Source · Prevention of Future Deaths

David Haw

Ref: 2024-0698 Date: 20 Dec 2024 Coroner: Rachael Griffin Area: Dorset Responses identified: 2 / 3 View PDF

The provided text is incomplete and does not contain discernible coroner's concerns regarding future deaths.

Date 20 Dec 2024
56-day deadline 14 Feb 2025 est.
Responses identified 2 of 3
Other related deaths

Coroner's concerns

AI summary
The provided text is incomplete and does not contain discernible coroner's concerns regarding future deaths.
View full coroner's concerns
(1) As the Royal Yachting Association (RYA) state in Addendum A (RYA) Recommended Notice of Race Wording to their Guidance and Good Practice, “Sailing is by its nature an unpredictable sport and therefore inherently involves an element of risk.” Vessels that operate on the water are categorised as either pleasure or commercial vessels under current legislation and the legal requirements governing the design, construction and operation are very different, with commercial vessels being more heavily regulated. The definition of a pleasure vessel is provided under Regulation 2 of The Merchant Shipping (Vessels in Commercial Use for Sport or Pleasure) Regulations 1998 and any vessel that does not meet the definition under regulation 2, is a commercial vessel. I have concerns that pleasure vessels are being used in a manner, and in conditions, that would be very similar to commercial vessels without the same safety mitigation. For example, there is no requirement to have a safety briefing prior to a journey on a pleasure vessel, whereas there is on a commercial vessel, however the risks may be the same, which can include death.

(2) Further in relation to pleasure vessels, there is currently no legislation prohibiting the use of alcohol or drugs by those who are helming a vessel for private or pleasure use, whereas for those helming a commercial vessel, there is. The Railways and Transport Safety Act 2003 was enacted on 10th July 2003. Section 78 & 79 of that Act created an offence for professional mariners to perform their duties if impaired by alcohol, with Section 81 setting a prescribed limit for alcohol consumption. This position is very similar to an offence of driving a motor vehicle under the influence of alcohol. Under Section 80(3) there is a specific offence applicable to non-professional mariners of operating a vessel underway whilst under the influence of alcohol or drugs, however it is not currently in force. Accordingly, it is not illegal to helm a pleasure vessel under the influence of alcohol or drugs. Helming a vessel under the influence of alcohol or drugs could lead to a future death given the impact alcohol and drugs have upon perception, control, judgement and decision making.

(3) Further, I have a concern that personal floatation devices, such as lifejackets or buoyance aids are not legally required to be carried on all vessels, nor is there any legal requirement to wear lifejackets. The current legalisation, The Merchant Shipping (Life-Saving Appliances and Arrangements) Regulations 2020, only requires pleasure vessels of over 13.7 metres in length to carry lifesaving appliances. I have concern that the lack of life saving appliances on all vessels could lead to future deaths.

(4) Finally, I have concerns about the use of support boats, often RHIBs, at sailing events or regattas, and particularly when they are used outside of the designated sailing time but in a way linked to the event, for example to transport people to and from the organised social events linked to the regattas, where often there is alcohol available. I have concerns that there is a culture of using such support boats as a form of taxi particularly at the social events, albeit not for pecuniary gain. This means they could come under the definition of a pleasure vessel and as those helming these vessels may be in drink, they may not take necessary precautions and safety measures given the lack of regulations. Further the owner and operator of the vessel may not be aware, as was the case in David’s death, of the use of the vessel in this way, or of the identity of those on board which may result in the vessel falling under the commercial vessel definition for the purposes of those journeys with the appropriate regulations not being followed. Under Rules 89 and 90 of the World Sailing Racing Rules of Saling (RRS20212024Finalwithbookmarks-[27255].pdf) (The Rules) there is a requirement for race organisers to issue a “Notice to Race” and “Sailing Instructions” for the race. Under Appendix J to the Rules, at paragraph J2.2, it is stated “Unless included in the notice of race, the sailing instructions shall include those of the following that will apply: …….. (9) restrictions on use of support boats, plastic pools, radios, etc.; on trash disposal; on hauling out; and on outside assistance provided to a boat that is not racing”. The RYA in their guidance recommend a risk statement is used by race organisers for sailing events, however, the RYA guidance does not contain a specific section to deal with the use of support boats. I am concerned there is a lack of guidance to organisers of race events to ensure that the owners, operators and skippers/helms of vessels are aware of the responsibilities around use of support boats during the period of sailing events, which could lead to a future death. As an example of a Notice to Race, I have been provided with this year’s Poole Regatta (found here).

