Report on loss of propulsion and near grounding of Viking Sky, Hustadvika, Norway 23 March 2019
Marine report 2024/05
In the afternoon of 23 March 2019, the cruise vessel Viking Sky experienced a blackout, causing loss of propulsion and steering, during a storm in the Hustadvika area of the Norwegian coast. The vessel is estimated to have come within a ship’s length of running aground with 1,374 persons on board, and the accident had the potential to develop into one of the worst disasters at sea in modern times. The accident was caused by insufficient lubricating oil in all of the operating diesel generators’ lubricating oil sump tanks, in combination with pitching and rolling in rough seas. The investigation has identified operational, technical, and organisational safety issues that in different ways contributed to the blackout.
The blackout recovery was time consuming, and it took 39 minutes from the blackout until both propulsion motors were operational and the ship had sufficient power available to maintain between 1 to 5 knots ahead. Blackout drills had been carried out, but recovery from a full blackout without a standby generator had never been drilled on board. The engineers were therefore faced with a situation they were not practised in managing. The situation was stressful, the control system was complex, and a specific sequence of actions was needed. Insufficient training likely contributed to why the blackout recovery was time consuming.
When Viking Sky left Tromsø 21 March 2019, with one out of four diesel generators unavailable, both crew and passengers were unknowingly exposed to an increased risk as the vessel did not have the redundancy required under the Safe Return to Port (SRtP) regulations. As Viking Sky did not comply with the applicable safety standards, it should not have departed Tromsø under the prevailing circumstances.
The investigation has also found that the lube oil sump tank design was non-compliant with applicable regulations.
The NSIA issues a total of 14 safety recommendations to relevant parties with the aim of promoting maritime safety.
Published 19.03.2024
Safety recommendation
Safety Recommendation Marine No. 2024/06T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway. With more than 1,300 persons on board, the cruise ship suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The investigation has shown that the lube oil sump tank design did not comply with SOLAS II-1, Part C, Regulation 26.6 and LR Class Rules Part 5, Chapter 1, Section 3.7 on safe operation under dynamic inclination nor with the recommendations of the engine manufacturer. The sump tank design is critical to safe engine operation, yet the shipyard's design process did not effectively ensure that the lube oil sump tanks complied with the SOLAS requirement for safe operation under dynamic inclination.
The Norwegian Safety Investigation Authority recommends that Fincantieri review and strengthen the design process to ensure that lube oil sump tanks are designed and built in compliance with the SOLAS regulation and Class Rules in the future. Fincantieri is also recommended to investigate if any other ships designed at the yard may have non-compliant lube oil sump tanks and take necessary action if relevant.
Safety Recommendation Marine No. 2024/07T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway. With more than 1,300 persons on board, the cruise ship suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The investigation has shown that the lube oil sump tank design did not comply with SOLAS II-1, Part C, Regulation 26.6 and LR Class Rules Part 5, Chapter 1, Section 3.7 on safe operation under dynamic inclination nor with the recommendations of the engine manufacturer. The sump tank design is critical to safe engine operation, yet Lloyd’s Register did not independently verify compliance with either the engine manufacturer’s instructions, the SOLAS regulation or LR’s own Class Rules.
The Norwegian Safety Investigation Authority recommends that Lloyd’s Register review and strengthen the plan approval process to ensure that lube oil sump tanks are designed and built in compliance with the SOLAS regulation and Class Rules.
Safety Recommendation Marine No. 2024/08T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway. With more than 1,300 persons on board, the cruise ship suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The investigation has shown that the lube oil sump tank design did not comply with the SOLAS II-1, Part C, Regulation 26.6 and LR Class Rules Part 5, Chapter 1, Section 3.7 on safe operation under dynamic inclination nor with the recommendations of the engine manufacturer. The operational limitations associated with the tank design in terms of dynamic inclination angles or corresponding sea conditions have not been calculated. The crew on board the vessels therefore didn’t have the safety critical information necessary to know the limits of safe operation.
The Norwegian Safety Investigation Authority recommends that Wilhelmsen Ship Management, in cooperation with Viking Ocean Cruises, take necessary action to ensure the vessels are compliant with the SOLAS regulation through calculation and implementation of operating restrictions associated with the current tank design, modification of the tank design, or a combination of both.
Safety Recommendation Marine No. 2024/09T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway. With more than 1,300 persons on board, the cruise ship suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The investigation has shown that the lube oil sump tank design did not comply with the SOLAS II-1, Part C, Regulation 26.6 and LR Class Rules Part 5, Chapter 1, Section 3.7 on safe operation under dynamic inclination nor with the recommendations of the engine manufacturer. The operational limitations associated with the actual tank design in terms of dynamic inclination angles or corresponding sea conditions have not been calculated. The crew on board the vessels therefore didn’t have the safety critical information necessary to know the limits of safe operation.
