Analysis of Incidents Reported in 2019
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Analysis of Incidents Reported in 2019 Andrea Worley January 2020 1 All Incidents 2 All Incidents Significant Incidents Simple Capsizes 744 829 804 604 610 430 1388 1196 1257 1316 993 1017 2014 2015 2016 2017 2018 2019 Significant incidents = all except simple capsizes (most result in collisions or near collisions) 3 All Significant Incidents 4 Analysis of Significant Rowing Incidents by Cause - 2019 Significant accidents = all except simple capsizes (most result in collisions or near collisions) Boats swept/blown off, 9 Non-use of lifejacket or Bike incident, 7 kill-cord, 9 No lights, 7 Equipment failure, 12 Poor lookout & poor navigation, 4 Trailer incident, 14 Clothing, 2 Non-adherence to navigation code & poor supervision, 14 Event inspection reports, 21 Launch incidents, 24 Other, 34 Health, 40 Going out in bad weather, 49 Poor steering 54 Poor lookout Antisocial behaviour 480 55 Poor lookout & non- adherence to navigation code 82 Falls & other injuries Non-adherence to 93 Failure to navigation code Sample Size = 1316 check equipment 196 110 5 Comparison with previous years No lights Poor lookout & poor navigation Non-use of lifejacket or kill-cord Bike incident Boats swept/blown off Clothing Equipment failure Para-rower Capsize Trailer incident Non-adherence to navigation code & poor supervision 20182019 Event inspection reports 2018 2017 Launch incidents 2017 Other 2016 Health 2016 2015 Going out in bad weather 2015 Poor 2014 Poor steering 2014 lookout Antisocial behaviour Poor lookout & non-adherence to navigation code Falls & other Non- injuries adherence to Failure to navigation check code equipment 6 Trends in common causes of Significant Incidents Cause of Incidents – Percentage by Year 2014 2015 2016 2017 2018 2019 Poor lookout 24% 28% 30% 33% 37% 36% Non-adherence to navigation code 17% 18% 18% 14% 16% 15% Failure to check equipment 5% 7% 6% 6% 8% 8% Falls & other injuries 8% 7% 8% 8% 9% 7% Poor lookout & non-adherence to nav. code 13% 10% 9% 10% 9% 6% Antisocial behaviour 1% 1% 5% 4% 4% 4% Poor steering 10% 6% 6% 5% 2% 4% Going out in bad weather 4% 3% 3% 3% 2% 4% Health 3% 5% 3% 4% 4% 3% 7 Trends in common causes of Significant Incidents 40% 35% 30% 25% 20% 15% 10% 5% 0% POOR LOOKOUT NON-ADHERENCE FAILURE TO CHECK FALLS & OTHER POOR LOOKOUT & ANTISOCIAL POOR STEERING GOING OUT IN BAD HEALTH TO NAVIGATION EQUIPMENT INJURIES NON-ADHERENCE BEHAVIOUR WEATHER CODE TO NAVIGATION CODE 2014 2015 2016 2017 2018 2019 8 Significant Incidents by Cause 2014 2015 2016 2017 2018 2019 Poor lookout 241 289 360 458 463 480 Non-adherence to navigation code 173 178 210 192 198 196 Failure to check equipment 49 75 71 82 98 110 Falls & other injuries 79 71 90 113 109 93 Poor lookout & non-adherence to navigation code 131 101 112 140 111 82 Antisocial behaviour 10 14 59 59 45 55 Poor steering 103 65 67 72 25 54 Going out in bad weather 43 26 33 45 22 49 Health 30 47 40 50 47 40 Other 11 13 13 34 17 34 Launch incidents 28 29 21 32 19 24 Event inspection reports 5 8 12 7 5 21 Non-adherence to navigation code & poor supervision 14 18 26 30 37 14 Trailer incident 8 6 6 11 16 14 Equipment failure 34 14 12 9 6 12 Boats swept/blown off 4 5 3 3 4 9 Non-use of lifejacket or kill-cord 7 4 19 14 5 9 Bike incident 1 4 6 7 3 7 No lights 7 19 22 14 12 7 Poor lookout & poor navigation 9 26 11 8 9 4 Clothing 3 3 0 2 3 2 Para-rower Capsize 3 2 3 6 3 0 Total9 Significant Incidents 993 1017 1196 1388 1257 1316 Significant Incidents by Cause 2014 2015 2016 2017 2018 2019 Poor lookout 241 289 360 458 463 480 Non-adherence to navigation code 173 178 210 192 198 196 Failure to check equipment 49 75 71 82 98 110 Falls & other injuries 79 71 90 113 109 93 Poor lookout & non-adherence to navigation code 131 101 112 140 111 82 Antisocial behaviour 10 14 59 59 45 55 Poor steering Red = Cause103 is65 67 72 25 54 Going out in bad weather 43 26 33 45 22 49 Health Behaviour related30 47 40 50 47 40 Other causes 11 13 13 34 17 34 Launch incidents 28 29 21 32 19 24 Event inspection reports 5 8 12 7 5 21 Non-adherence to navigation code & poor supervision 14 18 26 30 37 14 Trailer incident 8 6 6 11 16 14 Equipment failure But some of34 the 14 12 9 6 12 Boats swept/blown off 4 5 3 3 4 9 Non-use of lifejacket or kill-cord others can also7 be4 19 14 5 9 Bike incident 1 4 6 7 3 7 No lights related to Behaviour7 19 22 14 12 7 Poor lookout & poor navigation 9 26 11 8 9 4 Clothing 3 3 0 2 3 2 Para-rower Capsize 3 2 3 6 3 0 Total10 Significant Incidents 993 1017 1196 1388 1257 1316 Behaviour In each of the past 6 years, over 92% of significant incidents could have been avoided by safer behaviour. 