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2012
Contents
Chief Inspectors Report 1
Part 1 - Full Investigations and Report Publications 5
Part 2 - Recommendations 11
Background 13
Recommendation response statistics 14
Recommendation methodology and summary tables 15
Section A - 2012 recommendation responses 17
Section B - Recommendations to multiple recipients 38
Section C - Recommendations brought forward from previous years 40
Section D - Changes to previously reported recommendations 52
Part 3 - Statistics 55
UK vessel accidents involving loss of life 57
UK merchant vessels greater than or equal to 100gt 59
UK merchant vessels less than 100gt 64
UK fshing vessels 65
Non-UK commercial vessels 70
Annex - Statistics Coverage 71
Glossary of Abbreviations and Acronyms 73
1
CHI EF I NSPECTOR S REPORT
Chief Inspectors Report
2012 has been a year of consolidation for the Branch. New working practices, which
were developed in the wake of the headcount and budget cuts of 2011, have been fne-
tuned and the work of the MAIB continues to receive praise from industry stakeholders.
However, our resilience to further change is much reduced. Staff turnover and sickness,
or other unplanned events, are now less easy to absorb and all MAIB staff are working
under tremendous pressure to deliver valuable, well-structured and intellectually rigorous
investigation reports to tight deadlines. That they continue to do so is testament to the
collective spirit of the Branch and I am indebted to every member of my team for their
commitment, hard work and professionalism.
July 2012 saw the introduction of new regulations: the Merchant Shipping (Accident
Reporting and Investigation) Regulations 2012. The primary purpose of these was to
transpose Directive 2009/18/EC which establishes fundamental principles of marine
accident investigation across the European Union. In particular, the Directive requires
member states to investigate all very serious marine casualties (i.e. accidents that lead to
loss of life, the loss of a vessel or severe pollution) involving commercially operated craft
and fshing vessels of 15m or more in length. However, the Branch has been operationally
compliant with the requirements of the Directive since 2011 and therefore the introduction
of new regulations has had a limited impact on our work. That said, during 2012 a new
Branch database has been developed which shares the same taxonomy as the European
Marine Casualty Information Platform (EMCIP). The Directive requires member states to
populate the EMCIP with comprehensive marine casualty data, which is potentially a very
labour intensive task. The new Branch database has the ability to automatically populate the
EMCIP, which will optimise the time spent transferring the data.
One manifestation of a more challenging working environment is that the average time taken
to produce published reports has been increasing slightly from just under 8.5 months in 2011
to 8.6 months in 2012. Some, such as the highly detailed Tombarra reports (MAIB reports
19A & 19B/2012) have taken in excess of 12 months to complete. Looking ahead there is
little prospect of additional resources being available in the medium term and so the Branch
is exploring how digital technology might be used more effectively to promulgate its product
reports and safety lessons to its stakeholders. For example, the MAIB can now be found
on Twitter (please follow us!). In order to improve production times and reduce cost, the use
of password protected soft copies of draft and fnal reports is likely to become the norm with
much less reliance being placed on hard copy print runs. Similarly, work will be progressed
to enable stakeholders comments during consultation periods to be received and processed
electronically.
Thirty investigation reports were published in 2012 compared with 29 in 2011. Two editions
of the Safety Digest were also published. 26 investigations were commenced during the
year compared with 43 in 2011. The decrease in the number of investigations launched
during 2012 refects a more considered approach to deployments in the feld which has been
developed to closely manage the Branch workload. The range of investigations conducted
2
MAI B ANNUAL REPORT 2012
during the year has been diverse, ranging from the foundering of small inland waterway craft
through to major collisions between large cargo vessels. A number of issues identifed during
MAIB investigations are worthy of note:
A collision between the cargo vessels Seagate and Timor Stream, which occurred
in March 2012, was one of several similar accidents reported to the MAIB where
experienced seafarers either ignored or did not know the requirements of the COLREGS.
In this case, the investigation quickly identifed that the watchkeepers on the two vessels,
both of whom were senior offcers, did not maintain even the most rudimentary level
of watchkeeping. Of particular concern is the message this behaviour sends to junior
offcers and how it may infuence the next generation of master mariners. One of the
biggest challenges faced by ship managers is ensuring that company safety management
systems are being adhered to at all times. Part of the solution requires a real commitment
to the safety management system from the highest echelons of management, together
with a concerted effort to instil the companys safety culture within ships senior staff.
Robust audit regimes, preferably conducted during voyages, are useful but only provide
snapshots of how ships are being operated. The random scrutiny of voyage data
and other ship-generated records can also help to gauge compliance with company
procedures and provide managers with early warnings should shipboard routines present
a risk to safety when not under the scrutiny of an auditor.
The excessive consumption of alcohol by watchkeepers on commercial vessels is a
persistent problem. This was typifed by the collision between the coaster Union Moon
and the passenger ferry Stena Feronia (MAIB Report 26/2012) in which the master, who
was alone on the bridge of Union Moon, was found to be drunk. Alcohol was also an
issue when the feeder container vessel Karin Schepers grounded off the Cornish coast
(MAIB Report 10/2012.) In both cases the companies concerned operated drug and
alcohol policies that were weak and ineffective.
The small fshing vessels Heather Anne, Purbeck Isle and Sarah Jayne were tragically
lost, partly because they were overloaded. There is currently no requirement for small
(ie <15m length overall) fshing vessels to be assessed for stability and the skippers of
these boats often have little or no understanding about the importance of stability and
freeboard. Accordingly, when non-quota restricted fsh, such as Cornish sardine, are
plenty, there is tremendous pressure to maximise the catch and fll up the fsh hold. The
crew may do this several times without incident until bad luck and different sea conditions
cause their vessel to founder or capsize. The MAIBs investigations into the above three
accidents have confrmed there is a compelling need for small fshing vessels to be
provided with stability and loading information. Also compelling, is the need for fshermen
to be better informed about the dangers of overloading.
The MAIB continues to be regarded as one of the world leaders in its feld, but the Branch
needs to continuously evolve and improve if it is to continue to enjoy that status in the future.
Our good reputation is important it allows other stakeholders to work with the MAIB with
confdence and trust during investigations which, in turn, enables the Branch to conduct its
business in the most effcient way. During 2012, MAIB staff have regularly exchanged views
and shared best practice with our international counterparts through organisations such as
the Marine Accident Investigators International Forum, The EU Permanent Cooperation
Framework and working groups within the Flag State Implementation Committee of the
3
CHI EF I NSPECTOR S REPORT
International Maritime Organization. The Branch also works closely with its sister Accident
Investigation Branches, the RAIB and the AAIB to share best practices, but also to identify
synergies and savings where appropriate. We learn as much as we teach during these
exchanges and the Branch becomes stronger from the fresh ideas that this dialogue
generates.
RECOMMENDATIONS
54 Recommendations were issued during 2012, of which 94.4% were accepted. This
compares with 93.0% in 2011.
1 recommendation was rejected. This was made to the Department for Transport following
the collision between Morfl and Sun Clipper on the River Thames (MAIB Report 8/2012
see page 22). One recommendation (to the owner of a fshing vessel) has not been
responded to. The MAIB operates a closed loop follow-up process which keeps outstanding
recommendations under constant review.
Of the 214 recommendations that had been accepted, but had not been implemented
between 2004 and 2011, 87.4% were reported to be fully implemented at the time this report
was published.
STATISTICS
For the third year in succession there were no UK registered ship losses of vessels 100gt.
The number of accidents, as a ratio of the size of the feet, has increased from 76/1000
vessels in 2011 to 92/1000 vessels in 2012. However, this ratio is slightly lower than the
statistical average for the last 10 years (94/1000 vessels).
There were 3 deaths of merchant vessel crew on vessels of 100gt compared to 5 in 2011.
The number of injuries to passengers (50) is at a 10 year low but this may be largely due to
a reduction in the number of large passenger vessels registered in the UK.
Perhaps the most encouraging statistic for 2012 is that the number of fshing vessels lost (9
vessels) is at a 10 year low. The main improvement appears to be in the <15m loa sector,
where 5 vessels were lost in 2012 compared to 17 in 2011.
Machinery failures account for by far the greatest number of reported accidents concerning
fshing vessels. In 2012 there were 174 reported cases of machinery failure across the
UK fshing feet. Flooding and foundering accounted for the next most common cause of
accidents (24 reported cases). Machinery failures do not necessarily lead to death or injuries
to the crew, but they often tie up the resources of the SAR authorities and other responders.
It can be expensive to service and maintain machinery to ensure in-service reliability, but
the cost involved in towing or escorting vessels back into port following a breakdown can
be signifcant. Fishermen need to develop better knowledge of mechanical issues and
maintenance procedures if the level of machinery failures is to be reduced.
4
MAI B ANNUAL REPORT 2012
FINANCE
The annual report deals principally with the calendar year 2012. However, for ease of
reference, the fgures below are for the fnancial year 2012/13, which ended on 31 March
2013. The MAIBs funding from the Department for Transport is provided on this basis, and
this complies with the Governments business planning programme.
000s 2012/13 Budget 2012/13 Outturn
Costs Pay 2551 2508
Costs Non Pay 1078 982
Totals 3629 3490
Steve Clinch
Chief Inspector of Marine Accidents
5
CHI EF I NSPECTOR S REPORT

PART 1
FULL INVESTIGATIONS AND
REPORT PUBLICATIONS
6
MAI B ANNUAL REPORT 2012
FULL INVESTIGATIONS LIST
Full Investigations started in 2012
Date Name of Vessel Type of Vessel Flag State Size Nature of Incident
Merchant Vessels
16 Jan Dette G Container ship Antigua and
Barbuda
3999 gt Fatal man overboard during cargo
operations while alongside in
Queen Elizabeth Dock, Hull
7 Mar Stena Feronia/
Union Moon
Ro-ro ferry/General
cargo vessel
UK/Cook
Islands
21856
1543
gt
gt
Collision in Belfast Lough, Northern
Ireland
10 Mar Seagate/Timor
Stream
General cargo
vessel/Refrigerated
cargo vessel
UK/Liberia 17590
9307
gt
gt
Collision approximately 25nm north
of the Dominican Republic coast
24 Mar Spring Bok/Gas
Arctic
General cargo
vessel/LPG tanker
Netherlands/
Malta
12113
2985
gt
gt
Collision in English Channel 6nm
south of Dungeness, English
Channel
29 Mar Saga Sapphire Cruise ship Malta 37301 gt Two men overboard while
conducting a lifeboat drill alongside
in Southampton
3 Apr Carrier General cargo
vessel
Antigua and
Barbuda
1587 gt Grounding off the North Wales
coast
10 Jun E.R. Athina Platform supply
ship
Liberia 4488 gt Fatal injury to a crew member while
at anchor off Aberdeen
2 Jul Coastal Isle General cargo
vessel
Antigua and
Barbuda
3125 gt Grounding while on passage off
Greenock
1 Aug Alexander
Tvardovskiy/
UKD Bluefn/
Wilson Hawk
General cargo
vessel/Dredger/
General cargo
vessel
Russia/UK/
Barbados
2319
4171
2811
gt
gt
gt
Collision involving three vessels in
Immingham Dock, Lincolnshire
19 Sep Vixen Small inland
waters passenger
vessel
UK 6m Flooding and foundering on Loch
Lomond. No injuries
2 Oct Wah Shan Bulk carrier Panama 91165 gt Fatal injury to crewman during
mooring operations in Immingham,
Lincolnshire
15 Nov Amber Bulk carrier Malta 10490 gt Contact with moored barges
followed by grounding on River
Thames at Gravesend
PART 1: I NVESTI GATI ONS/ PUBLI CATI ONS
7
Date Name of Vessel Type of Vessel Flag State Size Nature of Incident
21 Nov Windcat 9 Wind farm support
vessel
UK 17.25 m Contact with a buoy off the Norfolk
coast causing damage that led to
fooding
21 Nov Island Panther Wind farm support
vessel
UK 16.8 m Contact with wind turbine tower
off Norfolk coast causing damage
that led to fooding and some minor
injuries
25 Nov Timberland Bulk carrier UK 13066 gt Fatal man overboard involving two
crewmen in North Sea
5 Dec Arklow Meadow General cargo
vessel
Ireland 9682 gt Escape of toxic cargo fumigant
while discharging at Warrenpoint,
Northern Ireland
12 Dec Beaumont General cargo
vessel
UK 2545 gt Grounding near Cabo Negro, north
Spain
Fishing Vessels
Date Name of Vessel Type of Vessel Flag State Size Nature of Incident
13 Jan St Amant Scallop dredger UK 17.8 m Loss of a crewman off the north-
west Wales coast
29 Jan Zenith Trawler UK 21.4 m Fatal man overboard in the Irish
Sea, 29 miles south-east of Kilkeel
11 Apr Onward Trawler UK 21.3m Fire, 60nm off the north coast of
Scotland resulting in the loss of the
vessel. There were no injuries
17 May Purbeck Isle Potter UK 11.6m Vessel lost with all three crew
9nm south of Portland Bill, English
Channel
9 Jul Denarius Trawler UK 22.4m Fire and abandonment in the North
Sea 83nm NNE of Kinnaird Head.
There were no injuries
23 Jul Betty G Beam trawler UK 9.9m Capsize in Lyme Bay while
recovering beam gear. Crew were
safely recovered from liferaft
10 Aug Audacious Trawler UK 27.6m Flooding and sinking in the North
Sea 45nm east of Aberdeen. Crew
abandoned to liferaft and were
safely recovered
Ful l i nvest i gat i ons l i st
8
MAI B ANNUAL REPORT 2012
Date Name of Vessel Type of Vessel Flag State Size Nature of Incident
1 Sep Chloe T Trawler UK 26.2m Flooding and sinking in the English
Channel, 17nm south of Bolt Head,
Devon. Crew abandoned to liferafts
and were safely recovered
11 Sep Sarah Jayne Trawler UK 14.94m Foundering in the English Channel
off Brixham. Two crew were
rescued but the skipper drowned
PUBLICATIONS LIST
Reports of Full Investigations published in 2012
Vessel Name
(Report No)
Vessel Type Accident Type
Accident
Date
Merchant Vessels
CSL Thames
(No 2/2012)
Bulk carrier Grounding in the Sound of Mull, West Scotland 9 Aug 11
Clonlee
(No 6/2012)
Feeder container
vessel
Electrical blackout and subsequent grounding on
the River Tyne
16 Mar 11
Blue Note
(No 7/2012)
Dry cargo vessel Derailment of the hatch-lid gantry crane while
alongside in Londonderry, Northern Ireland
22 Jul 11
Sun Clipper/Morfl
(No 8/2012)
Passenger vessel/
rigid-hulled
infatable boat
Collision by Blackfriars Road Bridge, River Thames,
London
1 Jun 11
Saffer
(No 9/2012)
Cargo vessel Failure of the controllable pitch propeller resulting
in heavy contact with a berthed tug in Immingham
harbour, Lincolnshire
25 Jun 11
Karin Schepers
(No 10/2012)
Container vessel Grounding at Pendeen, Cornwall 3 Aug 11
Dette G
(No 11/2012)
Container vessel Fatal man overboard during cargo operations while
alongside in Queen Elizabeth Dock, Hull
16 Jan 12
Chiefton
(No 12/2012)
Tug Collision, capsize and foundering, with
the loss of one crew member at Greenwich Reach,
River Thames
12 Aug 11
Scot Pioneer
(No 13/2012)
Cargo vessel Fatal injury to a crewman during cargo operations
at Belview Port, Waterford, Republic of Ireland
27 Oct 11
Cameron
(No 14/2012)
Mooring vessel Serious injury to a chief offcer, Crosby Channel,
Liverpool
21 Nov 11
Ful l i nvest i gat i ons l i st
PART 1: I NVESTI GATI ONS/ PUBLI CATI ONS
9
Vessel Name
(Report No)
Vessel Type Accident Type Accident
Date
Clipper Point
(No 16/2012)
Ro-ro cargo ferry Contact between ferry and two berthed ships at the
Port of Heysham, Lancashire
24 May 11
Pride of Calais
(No 18/2012)
Ro-ro vessel Machinery failure leading to contact with the berth
in Calais, France
22 Oct 11
Tombarra Part A
The weight of the
rescue boat
(No 19A/2012)
Car carrier Fatality to a rescue boat crewman, Royal Portbury
Docks, Bristol
7 Feb 11
Tombarra Part B
The failure of the
fall wire
(No 19B/2012)
Car carrier Fatality of a rescue boat crewman, Royal Portbury
Docks, Bristol
7 Feb 11
Tempanos
(No 20/2012)
Container vessel Fatal accident on board the container vessel while
berthed in the Port of Felixstowe, UK
17 Dec 11
Moon Clipper
(No 21/2012)
High-speed
catamaran
Steering control failure and subsequent contact with
Tower Millenium Pier on the River Thames, London
resulting in injuries to 14 passengers and 2 crew
5 Oct 11
Ernest Bevin
(No 22/2012)
Ferry Fatal accident of a crew member on the Woolwich
ferry on the River Thames, London
3 Aug 11
SD Nimble
(No 23/2012)
Tug Accidental discharge of carbon dioxide resulting in
serious injury to a shore-based service engineer at
HM Naval Base Faslane, West Scotland
23 Aug 11
Springbok/Gas
Arctic
(No 24/2012)
Cargo ship/LPG
tanker
Collision in the English Channel 6nm south of
Dungeness
24 Mar 12
Saga Sapphire
(No 25/2012)
Cruise ship Two men overboard while conducting a lifeboat drill
alongside No 106 berth, Southampton
29 Mar 12
Stena Feronia/
Union Moon
(No 26/2012)
RoPax vessel/
cargo vessel
Collision in Belfast Lough, Northern Ireland 7 Mar 12
Norcape
(No 28/2012)
Ro-ro cargo ferry Windlass damage, grounding and accident to
person, Firth of Clyde and Troon Harbour, West
Scotland
26-27
Nov 11
Ful l i nvest i gat i ons l i st
10
MAI B ANNUAL REPORT 2012
Fishing Vessels
Vessel Name
(Report No)
Vessel Type Accident Type Accident
Date
Vellee
(No 1/2012)
Trawler Flooding and foundering in the Little Minch, West
Scotland
6 Aug 11
Golden Promise
(No 3/2012)
Scallop dredger Grounding off the Island of Stroma, North Scotland 7 Sep 11
About Time
(No 5/2012)
Potter Fatal man overboard off Pembrokeshire 14 Jun 11
Starlight Rays
(No 15/2012)
Trawler (working
as guard vessel)
Fatal accident to a crewman 126nm NNE of
Aberdeen
25 Aug 11
Moyuna
(No 17/2012)
Scallop dredger Grounding at the entrance to Ardglass Harbour,
Northern Ireland
21 Nov 11
Onward
(No 27/2012)
Stern trawler Fire on board fshing vessel 60nm off the north
coast of Scotland resulting in the loss of the vessel
11 Apr 12
Small Craft
Lion
(No 4/2012)
Refex 38 yacht Fatal man overboard 14.5 miles south of Selsey
Bill, West Sussex
18 Jun 11
Morfl/Sun Clipper
(No 8/2012)
See Merchant vessel section for details

