Lack of planning and situational awareness

  • DP Event
  • Published on 2 November 2017
  • Generated on 14 December 2024
  • DPE 04/17
  • 2 minute read

Incident

In such critical subsea operations both DPOs should have been 100% focused on current operations.

DPE 17.04 – Lack of planning and situational awareness causes DP incident – Flowchart

Comments

The event was investigated by the vessel operator, findings are summarised below:

Human factors:

  • The DPO was left alone at the DP console during critical subsea operations. In such critical subsea operations, subsea lifting in vicinity of Christmas tree, both DPOs should have been 100% focused on current operations.
  • Following the power limitation alarms, the DPO didn’t inform the SDPO, or request to start additional generators. Despite having wind and current pushing the vessel in the direction of the Christmas tree, he didn’t realise that the situation was becoming critical.

Processes and procedures:

  • The activity specific operating guidelines (ASOG) was built up considering only vessel operations criticality and location (inside or outside the 500m zone), it failed to take into consideration the power consumption of ROV and cranes during these operations.
  • The ASOG required only 2 DG on each bus bar. That means that YELLOW status (load >50%) would be reached earlier than with 3 DG per bus bar. The DPO and engineer on watch didn’t respect the ASOG as they didn’t react when YELLOW status was reached.

Equipment and design:

  • The purpose of a micrologic breaker is to protect the electrical circuit from damage caused by excess current. In this situation, the breaker interrupted current due to misreading of the amperage. Preventive maintenance routines had been followed and increasing maintenance frequency would not prevent the kind of failure that affected DG No.5.

Considerations

  • The power limitation alarm was active for 11 minutes, the power management system did not instigate an automatic start, therefore the FMEA and DP trials should be questioned.
  • Neither the DPO nor engineer reacted to the situation and one DPO was left alone at the DP control station during a critical phase.
  • Lack of preplanning and development of a separate ASOG for the task directly contributed to the event.
  • The vessel is recorded as operating within DP equipment class 2, however only satellite derived position reference systems were recorded as being in use.

The case studies and observations above have been compiled from information received by IMCA. All vessel, client, and operational data has been removed from the narrative to ensure anonymity. Case studies are not intended as guidance on the safe conduct of operations, but rather to assist vessel managers, DP operators, and technical crew.

IMCA makes every effort to ensure both the accuracy and reliability of the information, but it is not liable for any guidance and/or recommendation and/or statement herein contained.

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