Major shortcomings in the port's safety management system were also overlooked because there was no "designated person" in charge, the report found.

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In October 2007, he created a management system designed to enforce safety standards consistently across the organization.

WSJ: As CEO Hayward Remade BP, Safety, Cost Drives Clashed

Microsoft Dynamics empowers Australian Reef Pilots by putting in place a robust safety management system, giving its employees access to almost real-time information on their reef pilots and the ships in their charge.

FORBES: Providing Safe Passage: For Business And For The Great Barrier Reef