Publ i cat i ons l i st
11
PART 2: RECOMMENDATI ONS
PART 2
RECOMMENDATIONS
12
MAI B ANNUAL REPORT 2012
RECOMMENDATIONS
Responses to safety recommendations issued by the Marine Accident Investigation Branch.
This report is submitted to the Secretary of State for Transport in accordance with The Merchant
Shipping (Accident Reporting and Investigation) Regulations 2012, regulation 16(5).
Page
Background 13
Recommendation response statistics 14
Recommendations methodology 15
Section A - 2012 recommendation responses 17
Section B - Recommendations to multiple recipients 38
Section C - Recommendations brought forward from previous years 40
Section D - Changes to previously reported recommendations 52
For details of abbreviations and acronyms used in this section please refer to the glossary on
page 73.
13
PART 2: RECOMMENDATI ONS
BACKGROUND
Recommendations are a key element of MAIB investigations. They are made to promulgate the
lessons from accidents investigated by the MAIB, with the aim of improving the safety of life at sea
and the avoidance of future accidents. The issue of a recommendation shall in no case create a
presumption of blame or liability.
Following a full investigation the MAIB will, normally, make a number of recommendations.
These will be contained within the published report but will also be addressed to the individuals
or senior executives of organisations concerned, in writing, by the Chief Inspector. Urgent safety
recommendations may also be made in Safety Bulletins that can be published at any stage of an
investigation.
Recommendations are made to a variety of addressees who might have been involved in, or have
an interest in, the accident. These may range from those organisations which have a wider role in
the maritime community such as the Department for Transport (DfT), the Maritime and Coastguard
Agency (MCA) or an international organisation, through to commercial operators and vessel
owners/operators who may have specifc issues to address on board their vessels.
It is required by the Merchant Shipping (Accident Reporting and Investigation) Regulations
2012 that the person or organisation to whom a recommendation is addressed, consider the
recommendation, and reply to the Chief Inspector within 30 days on the plans to implement the
recommendation or, if it is not going to be implemented, provide an explanation as to why not. The
Regulations also require the Chief Inspector to inform the Secretary of State of those matters
annually, and to make the matters publicly available. This Annual Report to the Secretary of State
for Transport fulfls this requirement.
14
MAI B ANNUAL REPORT 2012
RECOMMENDATION RESPONSE STATISTICS 2012
54 recommendations were issued in 2012. Of these, the percentage of all recommendations
that are either accepted or accepted yet to be implemented is 94.4 %.
Throughout the report recommendations are categorised under four broad headings according
to the industry sector to which they apply: General Maritime, Commercial Shipping, Fishing
Vessels or Leisure Vessels.
Focus
Subtotal
Accepted
Action
Implemented
Accepted
Action
yet to be
Implemented
Partially
Accepted
Rejected
No Response
Received
Commercial
Shipping
36 27 9 - - -
Fishing
Vessels
7 5 - - - 2
Leisure
Vessels
3 2 - - 1 -
General
Maritime
8 7 1 - - -
Total 54 41 10 - 1 2
Details of all these recommendations are at Sections A-C.
RECOMMENDATION RESPONSE STATISTICS 2004 to 2011
The following table shows the equivalent status of recommendations issued in 2004 to 2011 as
published in the MAIBs previous Recommendations Annual Reports.
Year Total
Accepted
Action
Implemented
Accepted
Action yet to be
Implemented
Partially
Accepted
Rejected
No Response
Received
2011 57 33 21 2 - 1
2010 50 36 14 - - -
2009 117 74 29 7 - 7
2008 110 71 31 5 - 3
2007 136 109 23 1 1 2
2006 139 103 30 3 3 -
2005 140 122 14 1 1 2
2004 171 93 52 11 11 4
Of the 214 recommendations listed as accepted yet to be implemented (at time of publication
of relevant annual report):
87.4% have now been fully implemented
12.6% remain planned to be implemented.
15
PART 2: RECOMMENDATI ONS
RECOMMENDATION METHODOLOGY
SECTION A - 2012 recommendation responses.
SECTION B - Recommendations to multiple recipients (not included in the statistics).
SECTION C - Recommendations brought forward from previous years.
SECTION D - Changes to previously reported recommendations.
Section A presents all of the recommendations issued in 2012 in ascending numerical order. Each
one is accompanied by the vessel/accident type, level and industry focus of the recommendation.
Where it is appropriate MAIB has included a comment alongside the recommendation narrative.
Section C lists recommendations issued in previous years that remain open; they are presented
in descending numerical order under the year in which they were issued. The actions being taken
to meet these recommendations are ongoing, so each one is accompanied by a target date for
implementation and a comment if needed.
KEY
Levels
The level of the recommendation refers to the type of action required by the recipient. There are
three levels of recommendation:
Level 1 recommendations These have the broadest importance, and may include the
requirement for new legislation or changes in policy.
Level 2 recommendations Addressed to industry bodies and organisations which may call
for changes or reinforcement of best practice.
Level 3 recommendations Those which are addressed to individual owners or companies
which are specifc to their vessel or company.
Focus
The focus refers to the sector of industry that the recommendation was applied to:
C (Commercial Shipping) Merchant vessels and small commercial craft.
FV (Fishing Vessel) Registered fshing vessels holding a DEFRA fshing vessel
licence.
L (Leisure) Recreational vessels, whether operated commercially or
privately owned.
G (General Maritime) Recommendations that have wider application.
16
MAI B ANNUAL REPORT 2012
Colour coding
Green : The actions included in these recommendations have been fully accepted by the
recipient, and the changes have been fully implemented.
Yellow : These recommendations have been accepted by the recipient, but the actions needed
to close the recommendation are outstanding. Where known, target dates for full
implementation are given.
Red : These recommendations have either been partially accepted or rejected by the
addressee, or no response has yet been received by the MAIB. Partially accepted
and rejected recommendations include comments in the Annual Report and offer the
opportunity to comment to the addressee.
SUMMARY TABLE FOR LEVEL 1, 2 AND 3 RECOMMENDATIONS
Focus Total
Accepted
Action
Implemented
Accepted
Action yet
to be
Implemented
Partially
Accepted
Rejected
No Response
Received
Level 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3
Commercial
Shipping
4 7 25 - 4 23 4 3 2 - - - - - - - - -
Fishing
Vessels
0 - 7 1 - 5 - - - - - - - - - - - 2
Leisure
Vessels
2 1 - 1 1 - - - - - - - 1 - - - - -
General
Maritime
- 2 6 - 1 6 - 1 0 - - - - - - - - -
Total 6 10 38 2 6 34 4 4 2 - - - 1 - - - - 2
17
PART 2: RECOMMENDATI ONS
Section A
2012 RECOMMENDATION RESPONSES
18
MAI B ANNUAL REPORT 2012

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a
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t
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a
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C
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M
a
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:


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s

b
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v
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.


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a
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a
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c
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h
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3
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M
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3
1
3

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,

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w
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a
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m
.


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n
s
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a
l
l

c
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w

m
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m
b
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c
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a
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m
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d
a
t
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y

s
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t
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w
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u
p
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t

a
t

t
i
m
e

o
f

p
u
b
l
i
c
a
t
i
o
n
19
PART 2: RECOMMENDATI ONS
C
a
s
e
I
n
v
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s
t
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g
a
t
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V
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4
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M
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t
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:

R
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l

O
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n

R
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.


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.


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w
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c
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f
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3
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y

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:


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c
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;


E
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;


E
v
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s

p
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b
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;


A
p
p
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a
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s
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p
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a
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f
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n

d
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v
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(
P
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s
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a
n
d

p
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o
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a
l

l
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c
a
t
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b
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a
c
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s

(
P
L
B
s
)
;


E
n
s
u
r
i
n
g

a
l
l

c
r
e
w

h
a
v
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c
o
m
p
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t
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f
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y

t
r
a
i
n
i
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g

c
o
u
r
s
e
s
.
20
MAI B ANNUAL REPORT 2012
C
a
s
e
I
n
v
e
s
t
i
g
a
t
i
o
n
V
e
s
s
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v
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l
1
0
6
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3
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s
h
o
u
l
d
,

a
s

a

m
i
n
i
m
u
m
:


E
n
s
u
r
e

o
n
b
o
a
r
d

w
o
r
k
i
n
g

p
r
a
c
t
i
c
e
s

m
a
k
e

b
e
s
t

u
s
e

o
f

t
h
e

c
r
e
w

r
e
s
o
u
r
c
e
s

a
v
a
i
l
a
b
l
e
,

a
n
d

c
o
m
p
l
y

w
i
t
h

a
l
l

a
p
p
r
o
p
r
i
a
t
e

i
n
t
e
r
n
a
t
i
o
n
a
l
,

F
l
a
g

S
t
a
t
e

a
n
d

l
o
c
a
l

m
a
r
i
t
i
m
e

r
e
g
u
l
a
t
o
r
y

r
e
q
u
i
r
e
m
e
n
t
s
.


E
n
s
u
r
e

i
t
s

i
n
s
t
r
u
c
t
i
o
n
s

a
n
d

p
r
o
c
e
d
u
r
e
s

a
r
e

a
c
h
i
e
v
a
b
l
e
,

a
r
e

a
d
h
e
r
e
d

t
o

o
n

b
o
a
r
d
,

a
n
d

r
e
f
e
c
t

t
h
e

m
a
c
h
i
n
e
r
y

a
n
d

c
o
n
t
r
o
l

s
y
s
t
e
m
s

f
t
t
e
d

t
o

i
t
s

v
e
s
s
e
l
s
.


E
n
s
u
r
e

a
l
l

i
t
s

v
e
s
s
e
l
s

a
r
e

p
r
o
v
i
d
e
d

w
i
t
h

m
a
n
u
f
a
c
t
u
r
e
r
s


i
n
s
t
r
u
c
t
i
o
n

m
a
n
u
a
l
s
,

i
n

t
h
e

d
e
s
i
g
n
a
t
e
d

w
o
r
k
i
n
g

l
a
n
g
u
a
g
e
,

f
o
r

a
l
l

c
r
i
t
i
c
a
l

e
q
u
i
p
m
e
n
t

a
n
d

s
y
s
t
e
m
s

o
n

b
o
a
r
d
.


R
e
v
i
e
w

o
n
b
o
a
r
d

t
r
a
i
n
i
n
g
,

a
n
d

t
a
k
e

a
p
p
r
o
p
r
i
a
t
e

a
c
t
i
o
n

t
o

i
m
p
r
o
v
e

i
t
s

c
r
e
w
s


e
m
e
r
g
e
n
c
y

r
e
s
p
o
n
s
e

p
e
r
f
o
r
m
a
n
c
e
.

P
a
r
t
i
c
u
l
a
r

c
o
n
s
i
d
e
r
a
t
i
o
n

s
h
o
u
l
d

b
e

g
i
v
e
n

t
o

p
r
o
m
o
t
i
n
g

c
r
e
w

r
e
s
o
u
r
c
e

m
a
n
a
g
e
m
e
n
t

a
n
d

i
m
p
r
o
v
i
n
g

t
h
e

s
t
a
n
d
a
r
d
s

o
f

i
n
t
e
r
n
a
l

c
o
m
m
u
n
i
c
a
t
i
o
n
s
.


