TSB Investigations

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• 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

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

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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

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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.

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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.

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Safety Issues Investigation

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Fishing safety video: http://www.tsb.gc.ca/eng/medias-media/videos/surveillance-watchlist/marine/marine-video-01.asp

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