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Comment on NTSB findings

by Douglas Gould on July 17, 2011

After rushing off to do some towing the other day, I now have time to put some comments down in enk (electronic ink). First, here is the link to the NTSB one page synopsis of the pending full accident report (which is due out in a few weeks):

http://www.ntsb.gov/news/events/2011/sandiego_ca/synopsis.html

The NTSB clearly lays the blame for this tragedy entirely on the US Coast Guard:

The National Transportation Safety Board determines the probable cause of the collision between the CG 33118 and the Sea Ray was the failure of the CG 33118 crew to see and avoid the Sea Ray because of the excessive speed at which the coxswain operated the CG 33118, given the prevailing darkness, background lighting, and high vessel density and the U.S. Coast Guard’s lack of effective oversight of its small boat operations both nationally and at Coast Guard Station San Diego.

from the coxswain to the station brass and right up to the national level. Lack of oversight is not a phrase that will increase chances of promotion for those in charge of USCG Station San Diego, and the NTSB report will make it very hard for those at command level to shirk their burden of responsibility.

To refresh your memory, CG 33118 (a 33′ RIB) was responding to a report of a grounded boat inside San Diego Bay, and at one point was doing ~42kts through a dark harbor full of spectator boats after a Christmas boat parade. They hit a small boat en route to the grounding and one person died as a result of the collision

Since the accident, much of the news coming out of the investigation focused on the use of cell phones as a possible contributing factor (see my post here). Interestingly, now that the investigation is complete, that is now just one of fifteen contributing factors. #2 on the list caught my attention:

The vessel grounding to which the CG 33118 responded was not an emergency and did not necessitate a high-speed response that reached 42 knots at one point. (boldface added)

This point is where the entire topic fetches up, and I think even the NTSB failed to fully illuminate the issue. The real question is not why was the USCG rushing to a grounded boat in Harbor Island Lagoon, but why were they responding at all? The record shows that the grounded sailor stated he was in no danger, and a MARB was broadcast from USCGSD. The policy is very clear on this, and states that for non-emergency cases, the USCG will find other sources of assistance. Why was 33118 even heading in that direction in contradiction of stated USCG policy?

Has the CG become bureaucratically predisposed to treat every single case as an emergency; anxious to bask in the headlines? (see previous post here)  Perhaps, but I don’t think so. I fear something even more insidious is going on. The trend I have seen is for the CG to jump on low risk cases, like grounded sailboats in protected harbors, while at the same time, the SAR commanders actually avoid high risk cases where a mishap would have them called before a Captain’s Mast, or even jeopardize their career.

I know, you’re thinking “give ‘em a break” and “it’s an isolated case, Doug. You’re blowing it out of proportion.” Am I?

Allow me to illustrate a startling contrast to the above with a recent personal experience with the Coast Guard Sector New England. About two weeks ago, I relieved a commercial fisherman who was towing a disabled 55′ Viking sportfisher from the offshore fishing grounds. The Viking had suffered a small electric fire and one of their crew had been injured during the melee of firefighting.  He had a badly lacerated upper lip, two missing front teeth and cut gums. The crew of the Viking had requested that the USCG arrange an evacuation of the injured party so he could get immediate medical attention on the mainland, while I was going to tow the Viking to the mainland. The tow was going to take about 3.5 hours.

After numerous phone calls from our office, we were informed that the USCG “has declined a medivac” for this situation. WTF?!? The seas were calm and the victim was ambularoty; all they needed to do was send a fast boat to rendezvous with us. The owner of the Viking finally phoned a personal friend with a fast RIB to come out 18 miles and meet us to take his injured crew to shore. Somehow, I don’t think you’ll see that case in the USCG news feed…

So, on the one hand, we have the USCG actually killing an 8 year old boy while they rush to the scene of a non-emergency grounding when no request for assistance was made; and on the other hand, the USCG refuses to comply with a request to evacuate a rather serverly injured boater.