D
e
v
e
l
o
p

a

r
o
b
u
s
t

p
r
o
c
e
s
s

f
o
r

m
a
n
a
g
i
n
g

s
a
f
e
t
y
-
r
e
l
a
t
e
d

o
b
s
e
r
v
a
t
i
o
n
s

m
a
d
e

b
y

e
x
t
e
r
n
a
l

b
o
d
i
e
s

a
n
d

r
e
c
o
r
d
i
n
g

a
n
y

r
e
l
a
t
e
d

c
o
r
r
e
c
t
i
v
e

a
c
t
i
o
n
s

t
a
k
e
n
.
21
PART 2: RECOMMENDATI ONS
C
a
s
e
I
n
v
e
s
t
i
g
a
t
i
o
n
V
e
s
s
e
l
/
A
c
c
i
d
e
n
t

t
y
p
e
N
a
r
r
a
t
i
v
e

a
n
d

A
d
d
r
e
s
s
e
e
F
o
c
u
s
L
e
v
e
l
1
0
7
B
l
u
e

N
o
t
e
D
r
y

c
a
r
g
o

v
e
s
s
e
l
D
e
r
a
i
l
m
e
n
t

o
f

t
h
e

h
a
t
c
h
-
l
i
d

g
a
n
t
r
y

c
r
a
n
e

w
h
i
l
e

a
l
o
n
g
s
i
d
e
.
(
R
e
p
o
r
t

7
/
2
0
1
2
)
M
a
d
e

t
o
:

R
e
e
d
e
r
e
i
-
M
e
y
e
r
i
n
g

G
m
b
H

A
c
c
e
p
t
e
d
,

f
u
l
l
y

i
m
p
l
e
m
e
n
t
e
d
C
3
E
n
s
u
r
e

t
h
a
t

c
r
e
w
s

o
n

i
t
s

v
e
s
s
e
l
s

c
o
m
p
l
y

w
i
t
h

t
h
e

i
n
t
e
n
t

o
f

t
h
e

I
n
t
e
r
n
a
t
i
o
n
a
l

S
a
f
e
t
y

M
a
n
a
g
e
m
e
n
t

C
o
d
e

a
n
d

a
p
p
l
i
c
a
b
l
e

n
a
t
i
o
n
a
l

a
n
d

i
n
t
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a
t
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n
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l

l
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f
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e
q
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p
m
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n
t

r
e
g
u
l
a
t
i
o
n
s

b
y
:


T
h
e

e
s
t
a
b
l
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s
h
m
e
n
t

o
f

f
o
r
m
a
l
,

w
r
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t
t
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n

r
i
s
k

a
s
s
e
s
s
m
e
n
t
s

o
f

s
h
i
p
b
o
a
r
d

a
c
t
i
v
i
t
i
e
s
.


T
h
e

p
r
o
v
i
s
i
o
n

o
f

e
q
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i
p
m
e
n
t

p
l
a
n
n
e
d

m
a
i
n
t
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n
a
n
c
e

s
c
h
e
d
u
l
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s

a
n
d

s
y
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e
m
s

f
o
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r
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c
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d
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m
a
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n
a
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f

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p
a
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s
.


E
n
s
u
r
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t
h
a
t

a
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r
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l
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v
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m
a
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s


m
a
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f
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a
n
d

m
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q
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t

a
r
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p
r
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v
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d
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d

o
n

b
o
a
r
d

i
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s

v
e
s
s
e
l
s
.


T
h
e

i
n
t
r
o
d
u
c
t
i
o
n

o
f

a

r
e
q
u
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r
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m
e
n
t

f
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r

s
p
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c
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c

t
r
a
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g

a
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d

a

c
o
m
p
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n
c
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c
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c
k

f
o
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t
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o
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e

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w

m
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m
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d

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m
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s
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n

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r
a
i
n
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g
.
1
0
8
B
l
u
e

N
o
t
e
D
r
y

C
a
r
g
o

v
e
s
s
e
l
D
e
r
a
i
l
m
e
n
t

o
f

t
h
e

h
a
t
c
h
-
l
i
d

g
a
n
t
r
y

c
r
a
n
e

w
h
i
l
e

a
l
o
n
g
s
i
d
e
.
(
R
e
p
o
r
t

7
/
2
0
1
2
)
M
a
d
e

t
o
:

M
a
r
i
n
e
r

S
h
i
p

s

E
q
u
i
p
m
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n
t

A
c
c
e
p
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e
d
,

f
u
l
l
y

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m
p
l
e
m
e
n
t
e
d
C
3
R
e
v
i
s
e

i
t
s

g
a
n
t
r
y

c
r
a
n
e

d
e
s
i
g
n

t
o
:


P
r
o
v
i
d
e

a

f
a
c
i
l
i
t
y

f
o
r

t
h
e

c
r
e
w

t
o

s
a
f
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l
y

a
n
d

e
f
f
c
i
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n
t
l
y

c
h
e
c
k

t
h
a
t

t
h
e

h
o
o
k
s

a
r
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f
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d

i
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h
a
t
c
h
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l
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d

s

s
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o
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s
.


N
o
t
w
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s
t
a
n
d
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g

a
c
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n
,

p
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r

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a
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(
s
u
c
h

a
s

b
y

p
a
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n
t
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g

t
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n
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n

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v
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c
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o
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r
,

o
r

b
y

o
t
h
e
r

m
e
a
n
s
)
.
22
MAI B ANNUAL REPORT 2012
C
a
s
e
I
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v
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s
t
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g
a
t
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n
V
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A
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F
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1
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n

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1
.

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o

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2
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.
3
.

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p
l
o
r
e

o
n
l
i
n
e

p
r
o
m
o
t
i
o
n
a
l

m
a
t
e
r
i
a
l
.
4
.

T
o

e
n
g
a
g
e

o
t
h
e
r

n
a
t
i
o
n
a
l

g
o
v
e
r
n
i
n
g

b
o
d
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e
s

a
n
d

t
h
e

R
N
L
I

i
n

t
h
e

i
n
i
t
i
a
t
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v
e
.
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f

t
h
i
s

n
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a
d
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e

i
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e
f
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c
t
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a
n
d

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r
e

c
o
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t
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s

t
o

b
e

n
o

s
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a
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a
l
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-
r
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d

a
c
c
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d
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n
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s

i
n
v
o
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v
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l
e
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s
u
r
e

u
s
e
r
s
,

t
h
e
n

t
h
e
r
e

i
s

n
o

i
m
m
e
d
i
a
t
e

n
e
e
d

f
o
r

l
e
g
i
s
l
a
t
i
o
n
.
M
A
I
B

c
o
m
m
e
n
t
:
T
h
e

D
e
p
a
r
t
m
e
n
t

s

d
e
c
i
s
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o
n

t
o

a
d
d
r
e
s
s

t
h
e

p
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b
l
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m

o
f

t
h
e

c
o
n
s
u
m
p
t
i
o
n

o
f

a
l
c
o
h
o
l

b
y

n
o
n
-
p
r
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f
e
s
s
i
o
n
a
l

m
a
r
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n
e
r
s

t
h
r
o
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g
h

a

p
r
o
g
r
a
m
m
e

o
f

e
d
u
c
a
t
i
o
n
,

r
a
t
h
e
r

t
h
a
n

l
e
g
i
s
l
a
t
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o
n

i
s

n
o
t
e
d
.

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t

i
s

h
o
p
e
d

t
h
a
t

t
h
i
s

a
p
p
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o
a
c
h

w
i
l
l

d
e
l
i
v
e
r

t
h
e

d
e
s
i
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d

o
u
t
c
o
m
e
.

H
o
w
e
v
e
r
,

t
h
e

M
A
I
B

c
o
n
t
i
n
u
e
s

t
o

b
e
l
i
e
v
e

t
h
a
t

t
h
e

i
n
t
r
o
d
u
c
t
i
o
n

o
f

a
p
p
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o
p
r
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a
t
e
,

p
r
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p
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n
a
t
e

l
e
g
i
s
l
a
t
i
o
n

i
s

a

p
r
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r
e
q
u
i
s
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e

t
o

c
h
a
n
g
i
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g

t
h
e

a
t
t
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t
u
d
e
s

o
f

a

s
m
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l
l

m
i
n
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y

o
f

n
o
n
-
p
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f
e
s
s
i
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n
a
l

m
a
r
i
n
e
r
s

w
h
o

a
r
e

c
o
n
t
e
n
t

t
o

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a
k
e

t
o

t
h
e

w
a
t
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r

a
f
t
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r

c
o
n
s
u
m
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e
x
c
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s
s
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v
e

q
u
a
n
t
i
t
i
e
s

o
f

a
l
c
o
h
o
l
.
23
PART 2: RECOMMENDATI ONS
C
a
s
e
I
n
v
e
s
t
i
g
a
t
i
o
n
V
e
s
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c
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n
t

t
y
p
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r
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n
d

A
d
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s
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l
1
1
0
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o
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u
n

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l
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i
d
-
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u
l
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e
d

i
n
f
a
t
a
b
l
e

b
o
a
t

a
n
d

p
a
s
s
e
n
g
e
r

v
e
s
s
e
l

C
o
l
l
i
s
i
o
n
.
(
R
e
p
o
r
t

8
/
2
0
1
2
)
M
a
d
e

t
o
:

P
o
r
t

o
f

L
o
n
d
o
n

A
u
t
h
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y

A
c
c
e
p
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e
d
,

f
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l
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y

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m
p
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e
m
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n
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d
L
1
T
a
k
e

a
c
t
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o
n

t
o

f
u
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r

e
n
h
a
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e

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s
a
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n
a
v
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g
a
t
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o
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l
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o
n

t
h
e

R
i
v
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r

T
h
a
m
e
s
,

t
a
k
i
n
g

i
n
t
o

a
c
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t

t
h
e

i
n
c
r
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a
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x
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o
n

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r
i
v
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r

i
n

2
0
1
2
,

b
y
:


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n
t
r
o
d
u
c
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g

a
s

q
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c
k
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y

a
s

p
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s
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b
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m
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d
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s
p
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l
i
m
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n

t
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a
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a
s

o
f

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R
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v
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r

T
h
a
m
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w
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l
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h
a
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r
m
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d

t
o

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s
s
a
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b
y

r
i
s
k

a
s
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s
m
e
n
t
.


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x
p
l
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g

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d

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m
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p
r
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m
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a
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l
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a
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n
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d
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o

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a
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R
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v
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r

T
h
a
m
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s
,

p
a
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r
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y

t
h
o
s
e

w
h
o

a
r
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n
o
t

m
e
m
b
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f
,

o
r

a
f
f
l
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t
o
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t
h
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r
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v
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c
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n
d

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o
c
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a
t
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o
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s
.
1
1
1
S
a
f
f
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r
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g
o

v
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l
F
a
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l
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f

t
h
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c
o
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t
r
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l
l
a
b
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p
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t
c
h

p
r
o
p
e
l
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r
.
(
R
e
p
o
r
t

9
/
2
0
1
2
)
M
a
d
e

t
o
:

D
e

B
o
c
k

M
a
r
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t
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m

B
.
V
.

A
c
c
e
p
t
e
d
,

f
u
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y

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m
p
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e
m
e
n
t
e
d
C
3
R
e
v
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e
w

S
a
f
f
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r

s

s
a
f
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t
y

m
a
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e
m
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t

s
y
s
t
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m

i
n

o
r
d
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r

t
o
:


I
m
p
r
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v
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s
h
i
p

s

o
f
f
c
e
r
s


i
n
d
u
c
t
i
o
n

p
r
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c
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d
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s

a
n
d

t
r
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n
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g

f
o
r

t
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e

m
a
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n

p
r
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p
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l
s
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n

s
y
s
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m

a
n
d

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t
s

m
a
n
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e
u
v
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g

c
o
n
t
r
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l
s
.


E
n
s
u
r
e

a

f
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l

r
a
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e

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f

a
h
e
a
d

a
n
d

a
s
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p
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d
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a
r
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v
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.


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l
a
r
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f
y

a
n
c
h
o
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a
n
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a
n
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.


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u
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r
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s
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p

s

c
r
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w

t
o

c
a
r
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d
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d
r
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t
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p
r
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c
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t
h
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c
o
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r
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p
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p
r
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p
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f
a
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s
.


R
e
g
u
l
a
r
l
y

t
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t

t
h
e

a
r
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a
n
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m
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p
r
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d
e
d

f
o
r

t
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e

o
p
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r
a
t
i
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o
f

p
r
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p
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s
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s
y
s
t
e
m
s

i
n

a
n

e
m
e
r
g
e
n
c
y
.
1
1
2
S
a
f
f
e
r
C
a
r
g
o

v
e
s
s
e
l
F
a
i
l
u
r
e

o
f

t
h
e

c
o
n
t
r
o
l
l
a
b
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e

p
i
t
c
h

p
r
o
p
e
l
l
e
r
.
(
R
e
p
o
r
t

9
/
2
0
1
2
)
M
a
d
e

t
o
:

M
A
N

D
i
e
s
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l

a
n
d

T
u
r
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o

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E

A
c
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p
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e
d
,

f
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m
e
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d
C
3
E
n
h
a
n
c
e

t
h
e

a
p
p
e
a
r
a
n
c
e

a
n
d

l
a
b
e
l
l
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g

o
f

t
h
e

b
a
c
k
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p

c
o
n
t
r
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u
t
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n

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l
p
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a
t
r
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c

2
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P
r
o
p
u
l
s
i
o
n

C
o
n
t
r
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l

S
y
s
t
e
m
s

s
o

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h
a
t

d
u
r
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n

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m
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s

m
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e

r
e
a
d
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l
y

a
p
p
a
r
e
n
t
.
24
MAI B ANNUAL REPORT 2012
C
a
s
e
I
n
v
e
s
t
i
g
a
t
i
o
n
V
e
s
s
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/
A
c
c
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t
y
p
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N
a
r
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n
d

A
d
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F
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e
v
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l
1
1
3
S
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f
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C
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l
F
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f

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h
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o
n
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l
l
a
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p
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h

p
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p
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r
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R
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9
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2
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)
M
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t
o
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r
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V
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C
3
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m
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1
1
4
K
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,

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y
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d
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a

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e

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0
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1
6
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h
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m
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p
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1
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2
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w
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p
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b
l
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c
a
t
i
o
n
25
PART 2: RECOMMENDATI ONS
C
a
s
e
I
n
v
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s
t
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g
a
t
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n
V
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d
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1
1
7
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h
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f
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T
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n
,

c
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p
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f
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w
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c
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m
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(
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p
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1
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2
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)
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p
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t
o
w
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p
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:


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g

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p
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.


T
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.


