Killybegs Report
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REPORT INTO A FATAL INCIDENT AT KILLYBEGS HARBOUR CO. DONEGAL 14th MARCH 2019 REPORT NO. MCIB/288 (No.3 OF 2020) The Marine Casualty Investigation Board (MCIB) examines and investigates all types of marine casualties to, or on board, Irish registered vessels worldwide and other vessels in Irish territorial waters and inland waterways. The MCIB objective in investigating a marine casualty is to determine its circumstances and its causes with a view to making recommendations to the Minister for Transport, Tourism and Sport for the avoidance of similar marine casualties in the future, thereby improving the safety of life at sea and inland waterways. The MCIB is a non-prosecutorial body. We do not enforce laws or carry out prosecutions. It is not the purpose of an investigation carried out by the MCIB to apportion blame or fault. The legislative framework for the operation of the MCIB, the reporting and investigating of marine casualties and the powers of MCIB investigators is set out in the Merchant Shipping (Investigation of Marine Casualties) Act, 2000. In carrying out its functions the MCIB complies with the provisions of the International Maritime Organisation’s Casualty Investigation Code and EU Directive 2009/18/EC governing the investigation of accidents in the maritime transport sector. Leeson Lane, Dublin 2. Telephone: 01-678 3485/86. email: [email protected] www.mcib.ie REPORT INTO A FATAL INCIDENT AT KILLYBEGS HARBOUR CO. DONEGAL 14th MARCH 2019 The Marine Casualty Investigation Board was established on the 25th March 2003 under the Merchant Shipping (Investigation of Marine Casualties) Act, 2000. The copyright in the enclosed report remains with the Marine Casualty Investigation Board by virtue of section 35(5) of the Merchant Shipping (Investigation of Marine Casualties) Act, 2000. No person may produce, reproduce or transmit in any form or by any means this report or any part thereof without the express REPORT NO. MCIB/288 permission of the Marine Casualty (No.3 OF 2020) Investigation Board. This report may be freely used for educational purposes. 1 Glossary of Abbreviations and Acronyms CCTV Closed Circuit TV MRSC Marine Rescue Sub Centre PPE Personal Protective Equipment Report MCIB/288 published by the Marine Casualty Investigation Board. Produced 8th April 2020. 2 CONTENTS PAGE 1. Summary 4 2. Factual Information 5 3. Narrative 8 4. Analysis 10 5. Conclusions 11 6. Safety Recommendations 12 7. Appendices 13 8. Natural Justice - Correspondence Received 31 3 SUMMARY 1. SUMMARY 1.1 The Casualty was last recorded on closed circuit TV (CCTV) at 00.55 hrs on Thursday the 14th March 2019. His vessel, the ‘MFV Menhaden’, was moored outside the ‘MV Grip Transporter’ which in turn was moored outside a third vessel, the ‘MFV Olgarry’. The CCTV footage captures images of the Casualty climbing the gangway from the quay onto the starboard side of the ‘MFV Olgarry’. He can then be seen moving aft and transiting to the port side of the ‘MFV Olgarry’ before moving out of sight behind the wheelhouse. He did not reappear on the CCTV footage forward of the wheelhouse or midships where the gangway to the ‘MV Grip Transporter’ was rigged. 1.2 At approximately 10.30 hrs the Harbour Master was alerted that the Casualty was missing. After viewing the CCTV footage the Harbour Master contacted the Marine Rescue Sub Centre (MRSC) at Malin Head who in turn tasked Killybegs Coast Guard at 12.51 hrs. The Coast Guard boat was launched at 13.10 hrs and a shore search also commenced. At 13.25 hrs a body was sighted on the shore at the east side of the harbour. At 13.40 hrs the Coast Guard shore crew arrived on-scene and called Ballyshannon Gardaí to request their attendance with a doctor. 1.3 The evidence indicates the Casualty entered the water while transiting from the ‘MFV Olgarry’ at approximately 01.00 hrs. Weather conditions were poor at the time with a lot of movement between vessels. There was a gangway rigged between the ‘MFV Olgarry’ and ‘MV Grip Transporter’ but there are no images on CCTV footage of this gangway being used by the Casualty. Note all times are local time = UTC 4 FACTUAL INFORMATION 2. FACTUAL INFORMATION 2.1 Vessel Details 2.1.1 Casualty’s Vessel Name: ‘MFV Menhaden’. Flag: Irish. Port of registry: Skibbereen. Port Letters and numbers: S135. IMO number 9189330. Length overall: 49.7 m. Beam: 10.02 m. Draught: 6 m. Gross tonnage: 816. Year built: 1999. Vessel type: Trawler. 