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ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe you have the power to take such action.

Responses

2 respondents
Royal Yachting Association Other
13 Feb 2025 PDF
Action Planned

The RYA will work with Organising Authorities to establish trends around support boats and to support Organising Authorities in managing risks associated with their events, continuing to raise awareness of responsible behavior. (AI summary)

View full response
Dear Mrs Griffin, Thank you for your communication of 2Oth December have been asked byl I(CEO) to respond on behalf of the RYA to the points raised_ Prior to doing so, it may be worthwhile providing some context about the RYA and, in particular; the extent of our authority: The RYA is the national governing body for sailing and certain other forms of boating in the UK We provide training courses for both recreational boaters and masters of small commercial vessels, with RYA qualifications for the latter formally recognised for commercial use by the UK's maritime regulator; the Maritime and Coastguard Agency (MCA): RYA training schemes were first introduced in 1970, and now extend to 58 countries, with our training delivered through a network of 2,300 independently owned and operated "RYA Training Centres:' The RYA is also the Member National Authority for World Sailing, the international federation for the sport of sailing and accordingly has certain functions under the Racing Rules of Sailing: Whilst the RYA has the authority to determine the standards for its courses and for the conditions under which RYA recognised training centres operate, it does not have the authority to determine or enforce standards for operations within either the recreational sector or small commercial vessel secto. This responsibility falls to the MCA asthe UK maritime regulator; and to localharbour authorities who have certain powers within their respective jurisdiction: That said, the RYA has always had a primary focus on safety and for that reason we take a proactive approach to influencing change where we can, either through influencing the behaviour ofthe boating and commercial operators, or through work with organisations such as the Marine Accident Investigation Branch (MAIB) and MCA, and others. President HRH The Princess RovalKG, KT, GCVO, QSO Royal Yachting Association Is @ company limited by Chief Executive guarantee and registered in England Number 878357 Way; being public

RYA House Ensign Hamble RYA Southaruntoed Kogdor Tel: +44 (0123 8060 4100 WWW. rya org:uk The RYA supports regulation where this can be shown to be proportionate, clear; and enforceable Where this is not the case the RYA believes that alternatives to regulation such as publicity, training and education are more appropriate techniques to influence behaviour; have consulted with colleagues across the RYA with regards the concerns you have expressed. Their responses are as follows:
1) Distinction between pleasure vessels and commercial vessels The distinction between the requirements for commercial vessels and pleasure vessels has been a long-standing feature of UK maritime legislation. Similar distinctions exist within the road transport sector where vehicles of the same type may be subject to different regulations depending on whether are used privately or commercially, and so differing standards of regulation based on use is common practice Merchant Shipping (Vessels in Commercial Use for Sport or Pleasure) Regulations 1998 defines a pleasure vessel as: (a) any vessel which at the time it is used is: (aa) in the case of a vessel wholly owned by an individual or individuals, used only for the sport or pleasure of the owner or the immediate family or friends of the owner; or (bb) in the case of a vessel owned by a body corporate, used only for sport or pleasure and on which the persons on board are employees or officers of the body corporate, r their immediate family or friends; and (ii) on a voyage or excursion which is one for which the owner does not receive money for or in connection with operating the vessel or carrying any person, other than as a contribution to the direct expenses of the operation of the vessel incurred during the voyage or excursion; or (b) any vessel wholly owned by or on behalf of a members' club formed for the purpose of sport or pleasure which, at the time it is being used, is used only for the sport or pleasure of members of that club or their immediate family, and for the use of which any charges levied are paid into club funds and applied for the general use of the club; and (c) in the case of any vessel referred to in paragraphs (a) or (b) above no other payments are made by or on behalf of users of the vessel, other than by the owner: The RYA believes that this definition results in an appropriate distinction between pleasure vessels and commercial vessels, and notes that regarding a pleasure vessel as a commercial vessel just because the owner takes friends onboard, permits another to use his boat,or allows it to be used to drop friends to other boats would be disproportionate, unclear and President HRH The Princess RovalKG, KT, GCVO,@SO Royal Yachting Association is @ company limited by Chief Executive guarantee and registered in England. Number 878357 Way; they being The being

