“Of all the systems on board a vessel, a human being is the most complex, and perhaps the most difficult one to integrate into a system of safer transportation.” -Tracy Murrell, Director, Office of Marine Safety, National Transportation Safety Board.For the last few decades, the maritime industry has greatly improved the reliability and user interface design of ship systems with the goal of reducing ship casualties and increase operational efficiency.
Improvements in hull design, integrated systems, propulsion, and vastly more effective navigational equipment. Today’s ship systems are technologically advanced and highly reliable. Yet, the maritime casualty rate is still high.
With these improvements, WHY have we not significantly reduced the risk of accidents?
According to Geoff Gill, author of the book Maritime Error Management, the answer is people.
In a speech at this week’s Nautical Institute Command Seminar, Gill said the aviation industry has been in the forefront of human factor investigation and training and the maritime community must integrate human factors knowledge if the goal is to reduce the number and significance of incidents at sea.
According to Gill, our goal as an industry must be the moving target of continuous improvement focused on the strengths and weakness of our people.
“Simply put, we are not applying available new lessons from maritime casualties we are only relearning old lessons that we have failed to apply meaningfully,” commented Gill.
“Much has been learned about WHAT is involved in maritime casualties and HOW those casualties occur. Now the crucial issue is WHY? The answer may show us the way in which shipowner orders and crew training are put into practice aboard ships.” – MAIB, CP VALOUR GROUNDING REPORTWhat Are These “Human Elements?”
Human element studies can be thought of in two categories. The first, System I, involves thought processes of the individual, including cognitive processes, decision making and situational awareness. The second, System II, addresses interpersonal aspects and group dynamics, such as within a bridge team.
System I quickly and automatically operates with little or no effort on our part and with no sense of voluntary control. Included may be heuristics and biases.
By analogy, if you are taught the effects of different foods upon health, then will obtain the tools required to make better dietary choices.
System II involves a higher order of thinking called “CRITICAL THINKING” and results in decisions and action which, in this context, may be defined as “thinking that is purposeful, reasoned, and goal directed, taking into account that all available relevant information was considered objectively before acting upon any decision.” In other words, “critical thinking” is a process whereby a person, trained in cognitive skills, critiques the thinking process, in real-time, with an awareness of his own biases.
“When you are at sea, you have to be able to think, and you can’t think with your nose buried in a book of written procedures.” – Geoff GillWhy Is This Important?
“Our objective as an industry must always be to develop the most competent, capable and confident officer attainable. I advocate critical thinking and human factor management because they are the next step towards reaching this goal,” added Gill.