Learning from the past for pro-activity -A re-analysis of the accident of the MV Herald of Free Enterprise
Paper in proceedings, 2011

On the evening of the 6th of March, 1987, the Roll on/Roll off Ferry Herald of Free Enterprise left the berth in the port of Zeebrugge at 18.05 and capsized about 20 minutes later. 188 people died in this tragic event. A formal investigation report concluded that both the crewmembers and the shipping company were to be held responsible for the outcome. Although the shipping company was considered partly accountable, the investigation based its result on a rather person-centered view on how accidents occur. This perspective on accidents, being the outcome of a chain of events leading to an unwanted consequence, has been challenged during the past 20 years by several researchers. This article re-analyzes this specific accident from a systemic perspective. Functional Resonance Analysis Method (FRAM) is used to shed new light on what may have cause the ship to capsize. In addition, we discuss whether results from accident analysis can be used to develop pro-active measures for the safe operation of ships.

Accident Analysis

Herald of Free Enterprise

Functional Resonance Analysis Method (FRAM)

Author

Gesa Praetorius

Chalmers, Shipping and Marine Technology, Division of Maritime Operations, Ship Work Environment and Safety

Monica Lundh

Chalmers, Shipping and Marine Technology

Margareta Lützhöft

Chalmers, Shipping and Marine Technology, Division of Maritime Operations, Ship Work Environment and Safety

Proceedings of the fourth Resilience Engineering Symposium, June 8-10, 2011, Sophia Antipolis

217-225

Areas of Advance

Transport

Subject Categories

Other Social Sciences not elsewhere specified

ISBN

978-2-911256-47-9

More information

Created

10/6/2017