RYA House Ensign Hamble RYA Southarntoed Koxgdor Tel: +44 (0123 8060 4100 WWW. rya org uk unenforceable from a pra Ictical perspective. Alternatively, attempting to impose commercial regulations (which range from qualifications of skippers and crew through to design and maintenance and standards of the vessel) on all vessels would be disproportionate From a practical perspective, while the RYA notes the tragic circumstances ofthis case, the RYA questions if increased regulation would have changed the outcome, and notes that existing regulations applicable to the boat, including Section 100 of the Merchant Shipping and a range of local byelaws, including speed limit were ignored: Accordingly; the benefit of subjecting such vessels to additional regulation would appear to have limited benefit in comparison to raising awareness of the need to operate a boat in a safe and responsible way, irrespective of any underlying regulation.
2) Alcohol and Boating The RYA promotes safe and responsible recreational boating: It encourages boaters to behave responsibility and understand the impacts of alcohol and believes that those involved in the operation of watercraft should not be under the influence of alcohol (or other substance): The RYA does not support the implementation of Section 80 of the Railways and Transport Safety Act 2003 as drafted on the basis that the safe operation of a boat does not always fall to a single person, which raises the practical issue of who onboard a recreational boat should be subject to alcohol limits. Further practical considerations arise around the difficulties of enforcing alcohol limits while at sea, (outside of areas patrolled by Harbour Authorities). The RYA notes that while there is no specific offence relating to the operation of a pleasure vessel while under the influence of alcohol, Section 100 of the Merchant Shipping Act 1995 imposes an obligation on the owner of a ship to take all reasonable steps to secure that the ship is operated in a safe manner: Accordingly; if a vessel is operated in an unsafe way as a result ofalcohol,the owner ofthat vessel may be prosecuted: Focusing on the impacton safety rather than imposing an arbitrary alcohol limit allows for a more flexible approach to be taken and ultimately would allow action to be taken even if a maximum alcohol limit had not been reached. Focusing on the owner rather than skipper also removes the difficulty of ascertaining who onboard the vessel is responsible at a given time and emphasises the requirement for the owner to retain responsibility for the operation of their vessel even when are not onboard. Additionally, local harbour authorities generally have powers to implement local bylaws relating to the safety of water within their jurisdiction. Poole Harbour Commissioners already have a bylaw which requires vessels to be navigated with care and caution, at such speed and in such a manner as not to endanger lives or cause injury or be a nuisance, thereby covering a vessel operated in an unsafe way as a result of alcohol and at high speed. President HRH The Princess RowalKG, KT, GCVO, QSO Royal Yachting Association Is @ company limited by Chief Executivel guarantee and registered in England Number 878357 Way; Act, any they being