2.1.2 Second Vessel Name: ‘MV Grip Transporter’. Flag: Norwegian. IMO number: 9052680. Length overall: 60.4 m. Beam: 11 m. Draught: 4.5 m. Gross tonnage: 1098. Year built: 1993. Vessel type: Fish transporter. 5 FACTUAL INFORMATION Cont. 2.1.3 Third Vessel Name: ‘MFV Olgarry’. Flag: Irish. Port of Registry: Sligo. Port letters and numbers: SO591. IMO number: 9278193. Length overall: 44 m. Beam: 10.8 m. Draught: 6.5 m. Gross tonnage: 629. Year built: 2003. Vessel type: Trawler. 2.2 Voyage Particulars 2.2.1 ‘MFV Menhaden’ arrived into port at Killybegs Harbour on Saturday the 9th March 2019 at 11.00 hrs and tied up outside its partner vessel the ‘MFV Sea Spray’ at the western side of the Auction Hall Pier. The ‘MFV Sea Spray’ was landing first and the ‘MFV Menhaden’ was required to wait until Monday afternoon to land during which time it laid outside of ‘MFV Sea Spray’. 2.2.2 At 14.00 hrs on Monday the 11th March 2019 the ‘MFV Menhaden’ moved to the fish meal berth at the new pier and discharged fish from 16.00 hrs to 24.00 hrs. It then was moved out to let the ‘MFV Seabjorn’ in to land its catch as it was tied outboard waiting to berth. The ‘MFV Menhaden’ then proceeded out of the harbour to flush tanks and take fresh water aboard before returning to the harbour to take shelter as the forecast was poor. 2.2.3 At 02.00 hrs on the morning of the 12th March 2019 the ‘MFV Menhaden’ tied up outside of the ‘MV Grip Transporter’ which in turn was tied up outside the ‘MFV Olgarry’ at the end of the Auction Hall Pier. A safety net was put out on the starboard side of the wheelhouse as it was deemed to be the safest place for crossing between the ‘MFV Menhaden’ and the ‘MV Grip Transporter’ (see Appendix 7.1 Photographs No.1 and No.2). The ‘MFV Olgarry’ and the ‘MV Grip Transporter’ had a gangway rigged for crossing between the vessels (see Appendix 7.1 Photographs No.3 and No.4). The ‘MFV Olgarry’ also had a gangway rigged for access to the quay wall (see Appendix 7.1 Photographs No.5 and No.6). 6 Cont. FACTUAL INFORMATION 2.2.4 Photographs No. 1 & 2 show the boarding arrangements between the ‘MV Grip Transporter’ and 'MFV Menhaden'. There were steps on both vessels and a net was rigged. It is noted that there was no gangway. Photographs No. 3 & 4 shows the gangway rigged between the ‘MV Grip Transporter’ and the ‘MFV Olgarry’. There was a gangway, steps and a net. Photographs No. 5 & 6 show the gangway rigged between the ‘MFV Olgarry’ and the quay. Steps and a gangway were rigged. It is noted that there is no net visible. 2.3 Marine Incident Information Type: Very serious marine casualty resulting in a fatality. Date: 14th March 2019. Time: Circa 01.00 hrs. Position: Auction Hall Pier, Killybegs Harbour. Weather: Very poor conditions (see Appendix 7.2 Met Éireann Weather Report). Tide: Predicted tidal information for Killybegs for the 14th March 2019. LW 04.33 hrs. 1.25 m. HW 11.10 hrs. 3.17 m. LW 16.47 hrs. 1.35 m. HW 23.41 hrs. 3.10 m. 2.4 Emergency Response 2.4.1 As reported from Malin Head MRSC. 12.51 hrs. The Harbour Master alerted Malin Head MRSC regarding a missing person at Killybegs Harbour and Killybegs Coast Guard was tasked. 13.14 hrs. Killybegs Coast Guard on-scene. 13.43 hrs. Killybegs Coast Guard boat reported a body on the shore on the east side of the Harbour and requested the shore team to attend. 13.50 hrs. Killybegs Coast Guard shore team on-scene requested Garda and doctor. 17.00 hrs. Body handed over to undertaker. 17.50 hrs. Coast Guard unit returned to base. 7 NARRATIVE 3. NARRATIVE 3.1 The Casualty’s vessel the ‘MFV Menhaden’ was tied up at Killybegs Harbour on the 12th March 2019 and was due to remain in harbour for several days due to adverse weather forecasts. 3.2 The Casualty went ashore on the evening of the 13th March 2019 at approximately 16.00 hrs. 3.3 A crewmember of the Casualty’s sister vessel the ‘MFV Sea Spray’ met up with the Casualty in the Harbour Bar at approximately 22.45 hrs. They then moved to Hughie’s Bar and then on to the Cope Bar where the crewmember requested a room for both of them for the night. They were allocated a room and the crewmember escorted the Casualty to the room at 00.30 hrs on the 14th March 2019 before returning to the bar. When the crewmember returned to the room at 01.15 hrs he found it empty and went to bed. 3.4 The crewmember returned to his vessel on the 14th March at 10.30 hrs and was asked if the Casualty had been with him the previous night.