- damage control including salvage;
- inventory of all consequences of the occurrence (injury, loss, damage or environmental damage); and
- general ship's condition.
It should also be possible to identify active and underlying factors such as:
- operational deviations;
- design aspects of hull structural failure;
- defects in resources and equipment;
- inappropriate use of resources and equipment;
- relevant personnel skill levels and their application;
- physiological factors (e.g. fatigue, stress, alcohol, illegal drugs prescription medicine);
- why safeguards in place were inadequate or failed;
- role of safety programmes;
- problems relating to the effectiveness of regulations and instructions;
- management issues; and
- communication issues.
2.5 Safety action
2.5.1 The ultimate goal of a marine safety in vestigation is to advance maritime safety and protection of the marine environment. In the context of these Guidelines, this goal is achieved by identifying safety deficiencies through a systematic investigation of marine casualties and incidents, and then recommending or effecting change in the maritime system to correct these deficiencies.
2.5.2 In a report that clearly lays out the facts relevant to the occurrence, and then logically analyses those facts to draw reasoned conclusions including those relating to human factors, the required safety action may appear self-evident to the reader.
2.5.3 Recommended safety action in whatever form should clearly identify what needs to be done, who or what organization is responsible for effecting change, and, where possible, the urgency for completion of the change.
