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Lessons Learned

The publication of „Lessons Learned“ by the accident investigation bodies is based on an International Maritime Organization (IMO) Resolution adopted in 2018. Upon completion of an investigation, the BSU therefore examines whether general safety notes can be deduced from the findings obtained. These safety notes are published as „Lessons Learned“ and are – in contrast to safety recommendations – addressed to a wider group of addressees and the public, respectively, with the aim of pointing out safety gaps or existing risks.

Date Title Description
29.07.2019 Lessons Learned 01 (PDF, 175KB, Barrier-free file)

Very serious marine casualty: Occupational Accident; Falling over board and death
18.09.2019 Lessons Learned 02 (PDF, 85KB, Barrier-free file)

Serious marine casualty: Grounding after emergency towing attempts failed
27.09.2019 Lessons Learned 03 (PDF, 143KB, Barrier-free file)

Very serious marine casualty: Collision involving a fishing vessel and a fishing boat
02.10.2019 Lessons Learned 04 (PDF, 51KB, Barrier-free file)

Less serious casualty: Allision with wind turbine
05.12.2019 Lessons Learned 05 (PDF, 83KB, Barrier-free file)

Incident: Emergency anchoring manoeuvre after engine failure
13.11.2020 Lessons Learned 06 (PDF, 71KB, Barrier-free file)

Serious marine casualty: Grounding after steering gear failure in a port entrance
20.01.2021 Lessons Learned 07 (PDF, 48KB, Barrier-free file)

Less serious casualty: Three people fell from a ship's pilot ladder on different days at the pilot transfer station on the Kiel Canal in Germany
24.06.2021 Lessons Learned 08 (PDF, 83KB, Barrier-free file)

Less serious marine casualty: Failing of a head line with the injury of linesmen in a building in the vicinity of the quay wall
08.12.2021 Lessons Learned 09 (PDF, 191KB, Barrier-free file)

Very serious marine casualty: Loss of life of a crewmember after falling into the cargo hold
11.02.2022 Lessons Learned 10 (PDF, 71KB, Barrier-free file)

Less Serious Casualty: Allision with a quay wall
23.11.2022 Lessons Learned 11 (PDF, 82KB, Barrier-free file)

Less serious marine casualty: Collision in the Kiel Canal in dense fog
23.11.2022 Lessons Learned 12 (PDF, 86KB, Barrier-free file)

Serious Marine Casualty: Allision with a closed lock gate
08.12.2022 Lessons Learned 14 (PDF, 87KB, Barrier-free file)

Very Serious Marine Casualty: Death of a crew member after falling from height in a cargo hold companionway
22.06.2023 Lessons Learned 15 (PDF, 41KB, Barrier-free file)

Very serious marine casualty: Death of the skipper of a sailing yacht after falling over board
05.12.2023 Lessons Learned 16 (PDF, 214KB, Barrier-free file)

Miscellaneous accidents of recreational crafts using automatic steering systems (Autopilot)
02.05.2024 Lessons Learned 17 (PDF, 485KB, Barrier-free file)

Serious Marine Casualty: Crash of a Rescue Boat
20.06.2024 Lessons Learned 18 (PDF, 364KB, Barrier-free file)

Incident: Health hazard to a dock worker due to electric shock when connecting a refrigerated container on board a container ship
07.08.2024 Lessons Learned 19 (PDF, 554KB, Barrier-free file)

Serious marine casualty: Bridge allisions by the cargo of a heavy-lift vessel
04.09.2024 Lessons Learned 13 (PDF, 129KB, Barrier-free file)

Death of a crewmember after capsizing and foundering of a sailing yacht in a tidal inlet