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*Titanic Sinks to the ocean floor (What happened (Michael, 2019) (Titanic…
*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.
System Parts/Design
Rivets Brittle (Gannon 1995)
Sheet Steel
Watertight Compartments LTA (Latent Failure)
Anchor Chain Hole (Latent Failure)
Challenging to navigate from lower levels
People
Captain Edward John Smith (RMS Titanic)
Maiden Voyage on Titanic
Had not sailed Titanic prior (Pre-Condition)
Bruce Ismay
(Managing Director- White Star Line)
Pressure on Captain to make crossing in 6 days
(Pre-Condition)
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
Ships Crew
Lookout Frederick Fleet
Fatigue (Latent Failure)
Communicates to the bridge
Life boat knowledge LTA
David Blair
Left ship in Halifax
Had the only set of keys for the binoculars cupboard (Pre- Condition)
System Failures
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
Radio Communications
Water, Ventilation and Heating
Passanger Facilities
Rudder steering
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)
Mobile Plant
Cold Conditions
Known area for icebergs (Latent Failure)
Life boat drill cancelled earlier in day (Pre-Condition)
Equipment Design
Compartments not watertight
Low grade rivets (Gannon, 1995)
Low grade steel (Gannon, 1995)
Builder Cut Cost (Pruitt,2018)
People
Rushing
22 Knots (Latent Failure)
Training
Knowledge of ship
Knowledge of emergency procedures
System Life Cycle
Construction 1909-1911
Deadlines
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)
Flat Water
Dark Night
No Moon
Tide
Climate