T
h
e

a
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a
d
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r
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k

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d
,

s
p
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n
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s
y
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d
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M
a
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e

G
u
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d
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N
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u
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t

2
0
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1
1
8
C
h
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e
f
t
o
n
T
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C
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o
n
,

c
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p
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f
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w
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e


c
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w

m
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m
b
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.
(
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p
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1
2
/
2
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2
)
M
a
d
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t
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:

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T
A
,

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W
A
,

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,

U
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M
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A
c
c
e
p
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d
,

f
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d
C
2
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m
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M
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s

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a
f
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l
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r

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A
n
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J

t
o

t
h
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r

m
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m
b
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r
s
h
i
p
.
1
1
9
C
h
i
e
f
t
o
n
T
u
g
C
o
l
l
i
s
i
o
n
,

c
a
p
s
i
z
e

a
n
d

f
o
u
n
d
e
r
i
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g

w
i
t
h

t
h
e

l
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s

o
f

o
n
e

c
r
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w

m
e
m
b
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r
.
(
R
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p
o
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t

1
2
/
2
0
1
2
)
M
a
d
e

t
o
:

P
a
l
m
e
r

M
a
r
i
n
e

S
e
r
v
i
c
e
s

L
t
d

A
c
c
e
p
t
e
d
,

f
u
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y

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m
p
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e
m
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d
C
3
R
e
v
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w

i
t
s

p
r
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c
e
d
u
r
e
s

t
o

e
n
s
u
r
e

c
o
m
p
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a
n
c
e

w
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h

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h
e

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A

s

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P
r
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f
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T
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w
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e

O
p
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s

o
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h
e

T
h
a
m
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s

2
0
1
1

a
n
d

t
h
e

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C
A

s

S
m
a
l
l

C
o
m
m
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c
i
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V
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s
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a
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P
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l
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t

B
o
a
t

C
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d
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i
n

r
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s
p
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t

t
o
:


T
o
w
i
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g

h
o
o
k

t
e
s
t
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n
g
,

m
a
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n
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a
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d

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c
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d

k
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p
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g


U
s
e

o
f

l
i
f
e
j
a
c
k
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t
s


M
a
i
n
t
a
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g

w
a
t
e
r
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t

i
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g
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y


C
o
n
d
u
c
t

o
f

r
i
s
k

a
s
s
e
s
s
m
e
n
t
s
.
26
MAI B ANNUAL REPORT 2012
C
a
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e
I
n
v
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s
t
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g
a
t
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o
n
V
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1
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.
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O
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f
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3
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t
h
a
t

t
h
e

u
s
e

o
n

b
o
a
r
d

o
f

a
n
y

p
o
r
t
a
b
l
e

e
n
g
i
n
e
-
d
r
i
v
e
n

p
u
m
p
s

i
s

i
n

a
c
c
o
r
d
a
n
c
e

w
i
t
h

t
h
e

g
u
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d
a
n
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p
r
o
v
i
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d

b
y

t
h
e

M
C
A
.


E
d
u
c
a
t
i
n
g

a
n
d

s
u
p
e
r
v
i
s
i
n
g

c
r
e
w

t
o

p
r
e
v
e
n
t

t
h
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m

f
r
o
m

u
s
i
n
g

d
a
n
g
e
r
o
u
s

w
o
r
k
i
n
g

p
r
a
c
t
i
c
e
s
.
1
2
1
C
a
m
e
r
o
n
M
o
o
r
i
n
g

v
e
s
s
e
l
S
e
r
i
o
u
s

i
n
j
u
r
y

t
o

c
r
e
w
m
a
n
.
R
e
p
o
r
t

1
4
/
2
0
1
2
)
M
a
d
e

t
o
:

B
r
i
g
g
s

M
a
r
i
n
e

C
o
n
t
r
a
c
t
o
r
s

L
t
d

A
c
c
e
p
t
e
d
,

f
u
l
l
y

i
m
p
l
e
m
e
n
t
e
d
C
3
I
n
t
r
o
d
u
c
e

m
e
a
s
u
r
e
s

t
o

i
m
p
r
o
v
e

t
h
e

s
a
f
e
t
y

o
f

d
e
c
k

o
p
e
r
a
t
i
o
n
s

c
o
n
d
u
c
t
e
d

o
n

b
o
a
r
d

i
t
s

v
e
s
s
e
l
s
,

b
y

e
n
s
u
r
i
n
g

t
h
a
t
:


A
l
l

t
a
s
k
s

a
r
e

a
p
p
r
o
p
r
i
a
t
e
l
y

p
l
a
n
n
e
d

a
n
d

b
r
i
e
f
e
d
.


S
u
p
e
r
v
i
s
i
n
g

o
f
f
c
e
r
s

a
n
d

r
a
t
i
n
g
s

m
a
i
n
t
a
i
n

a
n

o
b
j
e
c
t
i
v
e

o
v
e
r
v
i
e
w

o
f

t
h
e

w
o
r
k

b
e
i
n
g

u
n
d
e
r
t
a
k
e
n
.


R
i
s
k
s

a
s
s
o
c
i
a
t
e
d

w
i
t
h

l
i
f
t
i
n
g

o
p
e
r
a
t
i
o
n
s

a
r
e

i
d
e
n
t
i
f
e
d
,

a
s
s
e
s
s
e
d
,

a
n
d

h
a
v
e

a
p
p
r
o
p
r
i
a
t
e

c
o
n
t
r
o
l

m
e
a
s
u
r
e
s

i
n

p
l
a
c
e
,

a
n
d


A
l
l

c
r
e
w

a
r
e

f
a
m
i
l
i
a
r

w
i
t
h
,

a
n
d

a
d
h
e
r
e

t
o
,

a
p
p
l
i
c
a
b
l
e

r
e
g
u
l
a
t
i
o
n
s

a
n
d

g
u
i
d
a
n
c
e
.
1
2
2
C
l
i
p
p
e
r

P
o
i
n
t
R
o
-
r
o

c
a
r
g
o

v
e
s
s
e
l
C
o
n
t
a
c
t

b
e
t
w
e
e
n

f
e
r
r
y

a
n
d

t
w
o

b
e
r
t
h
e
d

s
h
i
p
s
.
(
R
e
p
o
r
t

1
6
/
2
0
1
2
)
M
a
d
e

t
o
:

S
e
a
t
r
u
c
k

F
e
r
r
i
e
s

L
t
d

A
c
c
e
p
t
e
d
,

f
u
l
l
y

i
m
p
l
e
m
e
n
t
e
d
C
3
W
o
r
k

w
i
t
h

o
t
h
e
r

s
t
a
k
e
h
o
l
d
e
r
s

i
n

t
h
e

P
o
r
t

o
f

H
e
y
s
h
a
m
,

a
n
d

d
e
v
e
l
o
p

a
n
d

i
m
p
l
e
m
e
n
t

a

p
r
o
g
r
a
m
m
e

t
o

e
n
s
u
r
e

t
h
a
t

t
h
e
i
r

b
r
i
d
g
e

t
e
a
m
s

a
r
e

p
r
o
p
e
r
l
y

t
r
a
i
n
e
d

a
n
d

s
u
p
p
o
r
t
e
d

t
o

e
n
a
b
l
e

t
h
e
m

t
o

i
m
p
r
o
v
e

t
h
e
i
r

p
e
r
f
o
r
m
a
n
c
e

t
o

a
v
o
i
d

o
n
e

p
e
r
s
o
n

s

e
r
r
o
r

l
e
a
d
i
n
g

t
o

a
n

a
c
c
i
d
e
n
t
.
27
PART 2: RECOMMENDATI ONS
C
a
s
e
I
n
v
e
s
t
i
g
a
t
i
o
n
V
e
s
s
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c
c
i
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t
y
p
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N
a
r
r
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a
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d

A
d
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s
s
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F
o
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L
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l
1
2
3
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l
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p
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r

P
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R
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c
a
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v
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C
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a
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t

b
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t
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n

f
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r
y

a
n
d

t
w
o

b
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r
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h
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d

s
h
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p
s
.
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R
e
p
o
r
t

1
6
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2
0
1
2
)
M
a
d
e

t
o
:

H
e
y
s
h
a
m

P
o
r
t

L
t
d

A
c
c
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p
t
e
d
,

f
u
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l
y

i
m
p
l
e
m
e
n
t
e
d
G
3
R
e
v
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e
w

t
h
e

i
m
p
l
e
m
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n
t
a
t
i
o
n

o
f

t
h
e

P
o
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t

M
a
r
i
n
e

S
a
f
e
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y

C
o
d
e

i
n

t
h
e

P
o
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t

o
f

H
e
y
s
h
a
m

t
o

e
n
s
u
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e

t
h
a
t
:


I
t
s

r
i
s
k

a
s
s
e
s
s
m
e
n
t

i
s

a
n

a
c
c
u
r
a
t
e

a
s
s
e
s
s
m
e
n
t

o
f

t
h
e

p
o
r
t

s

r
i
s
k
s
.


C
o
m
m
u
n
i
c
a
t
i
o
n

b
e
t
w
e
e
n

t
h
e

p
o
r
t

s

m
a
n
a
g
e
r
s

a
n
d

t
h
e

p
o
r
t

s

u
s
e
r
s

i
s

e
f
f
e
c
t
i
v
e

a
n
d

p
r
o
a
c
t
i
v
e
.


A

r
i
s
k
-
b
a
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e
d

p
r
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c
e
d
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r
e
,

t
h
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r
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q
u
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r
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s

f
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p
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r
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t
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d
e
m
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s
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h
o
w

t
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p
o
t
e
n
t
i
a
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h
a
z
a
r
d
s

f
r
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m

v
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s
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t
h
a
t

r
o
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t
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n
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y

u
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e

t
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p
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c
a
n

b
e

c
o
n
t
r
o
l
l
e
d
,

i
s

e
s
t
a
b
l
i
s
h
e
d
.


T
h
e

p
r
o
v
i
s
i
o
n

o
f

t
o
w
a
g
e

s
e
r
v
i
c
e
s

i
s

a
p
p
r
o
p
r
i
a
t
e
.
1
2
4
C
l
i
p
p
e
r

P
o
i
n
t
R
o
-
r
o

c
a
r
g
o

v
e
s
s
e
l
C
o
n
t
a
c
t

b
e
t
w
e
e
n

f
e
r
r
y

a
n
d

t
w
o

b
e
r
t
h
e
d

s
h
i
p
s
.
(
R
e
p
o
r
t

1
6
/
2
0
1
2
)
M
a
d
e

t
o
:

M
C
A

A
c
c
e
p
t
e
d
,

f
u
l
l
y

i
m
p
l
e
m
e
n
t
e
d
G
3
L
i
a
i
s
e

c
l
o
s
e
l
y

w
i
t
h

H
e
y
s
h
a
m

P
o
r
t

L
i
m
i
t
e
d

t
o

a
g
r
e
e

a

s
c
h
e
d
u
l
e

t
o

c
o
n
d
u
c
t

a

P
o
r
t

M
a
r
i
n
e

S
a
f
e
t
y

C
o
d
e

h
e
a
l
t
h

c
h
e
c
k


a
s

s
o
o
n

a
s

i
s

p
r
a
c
t
i
c
a
b
l
e

d
u
r
i
n
g

2
0
1
3
,

t
o

a
s
s
e
s
s

a
n
d

p
r
o
v
i
d
e

a
d
v
i
c
e

o
n

P
M
S
C

c
o
m
p
l
i
a
n
c
e
,

o
n
c
e

c
u
r
r
e
n
t

m
e
a
s
u
r
e
s

b
e
i
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g

t
a
k
e
n

b
y

t
h
e

p
o
r
t

a
u
t
h
o
r
i
t
y

t
o

e
n
h
a
n
c
e

i
t
s

s
a
f
e
t
y

m
a
n
a
g
e
m
e
n
t

p
r
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d
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s

h
a
v
e

b
e
e
n

i
m
p
l
e
m
e
n
t
e
d
.
28
MAI B ANNUAL REPORT 2012
C
a
s
e
I
n
v
e
s
t
i
g
a
t
i
o
n
V
e
s
s
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c
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t

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N
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r
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A
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F
o
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l
1
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5
M
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y
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a
F
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g

v
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G
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A
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F
V
3
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f
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o
n

b
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a
r
d

M
o
y
u
n
a
:


E
n
s
u
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s
k
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p
p
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a
n
d

c
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w

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u
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M
G
N

3
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(
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.


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.


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+
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o

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.


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d

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y

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C
o
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u
a
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.
1
2
6
M
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y
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F
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v
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G
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E
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.
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a
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P
&
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F
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m
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a
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o
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a
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m
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n
c
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s
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c
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k

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b
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a
c
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f
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c
o
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d

a
n
d

v
e
r
i
f
e
d
.
29
PART 2: RECOMMENDATI ONS
C
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A
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c
y
30
MAI B ANNUAL REPORT 2012
C
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a
s
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e
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e
d
,

t
a
k
i
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g

i
n
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o

a
c
c
o
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t
:


M
a
n
u
f
a
c
t
u
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e
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s


g
u
i
d
a
n
c
e


T
h
e

m
a
r
i
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e

e
n
v
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m
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t


S
y
s
t
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m

d
e
s
i
g
n
,

a
n
d


T
h
e

c
o
n
s
e
q
u
e
n
c
e
s

o
f

m
a
l
f
u
n
c
t
i
o
n
.
1
3
2
T
o
m
b
a
r
r
a

(
p
a
r
t

A
)
C
a
r

c
a
r
r
i
e
r
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a
t
a
l
i
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y

o
f

r
e
s
c
u
e

b
o
a
t

c
r
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w
m
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n
.
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R
e
p
o
r
t

1
9
A
/
2
0
1
2
)
M
a
d
e

t
o
:

U
m
o
e

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c
h
a
t
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H
a
r
d
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S

A
c
c
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p
t
e
d
,

f
u
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y

i
m
p
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m
e
n
t
e
d
C
3
W
o
r
k

w
i
t
h

t
h
e

o
w
n
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s

o
f

v
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t
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d

w
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t
h
e

S
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1
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5
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1
.
7
5

d
a
v
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t
s
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5
0
R
S

w
i
n
c
h
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1
5
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2
0
k
W

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l
e
c
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c

m
o
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r

c
o
m
b
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n
a
t
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o
n
s
,

t
o

e
n
s
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r
e

t
h
a
t

t
h
e

f
a
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l

w
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r

a
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y

p
a
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h
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d
a
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c
a
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d

t
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t
h
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p
o
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f
a
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e
.
1
3
3
T
o
m
b
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(
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a
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a
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a
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t
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l
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f

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s
c
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b
o
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c
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m
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.
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p
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r
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1
9
A
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2
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2
)
M
a
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m
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e

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c
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a
t
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S

A
c
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,

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y

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m
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m
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t
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d
C
3
R
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v
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w

a
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d

r
e
v
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e
:


T
h
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s
u
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b
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l
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n
d

u
s
e

o
f

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m
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w
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p


d
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v
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n

m
a
n
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l
i
f
t
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g

e
q
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p
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s
u
c
h

a
s

d
a
v
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t
s
.


I
t
s

i
n
t
e
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n
a
l

q
u
a
l
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y

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s
s
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e

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y
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s

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o

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n
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h
a
t

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q
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t

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o

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o
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o
n
d
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t
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s

o
f

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q
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p
m
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t

s

c
e
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f
c
a
t
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n
.


