659
ISM Codeʹs implementation (Lappalainen, 2011). In
manyshipsitisreportedonapaperformataccording
SMS (Safety Management System‐ provided by the
company) requirements which is again perceived as
another extra paper work. Criticisms started on the
sideofthecompanyasisthedirectresponsibleforthe
“excessiveuselessworkload”intheeyesofseafarers.
Company has represented theʹwritten proceduresʹ
whiletheseafarershasrepresentedʹthewaythatthe
workactuallydoneonboardʹwhicharebelievednot
to match each other (Dekker, 2003).
Recommendationsand/orpracticalapplicationsfrom
otherindustries,suchasnuclear,chemical,have
been
proposed in the same studies. Finally, the issue of
ʹblamecultureʹhasappearedtobeconsiderableeffect
on near miss reporting. All these mentioned are
mostlyinvestigatedseparately,however,theyallled
us at the end to think about creating safety as a
ʹcultureʹ both in the company, including
all
management levels, and on board the ships, in the
minds of seafarers. Althoughʹcultureʹ itself is a
complex issue, the aim with the ISM Code is
identifyinghazardousoccurrencesincludingtherisks
to individuals, ships and marine environment, then
reporting them regularly to the company and
continue with proposing
corrective and preventive
actions with an end to apply them to reduce those
identifiedrisks(IMOMSC‐MEPC.7/Circ.7,2008).One
of the challenges in the maritime industry is
increasing of the work load for seafarers due to
paperwork added. It has always been criticized by
seafarers and gained resistance since the
ISM Code
wasintroduced.Whenahighamountofpaperworkis
introduced, the number of crew working on board,
thescheduleofshipsshouldalsobeconsidered.Ifthe
number of people onboard stays the same or even
decreases together with tight schedule, that causes
high workload for people and
a compromise for
safety. As a result of conducted studies, it is agreed
that paperwork should be reduced. It is a matter of
adaptation which was also mentioned in Dekker’s
(2003)study.
The study carried out in 2006 in Norway
controlled 83 liquid and dry bulk cargo vessels
showed that feedback
from the company is a
positively influencing factor for reporting more
frequently(Oltedal&McArthur,2011).
Theinterviewresultsfrompreviousstudiesclearly
show that, especially, experienced seafarers perceive
some of the events are not worth reporting. They
think that those events are somehow inevitable and
donotcompromisesafety.
Whentheyarerequiredto
reporteventhoseminorones,theirperceptionisthat
this reporting scheme is being made more
bureaucraticwhichisconsideredasanegativefactor.
2.2 Thehumanelement‐noblameculture
Mistakes are included in human element.
Contributing factors to human error can be both
individual
andorganizationalfactors.Individualcan
bestress,fatigue,insufficienttrainingandexperience,
poorlevelofcommunicationwhiletheorganizational
influences can be lack of time, poor design of
equipment, and poor level of safety culture. MCA
GuideonHumanBehavior(2010)explains theeffectofa
good safety culture as
the serious approach of the
senior management towards all these mentioned
factors which contribute on mistake‐making. Senior
management is waited to invest on these factors.
Whenitisclearthatitisnormalforpeopletomake
mistakes, it is also clear at the same extent that
organizational factors have
a considerable effect on
helping create the human behavior which includes
mistakesaswell.Thisleadsustoshiftfromtheʹblame
cultureʹtoaʹjustcultureʹ(MCA,2010).Sameissueis
emphasized by IMO Guidance on Near‐miss reporting
that company should adopt aʹjust cultureʹ to
encouragereporting
(IMOMSC‐MEPC.7/Circ.7,2008).
The first principle to create aʹjust cultureʹ is to
accept that the human error is inevitable. Therefore,
policies, processes and interfaces in an organization
mustbemonitoredandimprovedallthetime.Inthe
sameguidance open communication,discussionand
team management issues are also addressed
which
arebelievedtohaveaneffectonaʹjustculture’.
Creating a safety culture, in the most effective
way, has always been an issue for the maritime
industry. Not only the duty of the ship is to create
safety culture on board and maintain it but also so
many
otherorganizationssuchasportstates,owners,
operators, national and international organizations
among many others are included in the creation,
reviewandfeedbackprocess.TheISMCodewasthe
attempt to form the safety culture in the maritime
industry. After ISM Code was introduced, studies
havebeencarriedouttosee
howmuchsuccessfullyit
has been implemented and what criticisms it has
gained. Near miss reporting has seen as the failing
part of ISM code’s implementation and received
resistancefromtheusers(Lappalainen,2011).
Safety culture definition of IMO Maritime Safety
Committee is that “it is a culture in which
there is
considerableinformedendeavortoreduceriskstothe
individual, ships and the marine environment to a
levelthatisaslowasisreasonablypracticable”(IMO
MSC‐MEPC.7/Circ.7,2008).
Under this approach near miss reporting
consideredasthemostimportanttoolinlink‐backthe
error chains before drifting
into failure. The main
points of reporting near misses are learning from
others’ experiences and avoid accidents. It can be
said, in other words, that it is big resource for the
companies especially for the small ones to have a
bigger pool of occurrences on board and their
preventiveactions.
Then,itbecomeseasiertomanage
safety related issues on board, such as technical
failuresamongmanyothers.Near‐missandaccident
reporting systems are the ways of sharing
experiences. Reporting near‐misses is the factor that
canlead tobettersafety level as a resultof learning
fromsmall mistakes
andavoiding them to turninto
majoraccidents.
3 METHODOLOGY
In this section data collection together with the
interview content (The profile of the companies and
people participated in the interviews questions and
analysisoftheanswerswasgiven)arepresented.