NTSB: Fatigue and “Microsleep” Caused Seattle Ferry Accident
Fatigue and complacency have been behind the allision of a Washington ferry and a mooring dolphin on the Fauntleroy terminal in Seattle final 12 months, the National Transportation Safety Board mentioned Thursday. The accident brought about $10 million in injury to the vessel and $300,000 in injury to the dolphin.
At about 0800 on July 28, 2022, the ferry Cathlamet was making a routine crossing of the Puget Sound with 94 individuals aboard. The grasp took over the helm from his quartermaster at 0810 in preparation for docking. As the ferry approached the Fauntleroy Terminal in West Seattle, it drifted astray. At 0814, 4 minutes after the grasp took the helm, it struck a dolphin adjoining to the pier at a velocity of 16 knots. One particular person sustained a minor damage, and two passengers narrowly escaped from hurt’s method because the dolphin range within the vessel’s topsides. The ferry sustained intensive injury.
The second of contact, as captured by a safety digital camera aboard Cathlamet (WSF/NTSB)
The vessel was nonetheless transferring ahead after the affect, and it risked hitting a cluster of anchored watercraft subsequent to the terminal. The quartermaster instructed the grasp to “back out” thrice, after which the grasp put each engines astern and halted the ferry’s movement.
According to NTSB, the grasp stopped making rudder instructions about 30 seconds earlier than affect and didn’t take any motion to avert the accident or decrease injury, like backing down or sounding the final alarm. In interviews with investigators, he had no recollection of the moments main as much as the accident.
The grasp’s work/relaxation historical past confirmed that he had been sleeping 5 to six hours an evening within the days earlier than the casualty, and he advised the Coast Guard that he had had a tough time sleeping due to the warmth (Seattle was experiencing a warmth wave on the time). The quartermaster advised investigators that the grasp was “always tired in the morning.”
According to NTSB, the proof was in step with a “microsleep,” a quick interval of sleep attributable to fatigue.
“Fatigue affects all aspects of human performance, including decision-making, alertness, and reaction time,” NTSB investigators concluded. “Mariners ought to perceive the efficiency results of sleep loss and acknowledge the hazards of fatigue, akin to microsleeps.”
The NTSB additionally discovered that Cathlamet’s quartermaster was not monitoring the grasp because the ferry neared the dock, as is required by firm coverage. Instead, he was positioned in the direction of the aft finish of the wheelhouse and was centered on studying an organization memo. If he had been watching carefully, he may have taken over the helm when the grasp was asleep. NTSB marked this all the way down to “complacency,” and famous that additional vigilance is required to stop complacent attitudes for “repetitive operations, such as ferry transits.”
The day after the casualty, the grasp retired from Washington State Ferries, surrendered his Merchant Mariners’ Credential and ceased offering data for the investigation, in keeping with NSTB.