The USCG has become a dysfunctional bureaucracy plagued by inconsistent decisions and a command structure that circumvents accountability. You might not agree with me, but the National Transportation Safety Board does.

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Strict adhearence to MSAP has tragic consequences.

by Douglas Gould on April 14, 2010

Coast Guard and good Samaritan respond to capsized vessel

Coast Guard News Service
11 Apr 2010 07:51 PM PDT

CORPUS CHRISTI, Texas – A good Samaritan rescued three people and the Coast Guard recovered a fourth person who was unresponsive after a pleasure craft capsized in the Nueces Bay, Saturday night.

A watchstander from Coast Guard Sector Corpus Christi received a call at 7:22 p.m. from a woman stating that their boat had become disabled with four persons on board. After declining commercial salvage, the family elected to stay the night on the boat. At 8:40 p.m., Sector Corpus Christi received a call from the Corpus Christi Police Department reporting that the boat had capsized with three people in the water.

Air Station Corpus Christi launched an MH-65C helicopter rescue crew to locate and recover the boaters. A good Samaritan picked up three survivors from the shallow but rough waters before departing the scene due to low fuel. The helicopter rescue crew lowered the rescue swimmer to the water at the location of the capsized boat. The rescue swimmer located the fourth person trapped underneath the boat. The 53 year-old man was airlifted to Spohn Memorial hospital where he was pronounced dead on arrival.

All four survivors were wearing life jackets or had access to flotation devices. (Check my math: wouldn’t that be three survivors and one victim?)

This may be the first death attributable to the MSAP:

The MSAP is the result of an effort enacted by Congress in 1982. It directed the Commandant to “review Coast Guard policies and procedures for towing and salvage of disabled vessels in order to further minimize the possibility of Coast Guard competition or interference with…commercial enterprise.”  The review was directed because of congressional concern that CoastGuard resources were being used unnecessarily to provide non-emergency assistance to disabled vessels that could be adequately performed by the private sector.

The only details I have right now are what I learned from the news sources, including one that mentions that the water where the boat was disabled was too shallow for a USCG boat to operate in, perhaps less than 4′ deep. If that is true, then that was certainly a factor in the SARC’s decision not to launch, because the only rescue resource at his disposal would have been a helicopter, and no one is going to be air-lifting 4 uninjured adults from a small boat simply because they refuse to pay for a non-emergency tow. On the other hand, did the USCG set up a comm schedule and closely monitor the situation? Did the boater have a VHF radio? What was the weather forecast?

As usual, there is more to this story than is being reported, but the take-away isn’t good: Boater calls the USCG for help; USCG declines to help and defers to commercial assistance; boater refuses commercial assistance; one guy dies…

My condolences to the family.

more:

http://www.caller.com/news/2010/apr/12/coast-guard-policy-was-followed-in-case-of/

http://www.boattest.com/Resources/view_news.aspx?NewsID=4093

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USCG SAR Meetings

All the commercial salvors and assistance providers should be attending twice annual meetings with their local USCG units. The meetings are intended to provide a forum to discuss operational issues between the Coast Guard and private enterprise, and to foster cooperation between all those acting within the local SAR system, like local fire, police & [...]

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March 14, 2008 Read the full article →

Mangled MARBs

So there I am, cruising (perhaps I should say “toodling”?) down the coast of New Jersey, and I’m bored, so I follow a call for assistance over to channel 22. As I listen to the confusion only the CG seems capable of adding to a simple non-emergency assistance case, I nearly fell off the helm [...]

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October 20, 2007 Read the full article →

The MARB policy in writing

The MARB policy is in fact a small part of the Search & Rescue policy, which is contained in a document called “U. S. COAST GUARD ADDENDUM TO THE UNITED STATES NATIONAL SEARCH AND RESCUE SUPPLEMENT (NSS)”. Below is a link to a PDF of the entire document. http://www.uscg.mil/hq/g-o/g-opr/manuals/cgadd/CGADD_wCH1.pdf Chapter 4, section 1 contains the [...]

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February 3, 2007 Read the full article →