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t
s

d
a
v
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t

a
n
d

w
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n
c
h

o
p
e
r
a
t
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m
a
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n

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d
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r

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o

m
a
k
e

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l
e
a
r

t
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e

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e
d

t
o

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e
a
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e

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o
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g

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f
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d
a
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t

a
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m

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e
a
c
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e
s

t
h
e

d
a
v
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t

p
r
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x
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m
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y

s
w
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t
c
h
,

a
n
d

t
h
a
t

t
h
e

r
e
q
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r
e
m
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n
t
s

f
o
r

t
h
e

r
e
p
l
a
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e
m
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n
t

c
o
m
p
o
n
e
n
t
s

i
s

u
n
a
m
b
i
g
u
o
u
s
.
31
PART 2: RECOMMENDATI ONS
C
a
s
e
I
n
v
e
s
t
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g
a
t
i
o
n
V
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n
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A
d
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s
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o
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l
1
3
4
T
o
m
b
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r
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p
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r
t

B
)
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r

c
a
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t
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l
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y

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f

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s
c
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e

b
o
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t

c
r
e
w
m
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n
.
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p
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r
t

1
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B
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0
1
2
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a
d
e

t
o
:

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c
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u
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p
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o
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d

t
o
:


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n
s
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n
y

w
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o
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d

b
u
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y
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n
c
y

c
h
a
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s

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h
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n

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h
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e
n
c
l
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d

h
u
l
l
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s
c
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b
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a
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d

l
i
f
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b
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a
t
s

c
a
n

b
e

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a
s
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y

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e
m
o
v
e
d
.


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e
q
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e

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c
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a
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t

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a
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A

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c
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2
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d
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d
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v
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c
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;


W
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a

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b
e

t
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k
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;


D
r
a
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w
a
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f
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f
o
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u
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s
p
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s

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x
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r
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m
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d
i
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f
c
u
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u
n
l
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s

s
p
e
c
i
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c
a
l
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y

p
r
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v
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i
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d
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s
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e

r
e
s
c
u
e

b
o
a
t

o
r

l
i
f
e
b
o
a
t
;


T
h
e

i
n
t
e
r
n
a
l

q
u
a
l
i
t
y

c
o
n
t
r
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l

s
t
a
n
d
a
r
d
s

r
e
q
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r
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y

S
O
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A
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a
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d

t
h
e

M
E
D
,

a
n
d

s
t
r
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c
t

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f
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s
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p
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s


i
n
s
t
r
u
c
t
i
o
n
s
,

a
r
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s
s
e
n
t
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t
o

e
n
s
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r
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t
h
a
t

b
u
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f
o
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i
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p
r
o
d
u
c
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d

t
o

t
h
e

r
e
q
u
i
r
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d

l
e
v
e
l

o
f

q
u
a
l
i
t
y
.

F
o
l
l
o
w
-
u
p

l
e
t
t
e
r

w
r
i
t
t
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C
h
i
e
f

E
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c
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t
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M
a
r
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t
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m
e

a
n
d

C
o
a
s
t
g
u
a
r
d

A
g
e
n
c
y
32
MAI B ANNUAL REPORT 2012
C
a
s
e
I
n
v
e
s
t
i
g
a
t
i
o
n
V
e
s
s
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l
/
A
c
c
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n
t

t
y
p
e
N
a
r
r
a
t
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v
e

a
n
d

A
d
d
r
e
s
s
e
e
F
o
c
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s
L
e
v
e
l
1
3
7
T
e
m
p
a
n
o
s
C
o
n
t
a
i
n
e
r

v
e
s
s
e
l
F
a
t
a
l
i
t
y

f
r
o
m

f
a
l
l

i
n
t
o

c
a
r
g
o

h
o
l
d
.
(
R
e
p
o
r
t

2
0
/
2
0
1
2
)
M
a
d
e

t
o
:

S
o
u
t
h
e
r
n

S
h
i
p

M
a
n
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n
t

C
o
.

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.
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A
c
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p
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e
d
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y

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n
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d
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3
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m
p
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v
e

t
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e

s
t
a
n
d
a
r
d

o
f

o
c
c
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p
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l

s
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y

a
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d

p
r
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c
t
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n

f
o
r

c
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w

w
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k
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o
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v
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d
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c
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b
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a
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n

a
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s

m
a
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d

v
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s
s
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s

t
o

e
n
s
u
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t
h
a
t

t
h
e

r
i
s
k

o
f

w
a
l
k
i
n
g

c
l
o
s
e

t
o

p
a
r
t
l
y

o
p
e
n

h
o
l
d
s

i
s

i
d
e
n
t
i
f
e
d
,

a
n
d

c
o
n
t
r
o
l

m
e
a
s
u
r
e
s

a
r
e

p
u
t

i
n

p
l
a
c
e

t
o

p
r
e
v
e
n
t

p
e
r
s
o
n
n
e
l

f
r
o
m

f
a
l
l
i
n
g

i
n
t
o

h
o
l
d
s
.
1
3
8
T
e
m
p
a
n
o
s
C
o
n
t
a
i
n
e
r

v
e
s
s
e
l
F
a
t
a
l
i
t
y

f
r
o
m

f
a
l
l

i
n
t
o

c
a
r
g
o

h
o
l
d
.
(
R
e
p
o
r
t

2
0
/
2
0
1
2
)
M
a
d
e

t
o
:

H
u
t
c
h
i
s
o
n

P
o
r
t
s

U
K

A
c
c
e
p
t
e
d
,

f
u
l
l
y

i
m
p
l
e
m
e
n
t
e
d
G
3
E
n
s
u
r
e

i
t
s

c
o
n
t
a
i
n
e
r

t
e
r
m
i
n
a
l

s
t
a
f
f

c
o
n
d
u
c
t

s
a
f
e
t
y

m
e
e
t
i
n
g
s

w
i
t
h

c
r
e
w
s

o
f

v
i
s
i
t
i
n
g

c
o
n
t
a
i
n
e
r

v
e
s
s
e
l
s

b
e
f
o
r
e

t
h
e

c
o
m
m
e
n
c
e
m
e
n
t

o
f

c
a
r
g
o

o
p
e
r
a
t
i
o
n
s
.
1
3
9
M
o
o
n

c
l
i
p
p
e
r
H
i
g
h

s
p
e
e
d

c
a
t
a
m
a
r
a
n
S
t
e
e
r
i
n
g

c
o
n
t
r
o
l

f
a
i
l
u
r
e
.
(
R
e
p
o
r
t

2
1
/
2
0
1
2
)
M
a
d
e

t
o
:

C
o
l
l
i
n
s

R
i
v
e
r

E
n
t
e
r
p
r
i
s
e
s

L
t
d

A
c
c
e
p
t
e
d
,

f
u
l
l
y

i
m
p
l
e
m
e
n
t
e
d
C
3
C
a
r
r
y

o
u
t

a

r
e
v
i
e
w

o
f

t
h
e

c
u
r
r
e
n
t

c
r
e
w

r
e
s
o
u
r
c
e
s

a
n
d

c
r
i
t
i
c
a
l

s
y
s
t
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m

c
o
n
f
g
u
r
a
t
i
o
n
s

o
n

b
o
a
r
d

i
t
s

R
i
v
e
r

R
u
n
n
e
r

1
5
0

c
r
a
f
t
,

i
n

o
r
d
e
r

t
o

e
n
s
u
r
e

t
h
a
t
:


T
h
e

c
r
e
w

a
r
e

s
u
f
f
c
i
e
n
t
l
y

r
e
s
o
u
r
c
e
d

t
o

o
p
e
r
a
t
e

t
h
e

v
e
s
s
e
l
s

s
a
f
e
l
y

a
n
d

t
o

d
e
a
l

w
i
t
h

a
l
l

r
e
a
s
o
n
a
b
l
y

f
o
r
e
s
e
e
a
b
l
e

e
m
e
r
g
e
n
c
y

s
c
e
n
a
r
i
o
s
.


A
l
l

r
e
a
s
o
n
a
b
l
y

p
r
a
c
t
i
c
a
b
l
e

t
e
c
h
n
i
c
a
l

o
p
t
i
o
n
s

h
a
v
e

b
e
e
n

c
o
n
s
i
d
e
r
e
d

i
n

o
r
d
e
r

t
o

m
i
n
i
m
i
s
e

t
h
e

l
e
v
e
l

o
f

r
e
l
i
a
n
c
e

p
l
a
c
e
d

o
n

t
h
e

o
p
e
r
a
t
o
r

t
o

p
r
e
v
e
n
t

e
n
g
i
n
e

s
t
a
l
l
s
.


T
h
e

c
u
r
r
e
n
t

s
t
e
e
r
i
n
g

c
o
n
t
r
o
l

s
y
s
t
e
m

c
o
n
f
g
u
r
a
t
i
o
n
,

a
n
d

a
n
y

f
u
t
u
r
e

p
r
o
p
o
s
e
d

c
h
a
n
g
e
s
,

f
u
l
l
y

m
e
e
t

a
l
l

a
p
p
r
o
p
r
i
a
t
e

t
e
c
h
n
i
c
a
l

s
t
a
n
d
a
r
d
s
.


T
h
e

i
n
f
o
r
m
a
t
i
o
n
,

g
u
i
d
a
n
c
e

a
n
d

F
M
E
A

c
o
n
t
a
i
n
e
d

i
n

t
h
e

c
r
a
f
t

o
p
e
r
a
t
i
n
g

m
a
n
u
a
l
s

f
u
l
l
y

r
e
f
e
c
t

t
h
e

v
e
s
s
e
l
s


c
u
r
r
e
n
t

m
a
c
h
i
n
e
r
y

c
o
n
f
g
u
r
a
t
i
o
n
s
.
33
PART 2: RECOMMENDATI ONS
C
a
s
e
I
n
v
e
s
t
i
g
a
t
i
o
n
V
e
s
s
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l
/
A
c
c
i
d
e
n
t

t
y
p
e
N
a
r
r
a
t
i
v
e

a
n
d

A
d
d
r
e
s
s
e
e
F
o
c
u
s
L
e
v
e
l
1
4
0
M
o
o
n

c
l
i
p
p
e
r
H
i
g
h

s
p
e
e
d

c
a
t
a
m
a
r
a
n
S
t
e
e
r
i
n
g

c
o
n
t
r
o
l

f
a
i
l
u
r
e
.
(
R
e
p
o
r
t

2
1
/
2
0
1
2
)
M
a
d
e

t
o
:

M
C
A

A
c
c
e
p
t
e
d
,

f
u
l
l
y

i
m
p
l
e
m
e
n
t
e
d
C
3
A
s
s
e
s
s

t
h
e

a
c
t
i
o
n
s

t
a
k
e
n

b
y

C
o
l
l
i
n
s

R
i
v
e
r

E
n
t
e
r
p
r
i
s
e
s

L
t
d

a
s

a

r
e
s
u
l
t

o
f

t
h
e

s
a
f
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t
y

i
s
s
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s

i
d
e
n
t
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f
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d

i
n

t
h
e

r
e
p
o
r
t

i
n
c
l
u
d
i
n
g
,

s
p
e
c
i
f
c
a
l
l
y
:


S
e
e
k
i
n
g

r
e
a
s
s
u
r
a
n
c
e

t
h
a
t

t
h
e

c
o
m
p
a
n
y

s

s
t
e
e
r
i
n
g

c
o
n
t
r
o
l

s
y
s
t
e
m

c
h
a
n
g
e
s

h
a
v
e

b
e
e
n

s
u
b
j
e
c
t
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d

t
o

a
n

a
p
p
r
o
p
r
i
a
t
e

t
e
c
h
n
i
c
a
l

r
e
v
i
e
w

p
r
o
c
e
s
s
.


V
e
r
i
f
y
i
n
g

t
h
a
t

t
h
e

m
a
n
n
i
n
g

a
n
d

c
o
m
p
e
t
e
n
c
y

l
e
v
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l
s

o
n

b
o
a
r
d

T
h
a
m
e
s

C
l
i
p
p
e
r
s


R
i
v
e
r

R
u
n
n
e
r

1
5
0

v
e
s
s
e
l
s

a
r
e

a
p
p
r
o
p
r
i
a
t
e
.
1
4
1
S
D

N
i
m
b
l
e
T
u
g
A
c
c
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d
e
n
t
a
l

d
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s
c
h
a
r
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e

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f

c
a
r
b
o
n

d
i
o
x
i
d
e

r
e
s
u
l
t
i
n
g

i
n

s
e
r
i
o
u
s

i
n
j
u
r
y
.
(
R
e
p
o
r
t

2
3
/
2
0
1
2
)
M
a
d
e

t
o
:

L
l
o
y
d

s

R
e
g
i
s
t
e
r

A
c
c
e
p
t
e
d
,

y
e
t

t
o

b
e

i
m
p
l
e
m
e
n
t
e
d
C
2
P
r
o
p
o
s
e

t
o

I
A
C
S

t
h
a
t

U
R

Z
1
7

b
e

a
m
e
n
d
e
d

t
o

r
e
f
e
c
t

t
h
e

i
m
p
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r
t
a
n
c
e

o
f

s
e
r
v
i
c
e

s
u
p
p
l
i
e
r
s


p
r
o
c
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d
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r
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s

b
e
i
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g

s
u
f
f
c
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t
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y

r
o
b
u
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t
o

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n
s
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r
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t
h
a
t

s
a
f
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s

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f

w
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k

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g
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d

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n
d

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p
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d

w
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p
s


c
r
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w
s

p
r
i
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r

t
o

c
o
m
m
e
n
c
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n
g

w
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k

o
n

b
o
a
r
d

v
e
s
s
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l
s
.
T
a
r
g
e
t

c
o
m
p
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t
i
o
n

d
a
t
e

-

n
o
t

g
i
v
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n

1
4
2
S
D

N
i
m
b
l
e
T
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g
A
c
c
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t
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l

d
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f

c
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b
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n

d
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x
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e

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s
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l
t
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g

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n

s
e
r
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o
u
s

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n
j
u
r
y
.
(
R
e
p
o
r
t

2
3
/
2
0
1
2
)
M
a
d
e

t
o
:

O
c
e
a
n

E
n
g
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e
e
r
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g

(
F
i
r
e
)

L
t
d

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d
,

f
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l
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y

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m
p
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m
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n
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d
C
3
T
a
k
e

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p
s

t
o

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m
p
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v
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a
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d

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f

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e

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s
,

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d

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d
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p
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f

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f

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k
,

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k
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c
c
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h
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c
c
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d
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n
t
,

p
a
r
t
i
c
u
l
a
r
l
y
:


T
h
e

a
v
a
i
l
a
b
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y

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f

s
y
s
t
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m

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f
o
r
m
a
t
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o
n


T
h
e

s
t
o
r
a
g
e

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f

C
O
2

c
y
l
i
n
d
e
r
s

b
e
l
o
w

d
e
c
k
s


V
e
s
s
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l

m
o
v
e
m
e
n
t
s

a
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d

a
c
t
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v
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s


T
h
e

r
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q
u
i
r
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m
e
n
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s

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f

U
R

Z
1
7
.
1
4
3
E
r
n
e
s
t

B
e
v
i
n
F
e
r
r
y
F
a
t
a
l

a
c
c
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d
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n
t

o
f

a

c
r
e
w

m
e
m
b
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r
.
(
R
e
p
o
r
t

2
2
/
2
0
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2
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M
a
d
e

t
o
:

S
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r
c
o

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i
m
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M
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v
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s

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c
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p
t
e
d
,

f
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l
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m
p
l
e
m
e
n
t
e
d
C
3
E
v
a
l
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a
t
e

t
h
e

s
u
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a
b
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l
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y

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f

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t
s

w
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b
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s

f
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r

r
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v
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g

u
n
c
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c
i
o
u
s

p
e
r
s
o
n
s

f
r
o
m

t
h
e

w
a
t
e
r

a
n
d

e
n
s
u
r
e

t
h
e
y

a
r
e

a
p
p
r
o
p
r
i
a
t
e
l
y

e
q
u
i
p
p
e
d

f
o
r

s
u
c
h

e
v
e
n
t
u
a
l
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t
i
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s
.

