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Safety Recommendation Details

Safety Recommendation M-94-021
Details
Synopsis: ABOUT 1430 ON DECEMBER 5, 1993, THE 32-YEAR-OLD WOODEN-HULLED U.S. SMALL PASSSENGER VESSEL EL TORO II FOUNDERED IN ROUGH SEAS WHILE RETURNING TO ST. JEROME CREEK IN RIDGE, MARYLAND, FROM A FISHING EXCURSION IN THE CHESAPEAKE BAY. U.S. COAST GUARD AND U.S. NAVY RESCUE PERSONNEL RETRIEVED THE 20 PASSENGERS, 2 CREWMEMBERS, AND THE OWNER OF THE VESSEL FROM THE WATER. AS A RESULT OF THE SINKING, TWO PASSENGERS AND THE DECKHAND DIED FROM THE EFFECTS OF HYPOTHERMIA. THE NATIONAL TRANSPORTATION SAFETY BOARD DETERMINED THAT THE PROBABLE CAUSE OF THE EL TORO II SINKING WAS CATASTROPHIC FLOODING RESULTING FROM SEVERELY CORRODED HULL FASTENERS THAT HAD REMAINED UNDETECED AND UNCORRECTED BECAUSE OF THE LACK OF EFFECTIVE POLICIES AND PROCEDURES FOR INSPECTING, MAINTAINING, AND/OR SUPPLEMENTING THE STRUCTURAL INTEGRITY OF WOODEN-HULLED VESSELS. CONTRIBUTING TO THE LOSS OF LIVES WAS THE LACK OF SURVIVAL CRAFT CAPABLE OF PROVIDING OUT-OF-WATER FLOTATION FOR THE PASSENGERS AND CREW.
Recommendation: THE NTSB RECOMMENDS THAT THE U.S. COAST GUARD: EXPEDITE, WITH THE ASSITANCE OF THE WOODEN VESSEL INDUSTRY, THE REVISION OF THE NAVIGATION AND VESSEL INSPECTION CIRCULAR 1-63 AND ENSURE THAT THE REVISION INCLUDES EFFECTIVE INSPECTION POLICIES AND PROCEDURES FOR MAINTAINING THE STRUCTRUAL INTEGRITY OF WOODEN VESSELS, PARTICULARLY FOR HULL FASTENERS.
Original recommendation transmittal letter: PDF
Overall Status: Closed - Acceptable Action
Mode: Marine
Location: Bays and Sounds, United States
Is Reiterated: No
Is Hazmat: No
Is NPRM: No
Accident #: DCA94MM007
Accident Reports:
Sinking of U.S. Small Passenger Vessel El Toro II
Report #: MAR-94-03
Accident Date: 12/5/1993
Issue Date: 9/14/1994
Date Closed: 2/6/1996
Addressee(s) and Addressee Status: USCG (Closed - Acceptable Action)
Keyword(s):

Safety Recommendation History
From: USCG
To: NTSB
Date: 2/6/1996
Response: M-94-21 ASKED THE USCG TO EXPEDITE, WITH THE ASSISTANCE OF THE WOODEN VESSEL INDUSTRY, THE REVISION OF NVIC 1-63 & ENSURE THAT THE REVISION INCLUDED EFFECTIVE INSPECTION POLICIES & PROCEDURES FOR MAINTAINING THE STRUCTURAL INTEGRITY OF WOODEN VESSELS, PARTICULARLY FOR HULL FASTENERS. AS A RESULT OF THE PUBLICATION OF NVIC 7-95, M-94-21 HAS BEEN CLASSIFIED "CLOSED--ACCEPTABLE ACTION."

From: USCG
To: NTSB
Date: 12/21/1995
Response: ON 12/1/95, THE USCG PUBLISHED NVIC-7-95, GUIDANCE ON INSPECTION, REPAIR & MAINTENANCE OF WOODEN HULLS, WHICH REVISED & UPDATED NVIC 1-63.

From: NTSB
To: USCG
Date: 11/24/1995
Response: (GREENSHEET) SINCE 1977, THE BOARD HAS ISSUED TO THE UCSG 55 BOARD RECOMMENDATIONS THAT WERE CLASSIFIED "OPEN--ACCEPTABLE ACTION" BECAUSE THE USCG RESPONDED THAT IT WOULD TAKE THESE RECOMMENDATIONS INTO CONSIDERATION WHEN THE REGULATIONS WERE REVISED. BASED ON A LACK OF TIMELY ACTION, THE BOARD HAS RECLASSIFIED THESE RECOMMENDATIONS "OPEN--UNACCEPTABLE RESPONSE."

From: NTSB
To: USCG
Date: 4/5/1995
Response: M-94-021 ASKED THE USCG TO EXPEDITE, WITH THE ASSISTANCE OF THE WOODEN VESSEL INDUSTRY, THE REVISION OF THE NAVIGATION & VESSEL INSPECTION CIRCULAR 1-63 & ENSURE THAT THE REVISION INCLUDED EFFECTIVE INSPECTION POLICIES & PROCEDURES FOR MAINTAINING THE STRUCTURAL INTEGRITY OF WOODEN VESSELS, PARTICULARLY FOR HULL FASTENERS. BECAUSE THE USCG IS REVISING NVIC 1-63 AS REQUESTED, WITH AN EXPECTED PUBLICATION DATE OF JUNE 1995, M-94-21 HAS BEEN CLASSIFIED "OPEN--ACCEPTABLE RESPONSE," PENDING RECEIPT OF A COPY OF THE NVIC.

From: USCG
To: NTSB
Date: 1/4/1995
Response: I CONCUR WITH THIS RECOMMENDATION. NAVIGATION & VESSEL INSPECTION CIRCULAR (NVIC) 1-63 "NOTES ON INSPECTION & REPAIR OF WOODEN HULLS" IS PRESENTLY UNDER REVISION & WILL INCLUDE GUIDANCE CONCERNING EXAMINATION OF HULL FASTENERS. THE ANTICIPATED COMPLETION DATE IS JUNE 1995. A COPY WILL BE FORWARDED TO YOU UPON COMPLETION.