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July 19, 2002
A summary of the safety
boards findings
The heavy cargo
load and the vessels low freeboard made the Avataq vulnerable to shipping
water on deck.
Water accumulated
on the afterdeck reduced the vessels limited stability, causing the Avataq
to roll over and then sink.
The involvement
of RCC Trenton was delayed while Arviat residents conducted a land search and
Nunavut Emergency Services in Iqaluit tried to figure out if the Avataq had
actually sunk.
The Avataq was not
equipped with an MF radio or an "EPIRB" satellite locator device.
The Avataq was not
equipped with an automatically releasing life-raft or the type of immersion
suits that would have increased the crews chances of survival in cold
water.
Even though it was
known that vessels such as the Avataq were loading cargo at the Port of Churchill
for destinations along the Kivalliq coast, safety concerns were not passed on
to the appropriate authorities. No assessment was made to find out if the vessels
were safely loaded or seaworthy for carrying cargo.
The crew of the
Avataq did not recognize the risks they were taking because they had no formal
experience or training in cargo loading, and did not know about free surface
effect.
Southern Canadian
standards have not been adapted for the protection of boat crews operating in
the Arctic.
Nunavut Emergency
Services does not have clear procedures in place to ensure that Rescue Coordination
Centres are notified promptly in search and rescue situations.
Without formal training,
northern small-vessel operators may not have the skills to safely abandon ship
in cold water, and the knowledge needed to assess their vessels safety
requirements.
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