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Fire on Board the Liberian Passenger Ship Ecstasy, Miami, Florida ...

Fire on Board the Liberian Passenger Ship Ecstasy, Miami, Florida ...

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76 Marine Accident ReportC<strong>on</strong>clusi<strong>on</strong>sFindings1. Although <strong>the</strong> <strong>Ecstasy</strong>’s mooring deck sustained <strong>the</strong> heaviest fire damage, it was not<strong>the</strong> point of origin for <strong>the</strong> fire.2. The fire <strong>on</strong> board <strong>the</strong> <strong>Ecstasy</strong> started in <strong>the</strong> main laundry and was ignited by an arcfrom a welding machine.3. The fitters’ (welders’) lack of full compliance with <strong>the</strong> “hot work” permit proceduresin Carnival Cruise Lines’ safety management system manual increased <strong>the</strong> risks offire in <strong>the</strong> main laundry.4. The lint that accumulated in <strong>the</strong> ventilati<strong>on</strong> duct of <strong>the</strong> main laundry created a seriousfire hazard <strong>on</strong> <strong>the</strong> <strong>Ecstasy</strong>.5. The procedures and standards for inspecting and maintaining laundry ventilati<strong>on</strong>systems adopted by <strong>the</strong> marine industry and government agencies following <strong>the</strong><strong>Ecstasy</strong> fire will improve safety <strong>on</strong> cruise ships.6. If an automatic fire suppressi<strong>on</strong> system had been installed <strong>on</strong> <strong>the</strong> mooring deck, <strong>the</strong>fire <strong>on</strong> <strong>the</strong> <strong>Ecstasy</strong> would have been located and extinguished much so<strong>on</strong>er, <strong>the</strong>rebyminimizing <strong>the</strong> extent of fire damage <strong>on</strong> <strong>the</strong> vessel and aft mooring deck.7. The vessel’s automatic fire sprinkler system effectively limited <strong>the</strong> spread of fire from<strong>the</strong> mooring stati<strong>on</strong> to adjoining decks, <strong>the</strong>reby preventing a significantly worse firethat would have caused greater damage and perhaps additi<strong>on</strong>al injuries.8. If <strong>the</strong> main laundry’s fire dampers had been equipped with a passive means ofclosure, such as a fusible link, <strong>the</strong> heat from <strong>the</strong> fire would have caused <strong>the</strong> dampersto shut so<strong>on</strong>er, which, in turn, might have prevented <strong>the</strong> spread of fire bey<strong>on</strong>d <strong>the</strong>laundry area.9. The fire detecti<strong>on</strong> system performed properly by providing an early indicator of a fire.10. Although most survey resp<strong>on</strong>dents indicated that <strong>the</strong> <strong>Ecstasy</strong> practice drill adequatelyprepared <strong>the</strong>m for <strong>the</strong> actual fire emergency, <strong>the</strong> drill lacked informati<strong>on</strong> about acti<strong>on</strong>sto take if you see smoke or if your muster stati<strong>on</strong> is unavailable that might haveassisted passengers who encountered c<strong>on</strong>diti<strong>on</strong>s or situati<strong>on</strong>s c<strong>on</strong>trary to those during<strong>the</strong> drill.11. Although <strong>the</strong> noise from <strong>the</strong> news helicopters may have interfered somewhat with <strong>the</strong>communicati<strong>on</strong>s with passengers <strong>on</strong> <strong>the</strong> outside deck, crewmembers were able toeffectively communicate with <strong>the</strong> mustered people and manage <strong>the</strong> emergency.

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