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The Worst U.S. Maritime Disaster in Decades

477 点作者 ryanfox大约 7 年前

22 条评论

gregschlom大约 7 年前
I don&#x27;t see anyone here commenting on this, but there&#x27;s an interesting software &#x2F; UI angle in this story: the captain preferred the fancier, animated-map-style weather reports from a 3rd-party company (B.V.S. reports) to the more terse text-only reports from the National Hurricane Center (sat-C reports).<p>Turns out, the B.V.S reports were using raw data that was 10 to 12 hours old - and they didn&#x27;t explicitly mention that. In the case of a rapidly evolving hurricane, it mattered a lot.<p>&gt; The B.V.S. map included a time stamp that showed when the processing had been completed, but gave no indication of the age of the raw data on which the forecast was based. Davidson knew that all the forecasts were uncertain, and that they sometimes disagreed. But how aware was he that when he looked at the B.V.S. maps he was looking into the past?<p>[...]<p>&gt; Davidson dismissed the plan with a thank-you and did not come to the bridge. Evidence suggests that he was still showing a preference for the animated B.V.S. graphics, which indicated the storm progressing more slowly.
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YeGoblynQueenne大约 7 年前
Bridge transcript, addenda and errata:<p>Voyage Data Recorder<p><a href="https:&#x2F;&#x2F;dms.ntsb.gov&#x2F;pubdms&#x2F;search&#x2F;document.cfm?docID=447547&amp;docketID=58116&amp;mkey=92109" rel="nofollow">https:&#x2F;&#x2F;dms.ntsb.gov&#x2F;pubdms&#x2F;search&#x2F;document.cfm?docID=447547...</a><p>Errata to Voyage Data Recorder<p><a href="https:&#x2F;&#x2F;dms.ntsb.gov&#x2F;pubdms&#x2F;search&#x2F;document.cfm?docID=455021&amp;docketID=58116&amp;mkey=92109" rel="nofollow">https:&#x2F;&#x2F;dms.ntsb.gov&#x2F;pubdms&#x2F;search&#x2F;document.cfm?docID=455021...</a><p>Addendum to Voyage Data Recorder<p><a href="https:&#x2F;&#x2F;dms.ntsb.gov&#x2F;pubdms&#x2F;search&#x2F;document.cfm?docID=455022&amp;docketID=58116&amp;mkey=92109" rel="nofollow">https:&#x2F;&#x2F;dms.ntsb.gov&#x2F;pubdms&#x2F;search&#x2F;document.cfm?docID=455022...</a><p>Attachment 1 to Addendum to Voyage Data Recorder<p><a href="https:&#x2F;&#x2F;dms.ntsb.gov&#x2F;pubdms&#x2F;search&#x2F;document.cfm?docID=455023&amp;docketID=58116&amp;mkey=92109" rel="nofollow">https:&#x2F;&#x2F;dms.ntsb.gov&#x2F;pubdms&#x2F;search&#x2F;document.cfm?docID=455023...</a>
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clon大约 7 年前
&gt; She called Davidson on the house phone and told him that the hurricane was now a Category 3. He knew that already. She proposed the escape route to the south and a smooth sail on to San Juan. He rejected her suggestion.<p>I wonder if in the maritime world there is the equivalent of CRM (Cockpit Resource Management), as in aviation.<p>Too many lives were lost due to 1st officer never taking over command when the error in the commander&#x27;s thinking had already become apparent or the entire aircraft was being flown, effectively, by a single infallible captain and not a team.<p>Lessons were learned decades ago and at least in a 1st world outfit I would like to believe that no 1st officer would hesitate to utter the words &quot;I have control&quot; when in such stress.
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Luc大约 7 年前
I could tell from the title this was going to be written by William Langewiesche. He really knows how to spin a good yarn.<p>All his articles and books seem to be movie-worthy. I&#x27;m not entirely convinced reality is that exciting, though.
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nradov大约 7 年前
The El Faro sinking has also been covered extensively from a professional mariner perspective on gCaptain.<p><a href="http:&#x2F;&#x2F;gcaptain.com&#x2F;tag&#x2F;el-faro-investigation&#x2F;" rel="nofollow">http:&#x2F;&#x2F;gcaptain.com&#x2F;tag&#x2F;el-faro-investigation&#x2F;</a>
sdhgaiojfsa大约 7 年前
My big takeaway from all of this is that, given the choice between driving your boat into a hurricane and doing something else, something else should be the default.
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chrisweekly大约 7 年前
1. FYI the article is new but the disaster described happened on October 1, 2015.<p>2. I was astonished at this: &gt; &quot;It has been reported that a major merchant ship goes down somewhere in the world every two or three days; most are ships sailing under flags of convenience, with underpaid crews and poor safety records.&quot;
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cesarb大约 7 年前
NTSB report: <a href="https:&#x2F;&#x2F;www.ntsb.gov&#x2F;investigations&#x2F;AccidentReports&#x2F;Reports&#x2F;MAR1701.pdf" rel="nofollow">https:&#x2F;&#x2F;www.ntsb.gov&#x2F;investigations&#x2F;AccidentReports&#x2F;Reports&#x2F;...</a>
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jtwaleson大约 7 年前