2014 2015 2016 2017 2018 2019 92% 92% 94% 94% 94% 92% In 2019, there was a fall in the proportion of significant incidents that could have been avoided by: • Keeping a good lookout • Adhering to the navigation code This is mainly due to a reduction of 26% in the number of incidents caused by failing to keep a good lookout and adhere to the navigation code at the same time. 2014 2015 2016 2017 2018 2019 55% 56% 57% 57% 62% 58% 11 Common Behaviour-related Causes of Incidents The most common behaviour related incidents continue to be: • Not keeping a good lookout (on land as well as on water) • Not adhering to the navigation code • Failure to check equipment • Antisocial behaviour In 2019 these accounted for over 77% of incidents in 2019, compared with over 80% in 2018. 12 Near Misses 2014 2015 2016 2017 2018 2019 155 (16%) 174 (17%) 272 (23%) 180 (13%) 186 (15%) 154 (12%) Note: These incidents are included in various categories of reported Significant Incidents Near Misses include: • Near Collisions due to • Poor lookout • Non-adherence to navigation code • Poor steering • Creating excessive wash • Verbal abuse • Not wearing a lifejacket or kill-cord • Event inspections 13 Harm resulting from Significant Incidents 14 Harm caused to people Harm to People 2014 2015 2016 2017 2018 2019 caused by Significant Incidents No harm 821 823 989 1131 1010 1112 Minor injuries such as cuts and bruises 75 82 104 124 85 89 Significant injuries - few days off rowing 64 60 57 61 101 46 Serious injuries - week or more off rowing 33 51 42 67 59 67 inc. concussion & broken bones Fatalities 1 4 1 2 2 Total 993 1017 1196 1384 1257 1316 In 2019, there was a sharp decrease in injuries resulting in a few days off rowing and an increase in more serious injuries requiring a week or more off rowing. The fatalities in 2016, 2017, 2018 and 2019 were all tragic health related incidents. 15 Causes of 2019 Significant Incidents resulting in any time off rowing Bike incident, 2 Non-adherence to navigation Boats swept/blown off, 1 code & poor supervision, 1 No lights, 1 Other, 5 Poor lookout Non-adherence to navigation code, 8 9 Failure to check equipment, 2 Health Going out in bad weather, 1 24 Poor steering, 2 Falls & other injuries 49 Antisocial behaviour, 2 Poor lookout & non-adherence to Number of Incidents = 113 navigation code, 6 Does not include fatalities 16 Causes of 2019 Incidents resulting in one week or more off rowing Boats swept/blown off, 1 Bike incident, 1 No lights, 1 Poor lookout , 4 Non-adherence to navigation Other, 2 code, 5 Failure to check equipment, 1 Health 16 Falls & other Going out in bad weather, 1 injuries 28 Poor steering, 2 Poor lookout & non-adherence to navigation code, 5 Number of Incidents = 67 Does not include fatalities 17 Causes of 2018 & 2019 Incidents resulting in one week or more off rowing 2018 2019 Bike incident, 1 No lights, 1 Non-adherence to Boats swept/blown local code and off, 1 Poor lookout , 4 poor supervision, Poor steering, 1 1 Non-adherence to Other, 2 navigation code, 5 Health Poor lookout Non- 8 Failure to 10 adherence check Failure to check to local equipment, 1 equipment, 1 code Health 6 16 Going out in bad Falls & other weather, 1 injuries Falls and 28 other injuries Poor lookout and Poor steering, 2 31 non-adherence to local code 1 Poor lookout & non-adherence to navigation code, 5 Number of Incidents = 59 Does not include fatalities Number of Incidents = 67 Does not include fatalities 18 Damage caused to property Damage to Property caused by Significant 2014 2015 2016 2017 2018 2019 Incidents No damage 691 754 830 928 870 941 Repairs costing less than £100 119 89 86 143 150 92 Repairs costing £100 to £1000 114 124 233 277 212 246 Repairs costing over £1000 63 42 40 33 21 31 Loss of boat 6 7 6 3 2 6 Damage to cars, boathouse etc. 0 1 1 2 Total Significant Incidents 993 1017 1196 1384 1257 1316 Total Value of damage £290,000 £230,000 £270,000 £225,000 £245,000 £230,000 In 2019, on average, £4,400 worth of damage was caused to boats and equipment each week.