The Norwegian Safety Investigation Authority recommends that Lloyd’s Register require action to ensure Viking Sky and its sister vessels are compliant with the SOLAS regulation and LR Class Rules through calculation and implementation of operating restrictions associated with the current tank design, modification of the tank design, or a combination of both.
Safety Recommendation Marine No. 2024/10T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway. With more than 1,300 persons on board, the cruise ship suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The investigation has shown that the lube oil sump tank design did not comply with the SOLAS II-1, Part C, Regulation 26.6 and LR Class Rules Part 5, Chapter 1, Section 3.7 on safe operation under dynamic inclination nor with the recommendations of the engine manufacturer. The operational limitations associated with the actual tank design in terms of dynamic inclination angles or corresponding sea conditions have not been calculated. The crew on board the vessels therefore didn’t have the safety critical information necessary to know the limits of safe operation.
The Norwegian Safety Investigation Authority recommends that the Norwegian Maritime Authority require action to ensure Viking Sky and its sister vessels are compliant with the SOLAS regulation through calculation and implementation of operating restrictions associated with the current tank design, modification of the tank design, or a combination of both.
Safety Recommendation Marine No. 2024/11T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway. With more than 1,300 persons on board, the cruise ship suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The investigation has shown that the lube oil sump tank design did not comply with the SOLAS II-1, Part C, Regulation 26.6 and LR Class Rules Part 5, Chapter 1, Section 3.7 on safe operation under dynamic inclination nor with the recommendations of the engine manufacturer. The SOLAS regulation specifies the dynamic pitch and roll amplitudes under which the machinery shall be able to operate safely. However, neither SOLAS nor IACS UR M46 provide unambiguous information on the period, duration or pattern of the movement over time to be used for the application of, or verification of compliance with, the regulation. No technical guideline or industry standard for application of the SOLAS requirement exists.
The Norwegian Safety Investigation Authority recommends that the Norwegian Maritime Authority make a proposal to the International Maritime Organization (IMO) that a technical guideline on the application of SOLAS Chapter II-1, Part C, Regulation 26.6 shall be developed.
Safety Recommendation Marine No. 2024/12T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway. With more than 1,300 persons on board, the cruise ship suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The investigation has shown that the lube oil sump tank design did not comply with the SOLAS II-1, Part C, Regulation 26.6 and LR Class Rules Part 5, Chapter 1, Section 3.7 on safe operation under dynamic inclination nor with the recommendations of the engine manufacturer. The SOLAS regulation specifies the dynamic pitch and roll amplitudes under which the machinery shall be able to operate safely. However, neither SOLAS nor IACS UR M46 provide unambiguous information on the period, duration or pattern of the movement over time to be used for the application of, or verification of compliance with, the regulation. No technical guideline or industry standard for application of the SOLAS requirement exists.
The Norwegian Safety Investigation Authority recommends that Lloyd’s Register make a proposal to the International Association of Classification Societies (IACS) that a technical guideline on the application of SOLAS Chapter II-1, Part C, Regulation 26.6 shall be developed.
Safety Recommendation Marine No. 2024/13T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway. With more than 1,300 persons on board, the cruise ship suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The investigation has shown that the lube oil sump tank design did not comply with the SOLAS II-1, Part C, Regulation 26.6 and LR Class Rules Part 5, Chapter 1, Section 3.7 on safe operation under dynamic inclination nor with the recommendations of the engine manufacturer. Viking Sky was not required to be, nor was it fitted with a type-approved electronic inclinometer providing recordings to the VDR. Hence, inclination angle data from the vessel’s fuel efficiency management system was used in the investigation. An electronic inclinometer providing recordings to the VDR would more efficiently provide reliable data for safety investigations and may thereby contribute to improve safety at sea.
The Norwegian Safety Investigation Authority recommends that the Norwegian Maritime Authority make a proposal to the International Maritime Organization (IMO) that inclinometer information compliant with the technical requirements of resolution MSC.363(92) is recorded on the VDRs of all SOLAS ships with a gross tonnage of 3,000 and above.
Safety Recommendation Marine No. 2024/14T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway. With more than 1,300 persons on board, the cruise ship suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The investigation has shown that the lube oil sump tank design did not comply with the SOLAS II-1, Part C, Regulation 26.6 and LR Class Rules Part 5, Chapter 1, Section 3.7 on safe operation under dynamic inclination nor with the recommendations of the engine manufacturer. The ship management company has implemented a new procedure for lube oil management to maintain higher lube oil levels. It is uncertain whether the revised procedure fully remedy the safety issue as it does not document that the increased oil levels lead to compliance with the SOLAS regulation nor what the operating limitations associated with the increased oil levels are. The crew on board the vessels therefore don’t have the safety critical information necessary to know the limits of safe operation with respect to dynamic inclination angles or corresponding sea conditions.
