Technical Paper
Causative Factor Analysis of Passenger Ship Accident (Fire/Explosion) in Indonesia
Tahun 2020
Number of ship accidents in Indonesia in these two years has been increasing from
355 cases in 2018 to 409 cases in 2019. It means that, 31-32 accident occurred each month or
at least 1 ship accident every day along 2018 to 2019. Among all the accidents, Passenger ship
(including Passenger ship/Ferry, Ferry Ro-Ro, and High Speed Craft for Passenger) is the most
common ship type with percentage up to 30% with 210 people dead/missed and 775 people
wounded. It is important to look further how the passenger ship accident happen to understand
what are the causative factors contributing to the accidents. National Transportation Safety
Committee (NTSC) in Indonesia investigated some accidents then published the report to their
website and it can be re-analysed to get the causative factors. Investigation reports from NTSC
provide fire/explosion cases more than other nature of accident. Thus, in this paper, the
analysis focuses on the fire/explosion accidents of Passenger Ship that began in car deck. The
causative factors are found using new development of MOP Model that classifying failures into
4 M (Man, Machine, Media, Management) and several categories and sub categories