A
w
a
i
t
i
n
g

u
p
d
a
t
e

f
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m

r
e
c
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p
i
e
n
t

a
t

t
i
m
e

o
f

p
u
b
l
i
c
a
t
i
o
n
34
MAI B ANNUAL REPORT 2012
C
a
s
e
I
n
v
e
s
t
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g
a
t
i
o
n
V
e
s
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y
p
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e

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n
d

A
d
d
r
e
s
s
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F
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c
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e
v
e
l
1
4
4
S
p
r
i
n
g
b
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k

a
n
d

G
a
s

A
r
c
t
i
c
C
a
r
g
o

v
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s
s
e
l

a
n
d


L
P
G

t
a
n
k
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r
C
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l
l
i
s
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o
n
.
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e
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t

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2
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B
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V

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d
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3
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v
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V

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d
C
3
C
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n
d
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t

a

r
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v
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w

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s
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c
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t
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e
n
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f
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l
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w
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g
:


A
c
c
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t
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b
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n
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h
a
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a
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d
.


O
O
W
s

a
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e

c
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g
n
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s
a
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a
n
d

t
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k
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r
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.


B
r
i
d
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m
s

u
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t
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g
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p
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v
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m
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:


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r
o
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n

a
d
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l
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t


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d


U
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d

t
o
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1
4
6
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S
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p
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p
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m
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v
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b
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w
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c
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g

a

l
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f
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b
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t

d
r
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l
l
.
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p
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5
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2
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2
)
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a
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t
o
:

A
c
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m
a
s

S
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c
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d
,

y
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m
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d
C
3
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k

f
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M
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d
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l
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s
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y

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r
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t
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:


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h
e

u
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f

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d

b
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r

m
o
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f
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n
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o
w
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.


T
h
e

u
s
e

o
f

t
h
e

j
a
c
k
l
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e

s
a
f
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t
y

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r
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s

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e
t
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e
r
,

s
e
c
u
r
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g

a
r
r
a
n
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e
m
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t
s

c
u
r
r
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n
t
l
y

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n

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n

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a
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a

R
u
b
y

s

t
e
n
d
e
r
s
.
T
a
r
g
e
t

c
o
m
p
l
e
t
i
o
n

d
a
t
e

-

J
u
l
y

2
0
1
3

A
w
a
i
t
i
n
g

u
p
d
a
t
e

f
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m

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c
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p
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n
t

a
t

t
i
m
e

o
f

p
u
b
l
i
c
a
t
i
o
n
35
PART 2: RECOMMENDATI ONS
C
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s
e
I
n
v
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s
t
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g
a
t
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n
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g
e
m
e
n
t
s

f
o
r

t
r
a
i
n
i
n
g

d
u
r
i
n
g

n
o
n
-
o
p
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r
a
t
i
o
n
a
l

(
r
e
f
t
/
d
o
c
k
i
n
g
)
,

t
r
a
n
s
i
t
i
o
n
a
l

a
n
d

o
p
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r
a
t
i
o
n
a
l

p
h
a
s
e
s

t
o

e
n
s
u
r
e

t
h
a
t
:


A
l
l

c
r
e
w

r
e
c
e
i
v
e

t
r
a
i
n
i
n
g

a
p
p
r
o
p
r
i
a
t
e

t
o

t
h
e
i
r

t
a
s
k
s
.


A
n

e
f
f
e
c
t
i
v
e

a
n
d

c
o
n
s
i
s
t
e
n
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l
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v
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l

o
f

t
r
a
i
n
i
n
g

o
v
e
r
s
i
g
h
t

i
s

m
a
i
n
t
a
i
n
e
d
.
1
4
9
S
t
e
n
a

F
e
r
o
n
i
a

a
n
d

U
n
i
o
n

M
o
o
n
R
o
P
a
x

v
e
s
s
e
l

a
n
d

c
a
r
g
o

v
e
s
s
e
l
.
C
o
l
l
i
s
i
o
n
.
(
R
e
p
o
r
t

2
6
/
2
0
1
2
)
M
a
d
e

t
o
:

N
o
r
t
h
e
r
n

M
a
r
i
n
e

M
a
n
a
g
e
m
e
n
t

L
t
d

A
c
c
e
p
t
e
d
,

f
u
l
l
y

i
m
p
l
e
m
e
n
t
e
d
C
3
A
m
e
n
d

i
t
s

S
M
S

t
o

m
a
k
e

c
l
e
a
r

t
h
e

r
o
l
e
s

a
n
d

r
e
s
p
o
n
s
i
b
i
l
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t
i
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s

o
f

t
h
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b
r
i
d
g
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t
e
a
m

w
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n

c
o
n
d
u
c
t
i
n
g

p
i
l
o
t
a
g
e

w
i
t
h

a

P
E
C

h
o
l
d
e
r

w
h
o

i
s

n
o
t

p
a
r
t

o
f

t
h
e

n
o
r
m
a
l

s
h
i
p

s

c
o
m
p
l
e
m
e
n
t

a
n
d

i
s

p
e
r
f
o
r
m
i
n
g

a
n

a
c
t

o
f

p
i
l
o
t
a
g
e
.
36
MAI B ANNUAL REPORT 2012
C
a
s
e
I
n
v
e
s
t
i
g
a
t
i
o
n
V
e
s
s
e
l
/
A
c
c
i
d
e
n
t

t
y
p
e
N
a
r
r
a
t
i
v
e

a
n
d

A
d
d
r
e
s
s
e
e
F
o
c
u
s
L
e
v
e
l
1
5
0
O
n
w
a
r
d
F
i
s
h
i
n
g

v
e
s
s
e
l
F
i
r
e

r
e
s
u
l
t
i
n
g

i
n

t
h
e

l
o
s
s

o
f

t
h
e

v
e
s
s
e
l
.
(
R
e
p
o
r
t

2
7
/
2
0
1
2
)
M
a
d
e

t
o
:

M
i
t
h
c
o
w
i
e

F
i
s
h
i
n
g

C
o
m
p
a
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y

L
i
m
i
t
e
d

N
o

r
e
s
p
o
n
s
e

r
e
c
e
i
v
e
d
F
V
3
E
n
s
u
r
e

t
h
a
t

t
h
e

c
r
e
w
s

o
n

b
o
a
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d

a
n
y

v
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s
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l
s

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t

m
a
y

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p
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y

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m
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y

s
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u
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t
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s
,

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k
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a
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c
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,

i
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t
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r

a
l
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a
:


T
h
e

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q
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p
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m
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d
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d
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l
l
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o

a

v
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s

s
a
f
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y
.


T
h
e

n
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d

f
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a
l
l

e
a
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y

w
a
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n
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d
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s
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a
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f
r
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d
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s
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a
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d

b
i
l
g
e

a
l
a
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s

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b
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p
r
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p
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m
a
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a
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d

a
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d

t
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s
t
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d
,

a
n
d

t
h
a
t

c
r
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w
s

f
u
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l
y

u
n
d
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r
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t
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t
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e
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r

o
p
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r
a
t
i
o
n
.


T
h
e

n
e
e
d

f
o
r

c
r
e
w
s

t
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h
a
v
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a

g
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d

k
n
o
w
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f

a
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l

o
n
b
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d

s
a
f
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y
-
r
e
l
a
t
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d

s
y
s
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e
m
s

a
n
d

e
q
u
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p
m
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n
t
,

a
n
d

t
h
a
t

r
o
u
t
i
n
e

s
a
f
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t
y

p
r
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c
a
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t
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o
n
s

s
u
c
h

a
s

t
h
e

c
l
o
s
i
n
g

o
f

f
r
e

d
o
o
r
s

a
r
e

t
a
k
e
n

a
t

a
l
l

t
i
m
e
s
.

1
5
1
N
o
r
c
a
p
e
R
o
-
r
o

c
a
r
g
o

f
e
r
r
y
W
i
n
d
l
a
s
s

d
a
m
a
g
e
,

g
r
o
u
n
d
i
n
g

a
n
d

a
c
c
i
d
e
n
t

t
o

p
e
r
s
o
n
,

W
e
s
t

S
c
o
t
l
a
n
d
.
(
R
e
p
o
r
t

2
8
/
2
0
1
2
)
M
a
d
e

t
o
:

A
s
s
o
c
i
a
t
e
d

B
r
i
t
i
s
h

P
o
r
t
s

A
c
c
e
p
t
e
d
,

f
u
l
l
y

i
m
p
l
e
m
e
n
t
e
d
G
3
U
n
d
e
r
t
a
k
e

a

f
o
r
m
a
l

r
e
v
i
e
w

o
f

t
h
e

n
e
e
d

f
o
r

c
o
m
p
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s
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y

p
i
l
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t
a
g
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i
n

T
r
o
o
n
.
1
5
2
N
o
r
c
a
p
e
R
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-
r
o

c
a
r
g
o

f
e
r
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y
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n
d
l
a
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s

d
a
m
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g
e
,

g
r
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d
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g

a
n
d

a
c
c
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d
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n
t

t
o

p
e
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s
o
n
,

W
e
s
t

S
c
o
t
l
a
n
d
.
(
R
e
p
o
r
t

2
8
/
2
0
1
2
)
M
a
d
e

t
o
:

A
s
s
o
c
i
a
t
e
d

B
r
i
t
i
s
h

P
o
r
t
s

A
c
c
e
p
t
e
d
,

f
u
l
l
y

i
m
p
l
e
m
e
n
t
e
d
G
3
R
e
v
i
e
w

t
h
e

f
o
r
m
a
l

s
a
f
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t
y

a
s
s
e
s
s
m
e
n
t

f
o
r

m
a
r
i
n
e

o
p
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r
a
t
i
o
n
s

i
n

T
r
o
o
n

h
a
r
b
o
u
r

t
o

e
n
s
u
r
e

t
h
a
t
:


T
o
w
a
g
e

g
u
i
d
e
l
i
n
e
s

a
r
e

d
e
v
e
l
o
p
e
d

i
n

c
o
n
j
u
n
c
t
i
o
n

w
i
t
h

p
o
r
t

u
s
e
r
s
.


I
t
s

a
n
e
m
o
m
e
t
e
r

i
s

p
l
a
c
e
d

i
n

a
n

o
p
t
i
m
u
m

l
o
c
a
t
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n

t
o

p
r
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v
i
d
e

a
c
c
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r
a
t
e
,

r
e
l
i
a
b
l
e

w
i
n
d

i
n
f
o
r
m
a
t
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n

w
h
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c
h

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s

a
c
c
e
p
t
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d

b
y

p
o
r
t

u
s
e
r
s

a
s

a

b
a
s
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s

f
o
r

i
t
s

c
o
n
t
r
o
l

m
e
a
s
u
r
e
s
.


P
o
r
t

u
s
e
r
s

a
r
e

a
w
a
r
e

o
f

a
n
y

l
o
c
a
l
l
y

a
g
r
e
e
d

s
o
u
n
d

s
i
g
n
a
l
s
,

w
h
i
c
h

s
h
o
u
l
d

b
e

s
u
c
h

t
h
a
t

t
h
e
y

c
a
n
n
o
t

b
e

c
o
n
f
u
s
e
d

w
i
t
h

t
h
o
s
e

r
e
q
u
i
r
e
d

t
o

b
e

u
s
e
d

b
y

t
h
e

C
o
l
r
e
g
s
.

A
w
a
i
t
i
n
g

u
p
d
a
t
e

f
r
o
m

r
e
c
i
p
i
e
n
t

a
t

t
i
m
e

o
f

p
u
b
l
i
c
a
t
i
o
n
37
PART 2: RECOMMENDATI ONS
C
a
s
e
I
n
v
e
s
t
i
g
a
t
i
o
n
V
e
s
s
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l
/
A
c
c
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n
t

t
y
p
e
N
a
r
r
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v
e

a
n
d

A
d
d
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s
s
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e
F
o
c
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s
L
e
v
e
l
1
5
3
N
o
r
c
a
p
e
R
o
-
r
o

c
a
r
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o

f
e
r
r
y
W
i
n
d
l
a
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s

d
a
m
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g
e
,

g
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n
d

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c
c
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t

t
o

p
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s
o
n
,

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t

S
c
o
t
l
a
n
d
.
(
R
e
p
o
r
t

2
8
/
2
0
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2
)
M
a
d
e

t
o
:

M
C
A

A
c
c
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p
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e
d
,

f
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y

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m
p
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m
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d
G
3
L
i
a
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e

w
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h

A
s
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c
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e
d

B
r
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P
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d

a
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e

a

P
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M
a
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e

S
a
f
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y

C
o
d
e

h
e
a
l
t
h

c
h
e
c
k


v
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s
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t

t
o

T
r
o
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n

o
n

c
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p
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f

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a
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f
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e

p
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(
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e

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0
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2
/
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5
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)
.
1
5
4
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c
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p
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c
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g
o

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d
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m
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c
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p
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n
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t
l
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n
d
.
(
R
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p
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2
8
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)
M
a
d
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t
o
:

P
&
O

F
e
r
r
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s

A
c
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p
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d
,

f
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m
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d
C
3
I
n

r
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l
a
t
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n

t
o

p
a
s
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e

p
l
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g
,

m
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t
o
r
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g

a
n
d

m
a
n
o
e
u
v
r
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g
:


R
e
v
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w

t
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e

w
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a
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a
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v
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c
i
s
i
o
n
s
.
38
MAI B ANNUAL REPORT 2012
SECTION B
RECOMMENDATIONS TO MULTIPLE RECIPIENTS
Lists the small number of recommendations that have been addressed to
multiple recipients. As a result, it has not been possible to track responses
under the closed-loop system. Such multiple addressee recommendations are
now being avoided wherever possible, so as to make the closed-loop system
as effective as possible.
39
PART 2: RECOMMENDATI ONS
No recommendations were made to multiple recipients in 2012
40
MAI B ANNUAL REPORT 2012
SECTION C
RECOMMENDATIONS BROUGHT
FORWARD FROM PREVIOUS YEARS
Lists the ongoing outstanding recommendations shown as
accepted yet to be implemented in previous reports.
41
PART 2: RECOMMENDATI ONS
2
0
1
1
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p
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l
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c
a
t
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o
n
42
MAI B ANNUAL REPORT 2012
C
a
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s
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2
0
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5
43
PART 2: RECOMMENDATI ONS
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M
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p
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b
l
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c
a
t
i
o
n
44
MAI B ANNUAL REPORT 2012
C
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V
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PART 2: RECOMMENDATI ONS
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46
MAI B ANNUAL REPORT 2012
2
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9
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2
0
1
4
47
PART 2: RECOMMENDATI ONS
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2
0
1
4
48
MAI B ANNUAL REPORT 2012
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2
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5
2
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49
PART 2: RECOMMENDATI ONS
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2
0
1
6
50
MAI B ANNUAL REPORT 2012
C
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f

c
u
r
r
e
n
t

U
R

S
1
1

d
e
s
i
g
n

w
a
v
e

b
e
n
d
i
n
g

m
o
m
e
n
t

c
r
i
t
e
r
i
a

f
o
r

v
e
s
s
e
l
s

w
i
t
h

l
o
w

b
l
o
c
k

c
o
e
f
f
c
i
e
n
t

i
s

u
n
d
e
r
t
a
k
e
n
.


