Capsizing of U.S. Small Passenger Vessel Taki-Tooo, Tillamook Bay Inlet, Oregon June 14, 2003
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National Transportation Safety Board Washington, D.C. 20594 PRSRT STD OFFICIAL BUSINESS Postage & Fees Paid Penalty for Private Use, $300 NTSB Permit No. G-200 Capsizing of U.S. Small Passenger Vessel Taki-Tooo, Tillamook Bay Inlet, Oregon June 14, 2003 Marine Accident Report NTSB/MAR-05/02 PB2005-916402 Notation 7582B National National Transportation Transportation Safety Board Safety Board Washington, D.C. Washington, D.C. Marine Accident Report Capsizing of U.S. Small Passenger Vessel Taki-Tooo, Tillamook Bay Inlet, Oregon June 14, 2003 NTSB/MAR-05/02 PB2005-916402 National Transportation Safety Board Notation 7582B 490 L’Enfant Plaza, S.W. Adopted June 28, 2005 Washington, D.C. 20594 National Transportation Safety Board. 2005. Capsizing of U.S. Small Passenger Vessel Taki-Tooo, Tillamook Bay Inlet, Oregon, June 14, 2003. Marine Accident Report NTSB/MAR-05/02. Washington, DC. Abstract: This report discusses the June 14, 2003, accident in which the U.S. small passenger vessel Taki- Tooo capsized while attempting to cross the bar at Tillamook Bay, Oregon. A master, deckhand, and 17 passengers were on board the charter fishing vessel when it was struck broadside by a wave and overturned. The master and 10 passengers died in the capsizing; the deckhand and 7 passengers sustained minor injuries. The Taki-Tooo, with a replacement value of $180,000, was a total loss. From its investigation of the accident, the Safety Board identified the following major safety issues: decision to cross the bar, Tillamook Bay operations, and survivability. On the basis of its findings, the Safety Board made recommendations to the U.S. Coast Guard, the National Marine Charter Association, and the owners and operators of charter fishing vessels operating out of Tillamook Bay, Oregon. The National Transportation Safety Board is an independent Federal agency dedicated to promoting aviation, railroad, highway, marine, pipeline, and hazardous materials safety. Established in 1967, the agency is mandated by Congress through the Independent Safety Board Act of 1974 to investigate transportation accidents, determine the probable causes of the accidents, issue safety recommendations, study transportation safety issues, and evaluate the safety effectiveness of government agencies involved in transportation. The Safety Board makes public its actions and decisions through accident reports, safety studies, special investigation reports, safety recommendations, and statistical reviews. Recent publications are available in their entirety on the Web at <http://www.ntsb.gov>. Other information about available publications also may be obtained from the Web site or by contacting: National Transportation Safety Board Public Inquiries Section, RE-51 490 L’Enfant Plaza, S.W. Washington, D.C. 20594 (800) 877-6799 or (202) 314-6551 Safety Board publications may be purchased, by individual copy or by subscription, from the National Technical Information Service. To purchase this publication, order report number PB2005-916402 from: National Technical Information Service 5285 Port Royal Road Springfield, Virginia 22161 (800) 553-6847 or (703) 605-6000 The Independent Safety Board Act, as codified at 49 U.S.C. Section 1154(b), precludes the admission into evidence or use of Board reports related to an incident or accident in a civil action for damages resulting from a matter mentioned in the report. iii Marine Accident Report Contents Acronyms and Abbreviations . v Executive Summary . vi Factual Information . 1 Synopsis . 1 Accident Narrative . 1 Injuries . 11 Damages . 11 Personnel Information . 12 Master . 12 Deckhand . .13 Vessel Information . 14 General Construction and Equipment . 14 Lifesaving Apparatus . 14 Certification and Inspection . 15 Wreckage . 15 Waterway Information . 17 General . 17 Bay Entrance . 17 Tide . 18 Water Temperature . 18 Tillamook Bar Restrictions . 18 Company Operations . 19 Meteorological Information . 19 Medical and Pathological Information . 20 Medical Findings . 20 Toxicology Testing . 20 Survival Aspects . 21 Emergency Response . 21 Search and Rescue . 22 Cold Water Immersion . 23 Coast Guard Safety Alert . 25 Tests and Research . 25 Propeller . 25 Chart Plotter . 25 Other Information . 26 Coast Guard Surf Stations . 26 Coast Guard Authority Regarding Unsafe Conditions . 28 Coast Guard Regulations on Wearing of Lifejackets . 30 Actions After Taki-Tooo Accident . 34 Condition of Tillamook Bar . 36 National Marine Charter Association . 38 Contents iv Marine Accident Report Analysis . 40 General . 40 Exclusions . 40 Decision to Cross the Bar . 40 Personal Factors Potentially Affecting the Taki-Tooo Master’s Decisions . 41 Decision of the Charter Operators to Leave Port . 42 Tillamook Bay Operations . 47 Navigational Conditions at the Bar . 47 Bar Restrictions . 47 Survivability . 49 Emergency Response . 53 Conclusions . ..