The Norwegian Safety Investigation Authority recommends that Wilhelmsen Ship Management, develop and implement a new procedure for lube oil level management, and calculate and implement the associated operating restrictions, to ensure safe operation in compliance with the SOLAS requirement and in accordance with the engine manufacturer’s recommendations.
Safety Recommendation Marine No. 2024/15T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway. With more than 1,300 persons on board, the cruise ship suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The investigation has shown that the remote lube oil sump tank level monitoring system was complex and the resulting on board measurements inaccurate and unreliable. The as-built sensor pipe offset, representing the physical fixed distance from the bottom of the tank to the bottom of the level sensor tube, was not recorded by the shipyard. The yard did not take into account the equipment maker’s recommended minimum distance between the sensor tube and oil suction pipe. In addition, the 3D-model used to convert the level measurements to oil volumes for diesel generator 1 (DG1) was erroneous, causing a significant measurement error.
The Norwegian Safety Investigation Authority recommends that Wilhelmsen Ship Management, in cooperation with Viking Ocean Cruises, carry out a systematic and holistic review of the remote lube oil sump tank level monitoring system and ensure the vessels are fitted with an accurate and trustworthy remote monitoring system.
Safety Recommendation Marine No. 2024/16T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway. With more than 1,300 persons on board, the cruise ship suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The investigation has shown that the remote lube oil sump tank level monitoring system was complex and the resulting on board measurements inaccurate and unreliable. The as-built sensor pipe offset, representing the physical fixed distance from the bottom of the tank to the bottom of the level sensor tube, was not registered. The yard did not take into account the equipment maker’s recommended minimum distance between the sensor tube and oil suction pipe. In addition the 3D-model used to convert the level measurements to oil volumes for DG1 was erroneous, causing a significant measurement error.
The Norwegian Safety Investigation Authority recommends that Fincantieri carry out a systematic and holistic review of the remote lube oil sump tank level monitoring system and take the necessary actions to ensure that future vessels are fitted with a sufficiently accurate and trustworthy remote lube oil sump tank level monitoring system.
Safety Recommendation Marine No. 2024/17T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway. With more than 1,300 persons on board, the cruise ship suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The investigation has found several design and configuration issues related to the engine control room alarm system that likely had a negative impact on the effectiveness and efficiency of engineering officers on watch.
The Norwegian Safety Investigation Authority recommends that Wilhelmsen Ship Management, in cooperation with Viking Ocean Cruises, carry out an operator centric design and configuration review of the engine room alarm system and implement identified improvements.
Safety Recommendation Marine No. 2024/18T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway, with more than 1,300 persons on board, as it suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The investigation has found several design and configuration issues related to the engine control room alarm system that likely had a negative impact on the effectiveness and efficiency of engineering officers on watch. Ships’ engine room alarm management are not subject to any regulation equivalent to the Bridge Alert Management (BAM) performance standards, with the result that many of these systems, such as the alarm system on Viking Sky and its sister vessels, do not have an optimal design and configuration.
The Norwegian Safety Investigation Authority recommends that the Norwegian Maritime Authority make a proposal to the International Maritime Organization (IMO) that an engine room alarm management performance standard shall be developed.
Safety Recommendation Marine No. 2024/19T
On 23 March 2019 Viking Sky was less than a ship length from running aground during a storm in Hustadvika, Norway. With more than 1,300 persons on board, the cruise ship suffered a blackout due to loss of lubricating oil pressure caused by insufficient lube oil in the engines’ sump tanks.
The blackout recovery was time consuming, and it took 39 minutes from the blackout until both propulsion motors were operational and the ship had sufficient power available to maintain between 1 and 5 knots ahead. It has been difficult to understand why it took so long before filling of oil was started and why the crew continued to struggle to restore power and propulsion. Recording of sound from the engine control room could have provided valuable insights and contributed to better understanding the interaction in the engine control room and the safety issues present.
The Norwegian Safety Investigation Authority recommends that the Norwegian Maritime Authority make a proposal to the International Maritime Organization (IMO) that the VDR performance standard is amended to also include recording of sound from the engine control room.
Facts
Location | Hustadvika, Fræna municipality, Møre og Romsdal |
Occurrence date | 23.03.2019 |
Accident category | Technical failure |
Area | Norwegian Territorial Waters |
IMO number | 9650420 |
Name of vessel | Viking Sky |
Accident type | Technical failure, propulsion or auxiliary engines |
Vessel type | Passenger Ship - Ferry |
Register | The Norwegian International Ship Register |