RYA House Ensign Hamble RYA Southardntoed Kogdom Tel: +44 (0)23 8060 4100 WWW. rya org uk As a result; the RYA believes that appropriate means already exist to address concerns relating to alcohol and recreational boating: Accordingly, the RYA does not believe that implementing Section 80 of the Railways and Transport Safety Act 2003,or otherwise introducing an arbitrary alcohol limit for recreational boat users would be proportionate, effective , or indeed, enforceable, and instead recommends that effort is focused on issuing guidance to the recreational community around the impacts of alcohol and utilising the existing legislative frameworks when it is appropriate to do so.
3) Lifejackets The RYA is of the view that a lifejacket or buoyancy aid should be worn at all times unless it is safe to take it off decision to mandate the carriage of personal flotation devices for all vessels would be a matter for the Secretary of State for Transport and not for the RYA. The practical difficulties of enforcing the carriage of lifejackets are highlighted, given that pleasure vessels are not subject to the same inspection regime as commercial vessels, and it is also noted that the existing legislation applicable to commercial vessels does not mandate the wearing of a lifejacket unless there is an emergency or risk of entering the water; and accordingly applying the commercial standard would not result in blanket requirement to wear lifejacket buoyancy aid. Therefore, the RYA remains of the opinion that the need to wear a lifejacket of buoyancy aid on a pleasure vessel is best communicated via education and training rather than legislation:
4) Use of Support Boats The RYA concerned by any adverse perceptions around particular boating activities. Accordingly; the RYA will be talking to a range of event Organising Authorities to gather evidence around the use of support boats to establish if the perception around a poor culture associated with support boats is accurate, and what steps are proportionate address this. The RYA acknowledges that events held in public waters often see a number of boats in the vicinity of the event, but notes that these may be spectator boats or general water users and may not fall within the definition of support boat, or indeed, be part of the event: The RYA wishes to encourage the of all water users, and therefore imposing requirements on event Organising Authorities is not felt to be a holistic solution, or indeed effective given an Organising Authority has no jurisdiction over boats outside oftheir events. Ifit is believed that boats in the vicinity of an event are operating either unsafely or in breach of the existing definition of pleasure vessel, then this is a matter for the relevant harbour authority and not the Organising Authority: The Racing Rules of Sailing (as set by World Sailing) provide that an Organising Authority should issue a Notice of Race and go on to detail what an Event Organiser should include in that Notice of Race: Accordingly, it is for each Organising Authority to determine what is appropriate for its own event, and the RYA is unable to mandate particular provisions_ President HRH The Princess RovolKG, KT, GCVO, GSO Royal Yachting Association Is @ company limited by Chief Executive guarantee and registered in England: Number 878357 Way; Any or if so, safety

RYA House Ensign Way; Hamble RYA Southardntoed Kogdom Tel: +44 (0123 8060 4100 WwW.
-rya.org uk However; while an Organising Authority may decide to include provisions around the use of support boats during the event, (for example stating that support boats should not interfere with racing or should be used in a certain way) an Organising Authority has no jurisdiction to impose rules on participants (or support boats) after the event has ended, and it would not be appropriate for an Organising Authority to detail how participants should travel to and from an event after racing, or from an event after prizegiving has concluded, even if they choose to travel by boat rather than car: There appears to be some confusion regarding the purpose ofa risk statement in the template Notice of Race_ A risk statement is not intended to impose additional rules on competitors or to remind competitors of their legal obligations, but to draw the specific risks of participating in the event to the attention of participants for the purposes of managing the Organising Authorities' liability, given that exclusion of liability clauses are generally ineffective: Therefore, if an Organising Authority wants to include specific provisions around the use of support boats (s0 far as it relates to the operation of support boats within the bounds of the event) then this should be done within the general sections of the Notice of Race, and not within the risk statement: While the RYA does not believe it appropriate for an Organising Authority to be required to influence the behaviour of boats in the vicinity of an event, such as boats unconnected with the event or boats used after hours or after the event finished, the RYA is actively encouraging all Organising Authorities to have safety management systems in place for their activities. safety management system should include consideration of applicable risks and detail the steps taken to minimise the risks identified. This will vary by event; however; the RYA is aware that some Organising Authorities of events in coastal areas have already considered laying on water taxies between venues or to return crews to competing yachts and therefore reduce the need for private boats to be used for transferring people. While this would not be a solution for every event, encouraging Organising Authorities to put in place measures tailored to their specific event is believed more pragmatic solution than attempting to introduce blanket requirements. Powers to take action As set out above, the RYA is not a regulator; and accordingly is unable to take direct action either in respect of general recreational boating or under the Racing Rules of Sailing to impose the changes suggested. However; the RYA has the ability to offer advice and guidance and will continue to take steps to highlight the importance of behaving responsibly on the water; together with encouraging Organising Authorities to explore event specific opportunities to promote safety afloat: President HRH The Princess RowalKG, KT, GCVO,@SO Royal Yachting Association is @ company limited by Chief Executive guarantee and registered in England Number 878357 has

