Maritime Casualty Investigation: What Really Matters
By Captain Georgios Giannakouris · 28 May 2019 · 5 min read

Maritime casualties are rarely the result of a single failure. Groundings, collisions, cargo damage, and pollution incidents typically arise from a chain of operational, human, and technical factors.
Determining liability requires more than reviewing reports. It demands a structured, evidence-based analysis grounded in real operational experience.
1. The Problem with "Paper-Based" Investigations
In many cases, investigations rely heavily on documentation:
- Bridge logbooks
- Noon reports
- Checklists
However, these do not always reflect what actually happened onboard.
Key questions often remain unanswered:
- Were procedures followed in practice?
- Was the bridge team situationally aware?
- Were decisions made under pressure or assumption?
This is where most disputes begin.
2. The Importance of Operational Reality
A proper casualty investigation must reconstruct:
- The actual navigation environment
- Traffic conditions and constraints
- Bridge team interaction
- Decision-making under real conditions
Without this, conclusions are often incomplete or misleading.
3. Causation vs Contributing Factors
One of the most critical elements is distinguishing between:
- Primary cause
- Contributing factors
Examples:
- Incorrect passage plan → contributing factor
- Late alteration → causation trigger
- Fatigue / poor BRM → amplifying factor
Failure to separate these leads to incorrect allocation of liability.
4. Human Element & Bridge Resource Management
In most casualties, the human element plays a central role.
Key areas examined:
- Situational awareness
- Communication within bridge team
- Challenge and response culture
- Use of available equipment (ECDIS / RADAR / ARPA)
Many incidents are not due to lack of procedures, but failure to apply them effectively.
5. Evidence That Really Matters
From an expert perspective, critical evidence includes:
- VDR data and playback analysis
- ECDIS track history
- Radar recordings
- Engine movement logs
- Actual manoeuvring sequence
These reveal the truth beyond written records.
6. Why Expert Analysis Makes the Difference
In high-value disputes, the difference lies in:
- Understanding operational constraints
- Interpreting evidence correctly
- Connecting technical facts with legal arguments
An expert opinion must be:
- Structured
- Objective
- Defensible under scrutiny
Conclusion
Maritime casualty investigation is not a paperwork exercise.
It is a technical reconstruction of reality — where operational experience, evidence analysis, and structured methodology determine the outcome.
Independent expert analysis can be decisive in establishing liability and supporting legal strategy in complex maritime disputes.
Disclaimer: This publication is provided for general information only and reflects high-level professional observations. It does not constitute legal advice, expert evidence, or matter-specific professional opinion, and should not be relied upon without formal instruction, full document review, and case-specific assessment.


