System-Theoretic View of Marine Pilotage Accident in Busan New Port

• 발행기관: 한국항해항만학회
• 저자명: Wamugi Juliet Wangui Sora Kim Young-soo Park
• 간행물 정보: 『한국항해항만학회 학술대회논문집』2023 춘계학술대회논문집, 142~143쪽, 전체 2쪽
• 주제분류: 공학 > 해양공학
• 파일형태: PDF
• 발행일자: 2023.05.04

영문 초록

A contact accident with gantry cranes involving the container ship MV Milano Bridge in Busan New Port took place on 6 April 2020. The report concluded that the pilot unreasonably piloted the ship with impaired maneuverability and without a proper pilotage plan. Analyzing the entire system by CAST model gives a holistic approach in linking all the key components and their roles as well as violations that led to the accident, stepping away from placing the blame on only one component in the system. Furthermore, analyzing the accident as an system theory gives a clear overview of the relationships between system components and how these interactions led to the accident.

키워드

marine accident accident analysis CAST model safety system theory