RYA House Ensign Way; Hamble Southampton, S031 4YA RYA United Kingdom Tel: +44 (0123 8060 4100 WWWrya.org uk Conclusion To conclude, the RYA strives for safety afloat, and recognises the coroner's concerns, however the RYA believes it appropriate to maintain a distinction between the requirements for commercial vessels and the requirements for pleasure vessels, and highlights that changing the current definition is likely to result in uncertainty and lead to disproportionate consequences The RYA believes the existing legislative regime provides appropriate tools to address the current concerns, and notes that a successful prosecution was brought under current legislation. Indeed, given that existing legislation was ignored immediately to the accident it cannot be said that introducing additional legislation would have resulted in a different outcome, and accordingly the RYA suggests that continued publicity and education remains a more powerful solution than increased legislation. The RYA does not believe that event Organising Authorities are best placed to tackle inappropriate vessel use within the vicinity of their events and believes the purpose of the risk statement within the Notice of Race has been misunderstood. However; the RYA will be working with Organising Authorities to both establish if there are any specific trends around support boats, and to support Organising Authorities in best managing the risks associated with their particular events. In its commitment to safe and responsible boating, the RYA will of course be continuing to raise awareness of the need for responsible behaviour to both its members and to Organising Authorities, as well as the wider boating community: Please do not hesitate to contact me should you require further clarification.
Department for Transport Central Government
26 Feb 2025 PDF
Noted

The Department for Transport acknowledges the concerns raised in the PFD report but states that existing legislation and guidance are sufficient, placing responsibility on local authorities and vessel operators to ensure safety. They will continue to review evidence on alcohol limits and PFD use, but do not plan to introduce national mandates. (AI summary)

View full response
Dear Rachael,

I am grateful for your careful consideration of the circumstances of the tragic accident involving David John Haw and highlighting the opportunities for improvement in safety in your Regulation 28 Report to Prevent Future Deaths of 20 December 2024. I apologise for the delay in responding and appreciate the extension you granted.

We are constantly striving to improve safety for all including the large number of recreational mariners who use our waters. Legislation is already in place to enable those, such as ports, who have responsibility for managing a particular stretch of water or coastline to introduce laws to ensure safety within these areas. We believe these organisations remain best placed to understand what is appropriate for local circumstances given the wide variations in both geography and recreational usage around the country.

There is now a greater range of vessels undertaking a wider scope of activities than ever before. In acknowledging the diversity of pleasure vessels and the waters in which they operate, owners and users are entrusted with the responsibility of taking suitable measures to ensure safety, while the Maritime and Coastguard Agency (MCA) will always work to ensure proper regulation is applied as appropriate.

Whilst pleasure vessels are not subject to many of the specific regulations that small commercial vessels are, they do remain in scope of the regulatory frameworks set out by Merchant Shipping Act 1995 (MSA), and in particular the Merchant Shipping (Distress Signals and Prevention of Collisions) Regulations 1996 (SI 1996 no. 75). As such, if a pleasure vessel was being operated in such a way that was “dangerously unsafe” there are mechanisms under Section 100 of the MSA to take appropriate action. Likewise, if the consumption of alcohol was a contributing factor and meant the vessel operator was unable to keep a proper lookout, this too would be a prosecutable offence under UK Regulations.

