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OceanGate’s Flawed Design Caused Titan Sub Implosion That Killed Five, Says NTSB

Image Credits: OceanGate

A new investigation by the United States National Transportation Safety Board (NTSB) has concluded that the catastrophic implosion of OceanGate’s Titan submersible in June 2023 was caused by severe design and engineering flaws, compounded by inadequate testing and oversight.

The implosion claimed the lives of all five people on board during a dive to the wreck of the RMS Titanic in the North Atlantic Ocean.

According to the NTSB, the incident occurred at approximately 10:47 a.m. local time on 18 June 2023, about 372 miles southeast of St John’s, Newfoundland and Labrador, Canada.

The Titan’s pressure hull failed while descending towards the Titanic wreck site, leading to a catastrophic implosion. The submersible and its launch and recovery system were completely destroyed. A 2023 customs declaration placed their combined value at around CAD 5.6 million (about USD 4.2 million).

The investigation found that the Titan’s carbon fibre composite pressure vessel likely suffered damage following dive 80, when it surfaced with one or more delaminations that weakened its structural integrity.

Additional damage of unknown origin was believed to have occurred after dive 82, further reducing the strength of the vessel. These defects, which worsened between dives 82 and 88, resulted in a local buckling failure that triggered the implosion.

Investigators determined that OceanGate’s engineering process was inadequate and led to the construction of a pressure vessel that contained multiple anomalies and did not meet required strength and durability standards.

The company reportedly failed to carry out sufficient testing, leaving it unaware of the true capability of the hull and how operational factors such as storage conditions and towing could impact its safety.

The report further stated that OceanGate’s analysis of real-time monitoring data from the pressure vessel was flawed, preventing the company from recognising that the Titan had been damaged and should have been withdrawn from service after dive 80.

The NTSB added that OceanGate did not comply with the U.S. Coast Guard’s Navigation and Vessel Inspection Circular (NVIC) 05-93, which provides guidance for emergency response plans.

The agency found that had the company followed this guidance, emergency assets would likely have been positioned nearby, allowing the wreck to be found sooner, even though a rescue would not have been possible due to the instant nature of the implosion.

Despite OceanGate’s failure to notify search and rescue authorities before its expedition, the NTSB acknowledged that the U.S. Coast Guard’s coordination of search efforts was effective and led to the timely discovery of the wreckage.

Investigators also concluded that existing U.S. regulations and voluntary guidance for small passenger vessels are not sufficiently developed to address the safety of pressure vessels for human occupancy (PVHOs). The report pointed out that international standards for PVHOs would help ensure uniform safety requirements for such craft operating worldwide.

The NTSB determined that the probable cause of the Titan’s hull failure and implosion was OceanGate’s inadequate engineering process, which failed to establish the actual strength and durability of the carbon fibre pressure vessel. This led to the operation of a damaged structure that ultimately suffered local buckling failure.

It recommended that the U.S. Coast Guard set up a panel of experts to review current PVHO (Pressure Vessels for Human Occupancy) operations and share the study’s findings with the industry. Based on this review, the Coast Guard should create PVHO regulations that align with global standards.

The report further advised updating NVIC 05-93 to reflect the revised definition of small passenger vessels under the Passenger Vessel Safety Act of 1993 and to include the findings of the proposed study.

Lastly, it advised the Coast Guard to ask the International Maritime Organisation (IMO) to make Circular MSC.1/Circ.981 mandatory so PVHO safety rules are applied consistently worldwide.


Reference: NTSB

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