M
e
m
b
e
r

s
o
c
i
e
t
i
e
s

u
s
e

c
o
m
m
o
n

m
e
t
h
o
d
o
l
o
g
i
e
s

w
h
e
n

c
o
m
p
l
y
i
n
g

w
i
t
h

t
h
e

r
e
q
u
i
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m
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o
f

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h
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s

r
u
l
e
.
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a
r
g
e
t

d
a
t
e

f
o
r

c
o
m
p
l
e
t
i
o
n

-

D
e
c
e
m
b
e
r

2
0
1
4
51
PART 2: RECOMMENDATI ONS
2
0
0
7
C
a
s
e
I
n
v
e
s
t
i
g
a
t
i
o
n
V
e
s
s
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l
/
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c
c
i
d
e
n
t

t
y
p
e
N
a
r
r
a
t
i
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e

a
n
d

A
d
d
r
e
s
s
e
e
F
o
c
u
s
L
e
v
e
l
2
0
0
7
/
1
4
4
T
h
u
n
d
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r
G
e
n
e
r
a
l

c
a
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g
o

v
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l
G
r
o
u
n
d
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g

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t

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h
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a
p
p
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c
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o

t
h
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D
e
e

E
s
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u
a
r
y
.
(
R
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p
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r
t

1
2
/
2
0
0
7
)
M
a
d
e

t
o
:

D
f
T

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c
c
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p
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y
e
t

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o

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m
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m
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d
C
1
I
n

c
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r
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g

d
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c
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n
s

o
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H
a
r
b
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r

R
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O
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r
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E
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A
g
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y

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M
o
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D
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m
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d
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a
k
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M
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r

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t
o

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n
s
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s
a
f
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y

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f

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a
v
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n

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g
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t

c
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m
p
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t
i
o
n

d
a
t
e

-

J
u
l
y

2
0
1
3
52
MAI B ANNUAL REPORT 2012
SECTION D
CHANGES TO PREVIOUSLY REPORTED RECOMMENDATIONS
53
PART 2: RECOMMENDATI ONS
C
a
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e
I
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o
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p
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2
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w
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r

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e

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m
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g
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n
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y

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e
s
p
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w
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n

p
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v
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f
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y

s
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p
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s
h
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K

w
a
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s
.

T
h
e

g
u
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d
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c
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,

i
n
t
e
r

a
l
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a
:


B
e
s
t

p
r
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m
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a
n
d

c
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n
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l

p
r
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n
c
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s
.


I
n
f
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m
a
t
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o
n

g
a
t
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e
r
i
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g

a
n
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l
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s
o
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o
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s
c
e
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e
.


S
a
f
e
t
y

o
f

p
a
s
s
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s

a
n
d

c
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.


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h
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p
-
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c
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f
c

r
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c
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s

c
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.


F
a
c
t
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t
o

b
e

c
o
n
s
i
d
e
r
e
d

i
n

d
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c
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d
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w
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r

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o

b
r
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v
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s
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l

i
n
t
o

p
o
r
t
/
a
l
o
n
g
s
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d
e
.


S
p
e
c
i
a
l
i
s
e
d

e
q
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p
m
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n
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a
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d

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r

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s
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r
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e
s
.
M
C
A

r
e
s
p
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e
:


M
i
s
s
i
o
n

c
o
n
d
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c
t

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s

n
o
w

s
t
a
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d
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r
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p
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a
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t
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c
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w
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t
h
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n

H
M

C
o
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s
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g
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a
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d

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n
d

h
a
s

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n
h
a
n
c
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d

i
n
c
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d
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n
t

c
o
m
m
a
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d

a
n
d

c
o
n
t
r
o
l
.


P
r
o
c
e
d
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r
a
l

g
u
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d
a
n
c
e

h
a
s

b
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n

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p
d
a
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d

i
n

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e

f
o
l
l
o
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g

a
r
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a
s
:

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n
f
o
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m
a
t
i
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n

g
a
t
h
e
r
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,

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n
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a
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s
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m
i
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c
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t
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s
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a
w
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s
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f

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s
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n
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e

f
o
r

f
r
e
-
f
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n
g
,

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h
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m
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c
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n
d

i
n
d
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s
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r
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i
n
c
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d
e
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s
.


N
e
w

e
n
t
r
y

M
a
r
i
t
i
m
e

S
A
R

c
o
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r
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e
s

h
a
v
e

b
e
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n

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v
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e
w
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d

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o

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n
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l
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p
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n
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a
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d

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o
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s
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d
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r
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t
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s
.


F
u
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o
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s
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g
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a
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d

t
r
a
i
n
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c
o
u
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s

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c
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r
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n
t
l
y

b
e
i
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g

d
e
s
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g
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d

a
n
d

d
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v
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l
o
p
e
d
.


R
e
v
i
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e
d

g
u
i
d
a
n
c
e

f
o
r

t
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e

d
e
p
l
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y
m
e
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o
f

a

M
a
r
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t
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m
e

C
a
s
u
a
l
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y

O
f
f
c
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r

h
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n

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s
s
u
e
d
.
M
A
I
B

c
o
m
m
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n
t
:
T
h
e

M
C
A

h
a
s

t
a
k
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n

i
n
t
e
r
n
a
l

a
c
t
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o
n

t
o

i
m
p
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o
v
e

t
h
e

t
r
a
i
n
i
n
g

a
n
d

g
u
i
d
a
n
c
e

g
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v
e
n

t
o

C
o
a
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g
u
a
r
d

s
t
a
f
f

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n

o
r
d
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r

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n
h
a
n
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e

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h
e
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r

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b
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o

p
r
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v
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d
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r
e
c
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n

a
n
d

c
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o
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n

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c
c
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o

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e

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n
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t
.

T
h
e

M
C
A

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a
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n
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t

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d

w
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k
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h
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o

p
r
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a
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y

d
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c
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n
t
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n
c
y

p
l
a
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v
a
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t

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o

s
t
a
k
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h
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r

a
r
e
a
s
,

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u
t

i
t

i
s

h
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p
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d

t
h
a
t

t
h
i
s

o
b
j
e
c
t
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w
i
l
l

h
a
v
e

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n

a
c
h
i
e
v
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d

t
h
r
o
u
g
h

r
e
c
o
m
m
e
n
d
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n

2
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1
/
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1
,

m
a
d
e

t
o

t
h
e

P
o
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t

M
a
r
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f
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t
y

C
o
d
e

S
t
e
e
r
i
n
g

G
r
o
u
p
.
54
MAI B ANNUAL REPORT 2012
C
a
s
e
I
n
v
e
s
t
i
g
a
t
i
o
n
V
e
s
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A
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F
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2
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3
C
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P
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r

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P
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t

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a
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e

R
Y
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,

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A

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55
PART 3: STATI STI CS
PART 3
STATISTICS
56
MAI B ANNUAL REPORT 2012
STATISTICS
Page
UK vessel accidents involving loss of life 57
UK merchant vessels >= 100gt 59
UK merchant vessels < 100gt 64
UK fshing vessels 65
Non-UK commercial vessels 70
For details of reporting requirements and terms used in this section please see Annex -
Statistics Coverage on page 71.
57
PART 3: STATI STI CS
UK vessel acci dent s i nvol vi ng l oss of l i f e
UK vessel acci dent s i nvol vi ng l oss of l i f e
Table 1 - UK Vessel Accidents Involving Loss of Life
Date
Name of
Vessel
Type of
Vessel Location Accident D
e
a
t
h
s
Merchant Vessels 100gt and over
24 Jul Cape Kestrel Bulk carrier Off Durban, South
Africa
Crewman died from injuries after falling from
pilot ladder during crew transfer
1
25 Nov Timberland Bulk carrier North Sea Fatal man overboard involving two crewmen 2
Merchant Vessels under 100gt
14 Aug Jean Elaine Dive workboat 15 miles off Cape
Wrath
Fall resulting in fatality 1
Fishing Vessels
13 Jan St Amant Scallop
dredger
Off the coast of
north-west Wales
Person overboard 1
29 Jan Zenith Trawler Irish Sea, 29nm SE
of Kilkeel
Person overboard 1
17 May Purbeck Isle Potter 9nm south of
Portland Bill
Vessel foundered with the loss of all crew 3
11 Sep Sarah Jayne Trawler English Channel, off
Brixham
Vessel foundered. Two crew were rescued but
the skipper was lost
1
Small Craft (Non-Commercial)
1 Jan - Canoe Golitha Falls, River
Fowey near Liskeard,
Cornwall
Capsize leading to fatality 1
2 Jan - Canoe River Teme,
Downton-on-the-
Rock, Herefordshire
Capsize leading to fatality 1
18 Jan Cena Sailing yacht Kilbrannan Sound,
off the Isle of Arran,
Firth of Clyde
Yacht found drifting and abandoned 1
1 Apr Mayfy Pleasure craft Loch Lomond Fall leading to man overboard resulting in
fatality
1
15 Apr Elish Cabin cruiser River Avon Fire 2
23 Apr Aquarius Privately
owned former
tug
North coast of
Brittany
Foundering. Two crew survived 1
9 May Musketeer of
Sutton
Recreational
craft
Poole Bay Capsize of tender resulting in fatality 1
12 May - Row boat Barford, River Avon Drowning following capsize 1
25 May Kayak Red Kayak Isle of Seil, nr Oban Kayaker missing 1
2 Jun RS Marine
Day Cruiser
Recreational
craft
Greenock Ocean
Terminal
Drowning following capsize 1
58
MAI B ANNUAL REPORT 2012
Date
Name of
Vessel
Type of
Vessel Location Accident D
e
a
t
h
s
10 Jun - RIB West coast of
Scotland
Contact resulting in fatality 1
19 Jul - Motorboat Shepperton, Thames Capsize resulting in fatality 1
20 Jul Solent RIB RIB Needles, Isle of
Wight
Fall overboard resulting in fatality (needs
confrmation following coroners report)
1
7 Aug - Kayak Bradwell-on-Sea Missing kayaker 1
25 Aug Tern Recreational
craft
Island of Coll Person overboard 1
26 Aug Canadian
kayak
Kayak Off North West
Gairloch
Capsize resulting in fatalities 4
16 Sep Unknown
powerboat
Recreational
craft
Weymouth Bay,
Dorset
Capsize resulting in fatality 1
14 Oct Seagair Recreational
craft
Between Mousehole
and Bideford, Devon
Vessel wreckage found but single-handed
skipper missing
1
28 Oct Brigand Recreational
craft
Rocken End, Isle of
Wight
Yacht found with missing crew 1
24 Nov Tarbert
kayak
Kayak Loch Fyne, Scotland Capsize leading to fatality 1
17 Dec Unnamed
rowing boat
Recreational
craft
Thorpe Bay, Essex Capsize leading to fatality 1
23 Dec Puddleduck Recreational
craft
Poole Harbour Capsize leading to fatality 1

See defnitions in Annex
Not all accidents involving pleasure craft (as defned in Annex) and recreational craft hired on a bareboat basis are
required to be reported to the MAIB. While we would encourage all such accidents/incidents to be reported, we do
not consider this to be a defnitive or comprehensive register of waterborne fatal accidents.
59
PART 3: STATI STI CS
UK merchant vessel s >= 100gt


Table 2 - Merchant Vessel Total Losses 2012
Date Name of Vessel Type of Vessel Age gt
LOA
Metres
Nature of
Accident
There were no total losses of Merchant Vessels reported to MAIB in 2012

Table 3 Merchant Vessel Losses: 2003-2012
Number lost UK fleet size gt lost
2003 - 1 343 -
2004 2 1 406 832
2005 6 1 443 1 579
2006 - 1 480 -
2007 5 1 518 54 304
2008 2 1 578 645
2009 1 1 564 274
2010 - 1 520 -
2011 - 1 521 -
2012 - 1 450 -


Table 4 - Merchant Vessels in Accidents: 2003-2012
Vessels UK fleet size
Accidents/1 000
vessels
2003 146 1 343 109
2004 144 1 406 102
2005 197 1 443 137
2006 130 1 480 88
2007 116 1 518 76
2008 131 1 578 83
2009 128 1 564 82
2010 141 1 520 93
2011 115 1 521 76
2012 133 1 450 92
See defnitions in Annex
Note: Historical data may contain revisions
60
MAI B ANNUAL REPORT 2012
UK mer chant vessel s >= 100gt
Table 5 - Merchant Vessels in Accidents by Nature of Accident and Vessel Category
Dry
cargo Passenger
Tanker/
combination
carrier
Other
commercial Total
Cargo handling failure 1 - - - 1
Collision 3 8 2 9 22
Contact - 14 3 10 27
Fire/explosion 5 6 - 3 14
Flooding/foundering - - 1 1
Grounding 10 - 2 6 18
Heavy weather 3 - - - 3
Hull failure 1 - - - 1
Machinery/equipment
failure
9 14 4 11 38
Person overboard 3 1 - 3 7
Pollution 1 1
Total 35 44 11 43 133
Table 6 - Merchant Vessels in Accidents by Nature of Accident: 2003-2012
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Capsize/listing - 2 1 - 2 - - - - -
Cargo handling failure 3 1 2 2 1 4 3 2 1 1
Collision 12 16 37 25 14 21 24 28 20 22
Contact 38 29 34 20 29 27 31 38 24 27
Escape of harmful substance - 4 2 1 2 1 - - 1 -
Fire/explosion 21 22 19 6 8 8 3 6 13 14
Flooding/foundering 3 3 6 4 2 4 4 3 3 1
Grounding 13 15 27 21 11 26 19 24 18 18
Heavy weather 3 4 1 5 4 4 5 3 3 3
Machinery/equipment Failure 41 42 51 31 36 23 24 25 21 38
Person overboard 9 5 13 12 7 11 10 7 10 7
Other 3 1 4 3 - 2 5 5 1 2
Total 146 144 197 130 116 131 128 141 115 133
Note: Historical data may contain revisions
61
PART 3: STATI STI CS
UK mer chant vessel s >= 100gt
Table 7 - Deaths and Injuries of MV Crew by Place
Place Number of people
Accommodation space 31
Bridge 3
Cargo or other tank space 14
Engine room 12
Stairway/ladder/gangway 15
External working deck/shelter 53
Galley 9
Overside/aloft 2
Ro-ro vehicle deck/ramp 5
Ships boat 8
Other machinery space 7
Other 27
Total 186
Table 8 - Deaths and Injuries of MV Crew by Rank
Rank/specialism Number of people
Master/skipper 2
Offcer, deck 21
Offcer, engineering 22
Rating 56
Other crew 85
Total 186

