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US Sailing Independent Review Panel Inquiry Into the Low Speed Chase Capsize During the Full Crew Farallones Race on 14 April 2012

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US Sailing Independent Review Panel Inquiry Into the Low Speed Chase Capsize During the Full Crew Farallones Race on 14 April 2012 US Sailing Independent Review Panel Inquiry into the Low Speed Chase Capsize during the Full Crew Farallones Race on 14 April 2012 Written by Sally Lindsay Honey, Jim Corenman, Bartz Schneider, Bill Barton and Dr. Kent Benedict Technical Support by John Craig, Chuck Hawley, Jim Wildey, Evans Starzinger, and Dr. Michael Jacobs July 31, 2012 US Sailing Farallones Panel Report of Low Speed Chase Capsize, 14 April 2012 1 Table of Contents Objective ....................................................................................................................................................................... 4 Synopsis ........................................................................................................................................................................ 4 1.0 Facts: ................................................................................................................................................................. 5 1.1 Race Information .......................................................................................................................................... 5 1.1.1 Race Management ................................................................................................................................ 5 1.1.2 Race Boat requirements to Race .......................................................................................................... 5 1.1.3 Entries ................................................................................................................................................... 6 1.1.4 History of the race ................................................................................................................................ 6 1.2 Vessel Information ........................................................................................................................................ 6 1.3 Vessel Crew Experience and Role ................................................................................................................. 6 1.4 Management style ........................................................................................................................................ 6 1.5 Weather, Current, and Tide Conditions ........................................................................................................ 6 1.6 Events of Low Speed Chase .......................................................................................................................... 7 1.6.1 Start ....................................................................................................................................................... 7 1.6.2 Gulf of Farallones .................................................................................................................................. 8 1.6.3 Approach to Maintop’s 4-Fathom Shoal ............................................................................................... 8 1.6.4 The Wave .............................................................................................................................................. 8 1.6.5 Onto the Rocks ...................................................................................................................................... 9 1.6.6 Survivors on Shore ................................................................................................................................ 9 1.6.7 Witnesses .............................................................................................................................................. 9 1.6.8 EPIRB ..................................................................................................................................................... 9 1.7 Emergency response ..................................................................................................................................... 9 1.8 Injuries/Survival Opportunities ................................................................................................................... 10 1.8.1 Life Jacket use ..................................................................................................................................... 11 1.8.2 Tether use ........................................................................................................................................... 11 1.9 Damage to vessel ........................................................................................................................................ 11 1.10 Race Communications Issues ...................................................................................................................... 11 1.10.1 VHF communications .......................................................................................................................... 11 1.10.2 Race committee “accountability” ....................................................................................................... 11 1.10.3 Communication between the race committee and the Coast Guard ................................................ 11 1.10.4 Communication Protocol .................................................................................................................... 12 1.11 Course selection of other race boats (tracks) ............................................................................................. 12 July 31, 2012 US Sailing Farallones Panel Report of Low Speed Chase Capsize, 14 April 2012 2 1.12 Response from other racers ....................................................................................................................... 12 1.12.1 Questionnaires .................................................................................................................................... 12 1.12.2 Interviews ........................................................................................................................................... 13 2.0 Analysis ................................................................................................................................................................. 14 2.1 Failure of seamanship in negotiating shoal waters on a lee shore .................................................................. 14 2.2 Inadequate safety gear for offshore conditions ............................................................................................... 15 2.3 Communication Issues ...................................................................................................................................... 17 2.4 Race Management Issues ................................................................................................................................. 17 Appendix A: Race Details – Notice of Race, Sailing Instructions, OYRA Prescriptions, Marine Event Permit ........... 21 Appendix B: Vessel Information ................................................................................................................................. 32 Appendix C: Crew Details ............................................................................................................................................ 33 Appendix D: Weather Considerations for the Full Crew Farallones Race, April 14 2012 ........................................... 35 Appendix E: Capsize Incident Details from Survivors ................................................................................................ 40 Jay Bradford ........................................................................................................................................................ 40 Nick Vos............................................................................................................................................................... 43 Bryan Chong ........................................................................................................................................................ 46 Appendix E: Locations on Island ............................................................................................................................. 55 Appendix F: Search and Rescue, Recovery ................................................................................................................. 56 1. Coast Guard/ANG activity timeline & description .......................................................................................... 56 2. EPIRB transmissions from Low Speed Chase .................................................................................................. 58 3. District 11, Group San Francisco Coverage Area ............................................................................................ 59 4. Air National Guard 129th Rescue Wing .......................................................................................................... 59 Appendix G: Medical Reports, Injuries to Crew, Survival .......................................................................................... 60 Appendix H: Vessel Damage ...................................................................................................................................... 64 Appendix I: Race Organization/Communications ....................................................................................................... 65 Appendix I PIW: CG Communications Format for Information Requested in Distress Calls ...................................... 75 Appendix J: GPS Track Summary ...............................................................................................................................
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