TMSA Tanker Management And Self Assessment

Risk Assessment, Incident Investigation and Management of Change By- Capt. Mirza A. Nasir

Univan Ship Mangement Limited

THE COMPLIANCE REGIME OF TMSA

SOLAS A result of sinking of the TITANIC.
Concentrated on Hull design, communications. MARPOL Originated from the grounding of the Torrey Canyon in 1967. Again, concentrates on material requirements. OPA 90 the Exxon Valdez disaster in 1989 Double Hulls and Rapid Response Groups. ISM Code First approach towards systems. TMSA An amplification of ISM. Even more compliance driven than ISM and leading to improvement of Companys SMS.
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TMSA Tanker Management And Self Assessment

More than 2 Years have been passed since OCIMF has given guidelines TMSA to ship operators. And Nearly all ship-operators have implemented TMSA in their system.

Univan Ship Mangement Limited

TMSA - A practical approach towards improvement in safe operating systems adopted by Ship operators.

An amplification of ISM to make pillars of safety

stronger (SOLAS, MARPOL, ISM and STCW). Even more compliance driven than ISM? A comprehensive guide on managing vessel operations. A benchmarking tool giving checklist of key performance indicators. A lot of work for the Safety & Quality Department including various other dept! More emphasis on the shore staff of organization including their retention period.
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TMSA
1. Element 7 - Management of change 2. Element 8 Incident Investigation and
Analysis.
Both Elements are related very closely in a continuous process in form of chain, with following Key achievers; Incident Analysis & Incident Management Basic, contributing & Root Cause Analysis Control and Elimination of cause Risk Assessment & Risk management Change analysis
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Element 7 Management of Change

Change A Law of Universe

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Element 7 -Change Management

Fundamental approach - What, Why, How, When and where? What? It is the process, tool and technique to manage the change in the present running system. It is used to achieve the required outcomes and to realize the change effectively within the individual change agent.

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Element 7 -Change Management

Why? To ensure that standardized methods and procedures are used for efficient and prompt handling of all changes, in order to minimize the impact of change related incidents upon service quality and consequently to improve the routine& critical operations of the organization.
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Element 7 -Change Management

How? By Risk assessment and Analysis. KPI and statistical data. Improvement in the strength of barrier Change Analysis Barrier Analysis

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Element 7 -Change Management

When? If it has been Occurred? If it is Identified? If it is scheduled?

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Element 7 -Change Management

Where? Physical location on board the ship or in shore organization Environmental conditions out at sea, in port, during port approach.

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Change
- An action resulting in a new infrastructure. -Categories of Change3. Minor 4. Significant 5. Major 6. Urgent Categories are debatable with undefined scope boundaries.
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Flow Chart for Change

NEED REQUIREMENT REQUEST ACCEPTANCE ACTION

ANALYSIS

IMPLEMENTATION

APPROVAL

RISK ASSESSMENT

RESULT - WHICH CAN LEAD TO NEED OF FURTHER CHANGE

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Procedure for Change

Need To continue or improve the system Requirements Personnel or Data Request By Ship or shore Acceptance By SQM/Tech/Ops Manager Action Revised process Risk Assessment By Ship and shore organization Approval By Chairman/ Advisory board Implementation on ship or shore Change Analysis Deviation between what is expected and what actually happened.
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Types of Changes 1. Planned 2. Unplanned 1. Planned Changes- Pre approved or Standard

Changes Minor Change in the Emergency Muster station Major Change in Hot work Check List

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2. Unplanned Changes
Urgent Change Requires faster steps Change in Organization (unexpected Sign off of key personnel on board, resignation of key staff on shore) Impact of change (on ship and company) Personnel's affected by change (directly or in directly)

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Sub - Types of Changes ;

Directly Process In directly Equipments Personnel Responsibilities Regulatory bodies Documentation/ PMS
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CHANGE IN PROCESS

Types of Process
New process
-Installation of ECDIS on board. -Implementation of Electronic Data Control System Existing process -Amendments in Passage plan format -Change in frequency of QMS review
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CHANGE IN EQUIPMENT
Addition Replacement Removal from service Reduction in performance Modification

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CHANGE IN PERSONNEL
On board Organization i.e. Master Shore Organization i.e. Manager Support organization i.e. Agent etc

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CHANGE IN RESPONSIBILITIES
Leading to Process Promotions - Evaluation - Training - Experience and Age

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CHANGE IN REGULATORY BODIES

Change of CLASS Change of FLAG Change of Regulations by Class, Flag,

IMO, ICS etc

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How we go about Change Management? 1. Vision

On Shore Safety Management Committee Yearly targets with KPI Quarterly Review/ Status of Targets Analysis with Statistics Objectives achieved Change in process if required Change Analysis
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New Process in our companyElectronic Document Control System IORA Used by US Navy

Update and feed Back by ship staff

Compression of Data during Export/Import

Update and feed Back by shore staff

SHIP

SHORE

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New Process- Document Control System

Electronic Document Control System IORA Shipboard QMS review Onshore management review Incident reporting Risk Analysis Changes in SMS Update of rules & regulation Defects status tracking VIR, PSC, Audits, Inspection, Supplies of Stores & Spares Update of ANTM for Chart correction
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Existing Process in our Company -Examples 1. Take over of Vessel in fleet Pre joining & sailing of Senior officers General Inspection by pre joiners Familiarization by pre joiners Superintendents role Other Sailing Staff Effectiveness of Checks as per SMS
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2. Change of Sailing Staff

