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Harvard Case - Into the Raging Sea: Final Voyage of the SS El Faro

"Into the Raging Sea: Final Voyage of the SS El Faro" Harvard business case study is written by Joseph B. Fuller, Mel Martin. It deals with the challenges in the field of Operations Management. The case study is 32 page(s) long and it was first published on : Jan 18, 2021

At Fern Fort University, we recommend a comprehensive overhaul of TOTE Maritime's operations strategy, focusing on enhanced risk management, improved communication systems, and a robust safety culture. This involves a multi-pronged approach encompassing improvements in operations strategy, supply chain management, technology and analytics, risk management, and organizational culture.

2. Background

The case study revolves around the tragic sinking of the SS El Faro, a container ship owned by TOTE Maritime, in Hurricane Joaquin in 2015. The incident resulted in the loss of all 33 crew members and highlighted significant shortcomings in the company's operations, particularly in its risk assessment, decision-making, and communication processes.

The main protagonists are TOTE Maritime, the ship's captain, Michael Davidson, and the National Transportation Safety Board (NTSB) responsible for investigating the incident.

3. Analysis of the Case Study

This case study can be analyzed through the lens of operations strategy, risk management, and organizational culture.

Operations Strategy:

  • Supply Chain Management: TOTE Maritime's reliance on a single ship for the Puerto Rico route created a vulnerable supply chain. The lack of redundancy exposed the company to significant disruptions in the event of unforeseen circumstances like Hurricane Joaquin.
  • Logistics Management: The company's inventory management practices lacked a robust system for handling potential delays caused by weather events. The lack of capacity planning and demand forecasting contributed to the vessel's overloaded state, further increasing the risk of an incident.
  • Technology and Analytics: The company's reliance on outdated weather forecasting tools and lack of real-time data access hindered its ability to make informed decisions about navigating the hurricane.

Risk Management:

  • Decision-Making: The captain's decision to sail into the hurricane despite warnings was a significant lapse in judgment. The company's lack of a clear risk assessment framework and decision-making protocol contributed to this fatal error.
  • Communication: The company's communication channels were inadequate, leading to delays in information sharing between the ship and the shore. This hampered the company's ability to assess the situation and take timely action.

Organizational Culture:

  • Safety Culture: The company's safety culture appeared to be lacking, with a focus on efficiency over safety. This was evident in the captain's disregard for warnings and the company's lack of emphasis on crew training and preparedness for extreme weather events.

4. Recommendations

  • Enhance Risk Management Framework: Implement a comprehensive risk assessment framework that includes identifying, analyzing, and mitigating potential risks across all aspects of the business, including weather events, vessel capacity, and communication systems.
  • Develop Robust Decision-Making Protocols: Establish clear decision-making protocols for navigating hazardous weather conditions, including criteria for rerouting, seeking shelter, and communicating with shore personnel.
  • Improve Communication Systems: Invest in advanced communication technologies to ensure real-time information sharing between the ship and shore. This includes implementing satellite communication systems, weather data platforms, and emergency response protocols.
  • Strengthen Safety Culture: Promote a strong safety culture by emphasizing crew training, safety drills, and open communication about safety concerns. Implement Total Quality Management (TQM) principles to foster continuous improvement in safety practices.
  • Diversify Supply Chain: Explore alternative routes and vessels to reduce reliance on a single ship and create a more resilient supply chain. This can be achieved through outsourcing or strategic partnerships.
  • Leverage Technology and Analytics: Invest in advanced weather forecasting tools, real-time data analysis capabilities, and operations analytics to improve decision-making and risk assessment.
  • Implement Enterprise Resource Planning (ERP) System: Integrate an ERP system to streamline inventory management, production planning, and logistics management, improving efficiency and visibility across the supply chain.

5. Basis of Recommendations

These recommendations are based on the following considerations:

  • Core Competencies and Consistency with Mission: The recommendations focus on enhancing TOTE Maritime's core competencies in logistics, safety, and risk management, aligning with the company's mission to provide safe and reliable transportation services.
  • External Customers and Internal Clients: The recommendations aim to improve customer satisfaction by ensuring on-time deliveries and a reliable supply chain. They also prioritize the safety and well-being of the crew, a crucial aspect for internal clients.
  • Competitors: The recommendations aim to position TOTE Maritime as a leader in the industry by demonstrating a commitment to safety, reliability, and innovative solutions.
  • Attractiveness: The recommendations are likely to improve the company's financial performance by reducing operational costs, improving efficiency, and mitigating risks.

6. Conclusion

The tragic sinking of the SS El Faro serves as a stark reminder of the importance of robust operations strategy, risk management, and a strong safety culture in the maritime industry. By implementing the recommended changes, TOTE Maritime can significantly enhance its operational resilience, improve decision-making processes, and create a safer environment for its crew and customers.

7. Discussion

Alternative solutions could include:

  • Adopting a Just-in-Time (JIT) production system: This could reduce inventory holding costs but would require a more predictable and reliable supply chain.
  • Investing in autonomous shipping technology: This could reduce human error but raises ethical and regulatory concerns.

Key risks associated with the recommendations include:

  • High implementation costs: Implementing the recommended changes requires significant investment in technology, training, and infrastructure.
  • Resistance to change: Employees may resist changes to established practices and procedures.

8. Next Steps

  • Develop a detailed implementation plan: This should include a timeline, budget, and resource allocation.
  • Engage key stakeholders: Communicate the need for change and gain support from employees, management, and regulatory bodies.
  • Pilot test new technologies and processes: Implement changes in a phased approach to minimize disruption and ensure effectiveness.
  • Continuously monitor and evaluate: Regularly track performance indicators and make adjustments as needed to ensure the recommendations are achieving the desired outcomes.

By taking these steps, TOTE Maritime can transform its operations, learn from the tragedy of the SS El Faro, and build a safer, more resilient future for its business.

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Case Description

Captain Michael Davidson of the container ship SS El Faro was determined to make his planned shipping trip on time-but a hurricane was approaching his intended path. To succeed, Davidson and his fellow officers must plot a course to avoid the storm in the face of conflicting weather reports from multiple sources and differing opinions among the officers on what to do. Over the 36-hour voyage, tensions rise as the ships gets closer and closer to the storm. Compounding the challenge, the El Faro was an old ship about to be scrapped. Its owner, TOTE Marine, was in the process of selecting officers to crew its new ships. Davidson and some of his officers were worried that they would soon lose their jobs.

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