Turning to recreational mariner alcohol limits, the Railways and Transport Safety Act provides alcohol limits and corresponding offences for professional mariners, however no proscribed limits for alcohol have been set for recreational mariners. As noted above, there is already an offence which can be applied in these circumstances under the Merchant Shipping Act 1995. To date, the Department has held three consultations on this issue, the latest a request for evidence to inform a review of the position in 2021. Responses have continued to demonstrate the significant challenges to the introduction of alcohol (and drug) limits for recreational mariners. These noted strong views, both for and against. They also highlighted that the number of serious incidents involving recreational mariners where alcohol was a causal factor is, thankfully, extremely low and that statistics alone do not support the introduction of a national limit. We will continue to keep the evidence base under review and to work with partners in the sector focussing on improving awareness of the risks of drinking and sailing.

Although there is currently no legislation requiring the mandatory wearing of personal floatation devices (PFDs) on any pleasure vessel in the UK, there is not yet sufficient evidence to justify a regulatory intervention to this effect. Some local water authorities, ports and marinas do require this under their by-laws and, of course, voluntary wear is strongly encouraged as publicised by the MCA through Marine Guidance Note (MGN) 599 (M) Amendment 1 “Pleasure vessels – Regulations and Exemptions – Guidance and Best Practice Advice”. This MGN also provides a range of guidance and best practice advice for pleasure vessel owners which includes appropriate training and avoiding consumption of alcohol as well as the wearing of PFDs.

The introduction of more detailed regulatory obligations on the owners and operators of pleasure vessels would be a fundamental change to this status quo, with significant resource implications, for vessel owners as well as for Government, in bringing the pleasure vessel fleet under closer regulatory oversight.

I would like to take this opportunity to reassure you that my officials within the MCA are working hard to bring forward new legislation and an updated Sport or Pleasure Vessel Code as soon as practical to improve small commercial vessel safety. The MCA will continue to work to ensure that pleasure vessel owners and operators take seriously their responsibilities for ensuring the safety of those onboard their vessels.

Report sections

Investigation and inquest
On 16th May 2022 I commenced an investigation into the death of David John Haw, born on the 9th September 1997 who was, therefore, aged 24 years at the time of his death. The investigation concluded at the end of the inquest on 17th December 2024. The medical cause of death was: Ia Drowning The conclusion of the Inquest was unlawful killing.
Circumstances of the death
On the evening of the 1st May 2022, David attended a prize giving event at Poole Yacht Club, Poole as part of Poole Regatta having been a member of crew for the vessel Off Beat. At just after midnight on the 2nd May 2022 having left the event, David as a passenger with others, boarded on a ridged hull inflatable boat (RHIB) called Fargo, which was a support boat being used for another boat at Poole Regatta. The RHIB travelled to Poole Quay Boat Haven, dropped 3 people off and left there at 0.15 hours at which point David was sat in the bow of the deck of the vessel. At 0.18 hours RHIB Fargo collided with Diver Buoy in Poole Harbour, Poole causing David to be thrown out of the vessel into the water. He disappeared and was later recovered from the water on the 14th May 2022, about 100 metres from Diver Buoy. At the point of the collision the RHIB was being helmed at excessive speed, approximately 30 knots, which is 3 times the speed limit for the waters, which was not a safe speed. The helm of the vessel did not hold appropriate qualifications to helm the boat at night and was under the influence of alcohol at the point of the collision. There was no pilotage plan for the journey, nor was there a safety briefing or offer to passengers to use lifejackets. There was no challenge by the helm to David about his position sitting in the bow of the deck. The helm used a navigation app on a phone which is not an approved method of navigation and would negatively impact on night vision. The helm failed to keep a proper look out.
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Report details

Reference
2024-0698
Date of report
20 December 2024
Coroner
Rachael Griffin
Coroner area
Dorset

Responses identified

Responses identified 2 of 3
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 14 Feb 2025 (estimated).

Sent to

Department for Transport
Offshore Racing Council
Royal Yachting Association

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