Handing Over report Taking Over report Familiarization Feed back from the company Contingency preparation back up

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3. Promotion Process

Carrier development record Parallel sailing - depending upon the rank Companys Criteria Individual capability Appraisal reports Joint Decision/ interview/ evaluation Familiarization Specialized training if required
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Risk assessment for routine and non routine Tasks Initial Risk Assessment Detailed Risk assessment Change of Authorization- if applicable Change Management
Every Change requires Risk Assessment

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Element 8: Incident Investigation & Analysis

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Incident Investigation& Analysis

INCIDENT- Any event which is not part of

standard operation and which causes or may cause, an interruption to, or a reduction in the quality of that operation is an incident

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Incident is followed by1. 2. 3. 4. 5. 6. 7.

Immediate Correction Investigation Corrective Action Preventive action Risk Assessment & Risk Management Change in Process Change Analysis
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Correction , Corrective Action and Preventive Action and Corrective agents

Correction: To resume the normal and safe operation on
board the vessel after detection of direct cause. Corrective Action: Measure taken to Control the cause Preventive Measure: Measure taken to Eliminate the cause Corrective Agents are Ship Staff Company Staff External Bodies (Port Authorities, MRCC, Class, Flag, Port agents, Suppliers, coast Guards etc)

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Example Incident: Fire during use of cutting torch due to flash

back. Correction: - Extinguish the fire. Corrective Action:

Preventive Measure:
-

- Install the Flash back arrestor in Cutting torch.

- Circulation of Safety Alert in company and all fleet vessels. - Change in the procedure of checking the Cutting Torch &
Nozzle. Use of Flash back arrestor in cutting torch on all ships.

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Incident Investigation
By study the case to investigate the Root cause of Incident. Inspection Safety & Quality Auditor, Suptd. Assessment Equipment/ Material/ Personnel/ Design/

Analysis of Records - Logs, Maintenance

schedule etc Collection of Evidences Photographs, Interview, Statements etc. Report of findings Over all Analysis and Result
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Training Deficiency/ Management Problem

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Implementation of Change
Risk Analysis & Risk Management by key
personnel and trained concerned staff. Change Management Change and Change Analysis

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What we are achieving by Change management and Incident Investigation and Analysis?

An improvement in system process to enhance

safety in all operations by Ship Operators. we can say that we are doing Analysis on Safety Barrier of the operating processes and procedures of company and bringing the changes in the system by improving the strength of the Safety barrier.

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Analysis on Failure of Safety Barrier

Performance Functioning Design of barrier Maintenance of barrier Result of Dormant energy or Unwanted Flow of energy What are the changes required to rebuilt the safety barrier stronger?

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Safety Barrier Strength- Brick in the wall

BAR
TE M S

DORMANT ENERGY
SY S

RIE R

ACCIDENT
IPM E NT
KE Y

HAZARDS
M AN AG E

RO CE DU RE S

EN T

FA CI LI TI ES

ICE S

AC T

PR

PE

OP L

EA

RE

ACTIVE ENERGY

EQ U

/P

&

TH

Flow of Energy
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Univan Ship Mangement Limited

Chain of Continual improvement in the Safety Systems by 1. Incident Analysis, 2. Change Analysis and 3. Barrier Analysis.

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SMS-Procedures Regulating Bodies SOLAS MARPOL ISM STCW Various Codes Lead factoroperations

Incident Change Cycle - Element 7&8 SAFETY BARRIER IMPROVEMENT CHART

Risk Assessment

Control Cause Incident Correction Investigation Element 7 Corrective Action

Eliminate Cause Preventive action

Hazar d

BARRIER

Ship Organization Shore Organization Flag State Class Sur

Errors

Reports Evidences Root Cause Analysis

Process Minor Significant Major Urgent

Management of Change Element 8

Improvement in barrier/ Barrier Analysis STCW Courses Training Simulators

Internal Audits

External Port Oil Majors/ Univan Ship Mangement Limited Audits Authorities PSC Insp.

Companys S & Q dept

QMS Reviews 41 Seminars

TMSA approach in Building Safety Barrier

Hazard Reactor Dormant Energy can be

stopped by the Safety barrier before it changes into the Active Energy . Stronger the barrier lesser the chances for the conversion of Hazards in to Incidents. There is no doubt that this safety barrier can be made stronger by using techniques and guidelines given by OCIMF through TMSA. Capt. Mirza A. Nasir
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Background & Company Profile

We have managed about 350 vessels of all types and sizes

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Fleet Composition
Presently, we have a diverse range of vessels under our full technical management (Total strength 49 ships)
Fle e t Ve sse l Type s Distribution
20 19 18

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14 No of Vessels 12 12

BULK CARRIER TANKE R GE NE RAL CARGO CAR CARRIE R WOOD CHIP CARRIE R CONTAINE CARIER R VE OIL CARRIE G R SAIL YACHT

10

6 4 4

2 2 1 1

0 BULK TANKE R GENE RAL

CAR CARRIER

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WOOD CHIP CONTAINE R

VE OIL G

SAIL YACHT

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 Thank You very Much for your

valuable time.

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