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

78 Marine Accident ReportRecommendationsAs a result of its investigation of this accident, the National Transportation SafetyBoard makes the following recommendations:New RecommendationsTo the U.S. Coast Guard:During control verification examinations, review a drill scenario in whichone or more main vertical zones are inaccessible and evaluate theprocedural effectiveness of the crew in crowd control, crisis management,lifejacket distribution, and passenger accountability. (M-01-1)To Carnival Corporation:For the ships in your fleets, revise the safety management system to includeprocesses for preventing unauthorized flame cutting, grinding, or otheractivities that might ignite a fire. (M-01-2)For the ships in your fleets, develop plans to account for passengers andcrewmembers in common emergency scenarios, in particular, a situationinvolving the inaccessibility of one or more main vertical zones and/ormuster stations. (M-01-3)To Carnival Cruise Lines:For the ships in your fleet, engineer, design, and implement systemmodifications to mitigate the spread of fire and smoke from the laundryrooms through ventilation ducts to other areas of the vessel. (M-01-4)Examine the propulsion systems on the ships in your fleet and, if necessaryto ensure redundancy, modify the arrangement of the auxiliary voltagecircuitry to the high-speed breakers where a single source supplies bothport and starboard propulsion systems. (M-01-5)Revise the safety information disseminated to passengers to include actionsto take if they encounter smoke or fire and/or if their muster station is notavailable. (M-01-6)