The article mentions that there are major merchant vessels sinking every two&#x2F;three days! That seems huge. How many deaths per year does that amount to? We&#x27;re lucky to be in tech I guess.
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doughj3大约 7 年前
For anyone interested in stories like these, I highly recommend &quot;Normal Accidents&quot; by Charles Perrow - there&#x27;s an entire chapter on maritime accidents.
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BuffaloBagel大约 7 年前
Wonder why shippers don&#x27;t have a 24&#x2F;7 Operations Center employing meteorologists and tracking weather systems and ships and in close contact with ship&#x27;s crew. It struck me that there was a lot of friction for the crew to just plot up-to-date weather&#x2F;forecasts and the ship&#x27;s course. Crew was constantly fighting for current data and good&#x2F;correct visualization.
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leeter大约 7 年前
What amazed me reading the report was just how vulnerable the ship was to sinking if it had a list during a storm. While an 18 degree list is extreme it&#x27;s not unforeseeable in a serious emergency. The problem was this put ventilation openings at a height where they were directly subject to green water infiltration. To make it worse only the intakes were &#x27;watertight&#x27; the exhausts were only &#x27;weathertight&#x27; meaning that this would have resulted in flooding that would have made the problem worse.
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dwighttk大约 7 年前
&gt;Fisker-Andersen wrote, “Captain Mike, diversion request heads up through Old Bahama Channel understood and authorized. Thank you for the heads up. Kind regards.&quot;<p>I&#x27;m not quite following that sentence. The article makes a lot of the &quot;authorized&quot;, saying that meant the captain was being ordered to go directly to San Juan and not use the Old Bahama Channel. However, it seems to say that the diversion into the channel was authorized.
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Nrbelex大约 7 年前
See also an in-depth report from the AP: <a href="https:&#x2F;&#x2F;apnews.com&#x2F;9d5904f83f6a4cf784828107fa7d038d" rel="nofollow">https:&#x2F;&#x2F;apnews.com&#x2F;9d5904f83f6a4cf784828107fa7d038d</a>
foobarbazetc大约 7 年前
What’s really interesting about this is the sort of horror film aspect to these situations where everyone gets a bad feeling of impending doom but they push forward anyway.<p>People should trust that instinct. Takes a lot of effort to pull away from the brink, but you should do it. 100% of the time.
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brightball大约 7 年前
That was hard to read.
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Baeocystin大约 7 年前
Damn. That was intense. Thanks for posting this.
089723645897236大约 7 年前
I suspect that human driven errors like this will lead the shipping industry to transition to autonomy. Through this whole story the autopilot was the only one steering the ship, the humans in the loop were responsible for plotting and course setting. Obviously this is a bad idea. It&#x27;s not hard to imagine an expert software system that could have done a better job with this situation, especially in processing the text based weather data coming over the C-sat.<p>Apparently some Norweigans agree with me and are doing exactly this. I suspect this will become the future norm once the bugs are ironed out.<p><a href="https:&#x2F;&#x2F;www.km.kongsberg.com&#x2F;ks&#x2F;web&#x2F;nokbg0238.nsf&#x2F;AllWeb&#x2F;0CBA6362C268ED02C1258264002EB6C4?OpenDocument" rel="nofollow">https:&#x2F;&#x2F;www.km.kongsberg.com&#x2F;ks&#x2F;web&#x2F;nokbg0238.nsf&#x2F;AllWeb&#x2F;0CB...</a>
deadwing0大约 7 年前
Anyone else get a weird pop-up after opening this article? I&#x27;m using Firefox for Android, and after I open the article and begin scrolling, a little box pops up that lists the names of 2 local financial institutions and the word &quot;remove.&quot; As I scroll down, the box moves, too. If I tap on one of the names or the word &quot;remove&quot; the box disappears. I only get this on Firefox for Android.<p>The only reason it&#x27;s rather worrying is because I happen to bank at both of the financial institutions on the list. They are both small, local institutions.<p>Tried opening the link on a couple other devices but was unable to recreate this. The pop-up appears every time I open the link in Firefox on my phone, though.
NKosmatos大约 7 年前
Very nice and intense read, couldn’t stop till the end. I’m sure it would make a great movie. Pity for the people on board.
pontifier大约 7 年前
Ok, this article was the last straw. I&#x27;ve disabled javascript. It was impossible to read this article without it scrolling every few seconds for some ad script.
myrandomcomment大约 7 年前
Wow. I know it is long, but read it if you have not. It’s very....human.