*Titanic Sinks to the ocean floor (What happened (Michael, 2019) (12:05am …
*Titanic Sinks to the ocean floor
What happened (Michael, 2019)
Titanic launched in January 1912, with 16 life boats installed
10 April - Passengers boarded for her maiden voyage.
14 April - The Titanic had 7 iceberg warnings throughout the day.(Latent Failure)
14 April at 11:40 pm- Lookout Frederick Fleet spotted an iceberg dead ahead.
The Titanic struck an iceberg on the Starboard side of her bow.
11:50pm - Water entered and had risen to 14ft in the front part of ship.
12:00am - The captain is informed that the ship can only stay afloat for a couple of hours and calls for help over the radio.
12:05am - Captain informs crews to uncover lifeboats.
12:25am - Life boats begin to be loaded.
12:45am - First distress rocket fired.
12:45 am - First life boat safely lowered into water
2:05am - The last life boat left the Titanic. 1500 people are still onboard. (Active Failure)
Several ships deployed to help with the disaster. 328 bodies were recovered floating in the water
2:20 am - The Titanic tilts over until the stern broke off into the water. Filled with water tilting its end high into the air before sinking.
Rivets Brittle (Gannon 1995)
Watertight Compartments LTA (Latent Failure)
Anchor Chain Hole (Latent Failure)
Challenging to navigate from lower levels
Captain Edward John Smith (RMS Titanic)
Maiden Voyage on Titanic
Had not sailed Titanic prior (Pre-Condition)
(Managing Director- White Star Line)
Pressure on Captain to make crossing in 6 days
Thomas Andrew (Ship's Architect)
Compartments designed to only be horizontally watertight
Only 20 lifeboats so not to crowd upper deck (Active Failure)
Captain Lord (SS Californian)
Switched off the radio when
at anchor (Active Failure)
Ignored calls from distress signals- Flares
Lookout Frederick Fleet
Fatigue (Latent Failure)
Communicates to the bridge
Life boat knowledge LTA
Left ship in Halifax
Had the only set of keys for the binoculars cupboard (Pre- Condition)
Full Steam in dark (Pruitt, 2019)
Emergency Calls not acknowledge (Priutt, 2019)
Reverse Thrust not effective in maneuverabiity (Boyle, 2012)
Only 20 life Boats
High technology ship
Water, Ventilation and Heating
Remote operated water tight compartment
Steered the wrong way (Boyle, 2012)
People, Workplace and Management
Work Place Factor
Challenge to cross Water in 6 days (Pre-Condition)
Known area for icebergs (Latent Failure)
Life boat drill cancelled earlier in day (Pre-Condition)
Compartments not watertight
Low grade rivets (Gannon, 1995)
Low grade steel (Gannon, 1995)
Builder Cut Cost (Pruitt,2018)
22 Knots (Latent Failure)
Knowledge of ship
Knowledge of emergency procedures
System Life Cycle
Cost Cutting (Priutt, 2019)
Fitting out of ship 1911-1912
Launched January 1912(Michael, 2019)
Maiden Voyage 10 April (Michael, 2019)
Titanic Sinks 15 April (Michael, 2019)
1 September 1985 - Titanic shipwreck discovered on ocean floor (Tikkanen, 2019)
Environmental Conditions (Boyle,2012)