62
MAI B ANNUAL REPORT 2012
UK mer chant vessel s >= 100gt
Table 9 - Deaths and Injuries of MV Crew by Injury
Main injury Number of crew
Amputation of hand/fngers/toe 4
Burns/scalds/frostbite 6
Concussion/unconsciousness due to head injury 3
Cuts/wound/lacerations 39
Death - confrmed 3
Dislocations/sprains/strains 37
Eye injuries 3
Fracture 66
Other 25
Total 186
Table 10 - Deaths and Injuries to Merchant Vessel Crew: 2003-2012
Crew injured Of which resulted in death
2003 289 3
2004 310 4
2005 246 2
2006 233 3
2007 243 12
2008 224 5
2009 199 6
2010 222 3
2011 185 5
2012 186 3
Note: Historical data may contain revisions
UK vessel acci dent s i nvol vi ng l oss of l i f e
63
PART 3: STATI STI CS
UK mer chant vessel s >= 100gt
Table 11 - Deaths and Injuries to Passengers by Injury
Main injury
Number of
passengers
Concussion/unconsciousness due to head injury 2
Cuts/wound/lacerations 5
Dislocations/sprains/strains 6
Fracture - of the skull/spine/pelvis/major bone in arm or leg 35
Other 2
Total 50
Table 12 - Deaths and Injuries to Passengers: 2003-2012
Number of passengers Of which resulting in death
2003 186 -
2004 147 -
2005 110 1
2006 114 1
2007 106 -
2008 170 2
2009 115 1
2010 92 2
2011 109 1
2012 50 -
Note: Historical data may contain revisions
UK vessel acci dent s i nvol vi ng l oss of l i f e
64
MAI B ANNUAL REPORT 2012
UK merchant vessel s <100gt

Table 13 - UK Flagged Merchant Vessels Under 100gt - Losses

Date Name of vessel Type of vessel loa metres


Nature of
accident
* 3 Mar Viper RIB 9 Fire
* Constructive Total Loss
Table 14 - UK Flagged Merchant Vessels Under 100gt - by Nature of Accident and
Vessel Category
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Person overboard 1 6 7
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Injured 3 6 30 39
Deaths - - 1 1
See defnitions in Annex
For 2012 this table excludes commercially operated leisure craft.
These rows include accidental injuries and deaths on vessels where the vessel itself was not involved in an
accident. These fgures include crew, other workers (non-crew) and passengers.
65
PART 3: STATI STI CS
UK f i shi ng vessel s

There were 5 834 UK registered fshing vessels at the end of 2012. During 2012, 260 accidents
involving these vessels were reported to the MAIB. Figures in the following tables show accidents
and injuries involving UK registered vessels that were reported to the MAIB in 2012.
Nine fshing vessels were reported lost (0.15% of the total feet) and there were 6 fatalities to crew.
Table 15 - Fishing Vessel Total Losses
Date Name of vessel Age gt Nature of accident
Under 15m length overall (loa)
17 May Purbeck Isle 52 5.5 Foundering
23 Jul Betty G 11 13.96 Capsizing
11 Sep Sarah Jayne 33 23.62 Capsizing
22 Oct Paulanda 31 10 Foundering
23 Oct Snowdonia 43 24.83 Foundering
15m length overall - under 24m registered length (reg)
11 Apr Onward 12 202 Fire
* 09 Jul Denarius 53 113 Fire
* 10 Aug Audacious 13 437 Foundering
01 Sep Chloe T 44 136 Foundering
* Constructive Total Loss
See note 10 of the defnitions in Annex. Two losses, that were not in connection with the operation of the
vessel are not included in the following tables.
66
MAI B ANNUAL REPORT 2012
Table 16 - Fishing Vessel Losses: 2003-2012
Under
15m loa
15m loa to
<24m reg
24m reg
and over
Total
lost UK registered % lost
2003 16 8 4 28 6 731 0.42
2004 16 9 - 25 6 693 0.37
2005 20 11 3 34 6 314 0.54
2006 11 7 1 19 6 346 0.30
2007 16 5 - 21 6 330 0.33
2008 14 4 3 21 6 763 0.31
2009 11 4 - 15 6 222 0.24
2010 11 3 - 14 5 902 0.24
2011 17 7 - 24 5 974 0.40
2012 5 4 - 9 5 834 0.15
Table 17 - Fishing Vessels in Accidents
Nature of accident Number of vessels involved
Incident rate per 1 000
vessels at risk (to one
decimal place)
Capsize/listing 5 0.9
Collision 16 2.7
Contact 4 0.7
Fire/explosion 11 1.9
Flooding/foundering 23 3.9
Grounding 21 3.6
Heavy weather damage 1 0.2
Machinery/equipment
failure
174 29.8
Person overboard 5 0.9
Total 260 44.6
Note: Historical data may contain revisions
UK f i shi ng vessel s
67
PART 3: STATI STI CS
UK f i shi ng vessel s
Table 18 - Fishing Vessels in Accidents by Nature of Accident: 2003-2012
Nature of accident 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Capsize/listing 4 2 6 5 2 2 2 6 7 5
Collision 17 12 23 12 18 17 10 15 11 16
Contact 7 3 2 3 4 2 6 4 4 4
Fire/explosion 13 19 16 15 9 11 7 10 15 11
Flooding/foundering 50 40 54 34 33 34 31 25 26 23
Grounding 38 29 20 24 24 28 26 16 25 21
Heavy weather damage 1 2 3 1 5 - 3 1 1 1
Machinery failure 221 202 232 240 213 156 140 184 195 174
Missing vessel 1 1 - 1 - - - - -
Person overboard 7 6 11 14 8 7 13 9 15 5
Other 1 1 1 - 1 - - 2 - -
Total 360 317 368 349 317 257 238 272 299 260
Note: Historical data may contain revisions
68
MAI B ANNUAL REPORT 2012
Table 19 - Fishing Vessels in Accidents - by Nature of Accident
Nature of accident Number of vessels involved
Incident rate per 1 000 vessels at risk
(to one decimal place)
Under 15m length overall (loa) - vessels at risk: 5 200
Capsize/listing 5 1.0
Collision 7 1.3
Contact 1 0.2
Fire/explosion 6 1.2
Flooding/foundering 17 3.2
Grounding 12 2.3
Heavy weather damage 1 0.2
Machinery failure 130 25.0
Person Overboard 3 0.6
182 35.0
15m loa - 24m registered length (reg) - vessels at risk: 473
Collision 6 12.7
Contact 3 6.3
Fire/explosion 5 10.6
Flooding/foundering 5 10.6
Grounding 8 17.0
Machinery failure 37 78.2
Person overboard 2 4.2
66 139.5
24m reg and over - vessels at risk: 161
Collision 3 18.6
Fire/explosion 1 6.2
Grounding 1 6.2
Machinery failure 7 43.5
12 74.5
Fleet total 260 44.6
UK f i shi ng vessel s
69
PART 3: STATI STI CS
Table 20 - Deaths and Injuries to Fishing Vessel Crew by Injury
Main injury Number of crew
Amputation of hand/fngers/toes 6
Concussion/unconsciousness due to head injury 4
Crush injury 4
Cuts/wounds/lacerations 5
Death - confrmed 6
Dislocations/sprains/strains 2
Eye injuries 1
Fractures 16
Other 6
Total 50
Table 21 - Deaths and Injuries to Fishing Vessel Crew by Vessel Length
(of which, deaths shown in brackets) 2003-2011
Under 15m loa
15m loa - under
24m reg 24m reg and over Total
2003 27 (8) 25 (2) 18 (1) 70 (11)
2004 27 (9) 20 (1) 23 - 70 (10)
2005 20 (3) 27 (3) 15 (3) 62 (9)
2006 21 (6) 30 (8) 18 (2) 69 (16)
2007 25 (4) 24 (3) 15 (1) 64 (8)
2008 19 (3) 22 (4) 19 (1) 60 (8)
2009 32 (5) 30 (7) 13 (1) 75 (13)
2010 22 (4) 10 - 13 (1) 45 (5)
2011 20 (7) 27 (1) 11 - 58 (8)
2012 21 (4) 22 (2) 7 - 50 (6)
Note: Historical data may contain revisions
UK f i shi ng vessel s
70
MAI B ANNUAL REPORT 2012
Non- UK commerci al vessel s

Table 22 - Non-UK Commercial Vessels Total Losses in UK Waters


Date
Name of
vessel Type of vessel Nationality Age gt
loa
metres
Nature of
accident
3 Apr Carrier Dry cargo
Antigua &
Barbuda
27 1587 82 Grounding
Table 23 - Non-UK Vessels in UK Waters - by Nature of Accident and Vessel
Category
Dry cargo Passenger
Tanker/
combination
carrier
Fishing
vessel
Other
commercial Total
Collision 8 - 6 2 5 21
Contact 17 1 1 - 5 24
Fire/
Explosion
3 - - 1 1 5
Flooding/
Foundering
1 - - 1 - 2
Grounding 22 1 1 - 1 25
Machinery
Failure
15 2 6 4 3 30
Person
Overboard
3 1 - 1 2 7
Total 69 5 14 9 17 114
Injuries 17 26 6 4 6 59
Deaths 3 - - - 1 4
See defnitions in Annex
These rows include accidental injuries and deaths on vessels where the vessel itself was not involved in an
accident. These fgures include crew, other workers (non-crew) and passengers.
Non-UK fagged vessels are not required to report accidents to the MAIB unless they are within a UK
port/harbour or within UK 12 mile territorial waters and carrying passengers to or from a UK port. However,
the MAIB will record details of, and may investigate, signifcant accidents notifed to us by bodies such as the
Coastguard.
71
ANNEX
ANNEX
STATISTICS COVERAGE
Reporting Requirements
1. From January to June 2012 United Kingdom ships were required by the Merchant Shipping
(Accident Reporting and Investigation) Regulations 2005 to report accidents to ships and
accidents to persons to the MAIB.
2. From July 2012 United Kingdom ships are required by the Merchant Shipping (Accident
Reporting and Investigation) Regulations 2012 to report accidents, which has a new, wider,
defnition (see below) to the MAIB.
3. Data for the whole of 2012 is presented in this report using the 2005 defnition of accident in a
format comparable with data in the MAIBs previous Annual Reports.
4. Non-UK fagged vessels are not required to report accidents to the MAIB unless they are within
a UK port/harbour or within UK 12 mile territorial waters and carrying passengers to or from a UK
port. However, the MAIB will record details of, and may investigate, signifcant accidents notifed
to us by bodies such as the Coastguard.
5. The Maritime and Coastguard Agency, harbour authorities and inland waterway authorities also
have a duty to report accidents to the MAIB.
6. For full details of reporting requirements please refer to the Regulations, which are available via:
www.maib.gov.uk/resources/index.cfm
7. In addition to the above, the MAIB monitors news and other information sources for relevant
accidents.
8. Data is presented by the year in which the incident was reported to the MAIB. Historic data tables
contain information from 2003; since that time the reporting requirements have changed - in 2005
and 2012.
Signifcant changes include:
9. 2005 Introduction of a requirement for recreational craft on bareboat hire and various small
vessels of less than 8 metres to report a limited range of Accidents: Death, Major Injury, Capsize
(of a power-driven craft), Fire, Explosion or Pollution causing signifcant harm to the environment.
10. 2012 - The most substantive change is in the defnition of Accident. In contrast to the 2005
Regulations, Accident incorporates Hazardous Incidents, which are now known as Marine
Incidents. Accidents are now defned as being Very Serious Marine Casualties, Serious Marine
Casualties, Marine Casualties or Marine Incidents, depending on their severity. Data in this 2012
Annual Report uses the 2005 defnition of Accident. With the exception that 2012 fgures exclude
accidents that were not in connection with the operation of a vessel. This has had an effect on
tables 15 and 16 showing UK fshing vessel losses, which, had such cases been included, would
have shown 11 fshing vessel losses reported in 2012.
72
MAI B ANNUAL REPORT 2012
Vessel Defnitions
UK merchant vessels >=100gt
Merchant vessels on the UK register with a gross tonnage
of 100gt or more
UK merchant vessels <100gt
Merchant vessels on the UK register with a gross tonnage
of less than 100gt.
For 2012 note that this table does NOT include leisure craft.
UK leisure craft
Commercially operated recreational craft (charter/hire,
operated by schools and other training establishments etc)
UK pleasure craft (non-commercial) Privately owned and operated recreational craft of all types.
UK non-commercial vessels
Non-commercial vessels (other than pleasure craft),
Naval vessels (when involved in collisions with non-Naval
vessels), RNLI lifeboats, non-RNLI lifeboats, public service
vessels (police, fre, ambulance).
UK fshing vessels
Commercial fshing vessels registered with the UK Maritime
and Coastguard Agencys Register of Shipping and
Seamen.
Non-UK vessels in UK waters
Non-UK vessels involved in an accident or incident in UK
territorial waters (12 mile limit)
Meaning of Injury
- any fracture, other than to a fnger, thumb or toe;
- any loss of a limb or part of a limb;
- dislocation of the shoulder, hip, knee or spine;
- loss of sight, whether temporary or permanent;
- penetrating injury to the eye; or
- any other injury-
(i) leading to hypothermia or to unconsciousness, or
(ii) requiring resuscitation, or
(iii) requiring admittance to a hospital or other medical facility as an in-patient for more than 24 hours.
And any other injury, to a person employed or carried in a ship which occurs on board or during
access which results in incapacity for more than 3 consecutive days excluding the day of the
accident, or as a result of which the person concerned is put ashore and the ship sails without that
person, unless the incapacity is known or advised to be of 3 consecutive days or less, excluding the
day of the accident.
Meaning of Marine Incident
A Marine Incident is an event or sequence of events which is not a Marine Casualty which has
occurred directly in connection with the operation of a ship that endangers, or if not corrected would
endanger the safety of a ship, its occupants or any other person or the environment. .
73
GLOSSARY
GLOSSARY OF ABBREVIATIONS AND ACRONYMS
AIS - Automatic Identifcation System
BPA - British Ports Association
BTA - British Tugowners Association
CO
2
- Carbon Dioxide
Colregs - International Regulations for Preventing Collisions at Sea 1972
DEFRA - Department for Environment, Food and Rural Affairs
DfT - Department for Transport
DSC - Digital Selective Calling
ECDIS - Electronic Chart Display and Information System
EPIRB - Emergency Position Indicating Radio Beacon
FMEA - Failure Modes and Effects Analysis
FSS Code - International Code for Fire Safety Systems
gt - gross tonnage
HSE - Health and Safety Executive
IACS - International Association of Classifcation Societies
ICS - International Chamber of Shipping
ILAMA - International Life-Saving Appliance Manufacturers Association
IMO - International Maritime Organization
ISGOTT - International Safety Guide for Oil Tankers and Terminals
kW - kilowatt
LACORS - Local Authority Coordinators of Regulatory Services
loa - length overall
LOLER - Lifting Operations and Lifting Equipment Regulations
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MAI B ANNUAL REPORT 2012
lpg - Liquid Petroleum Gas
LSA - Life Saving Appliance
m - metre
MCA - Maritime and Coastguard Agency
MED - Marine Equipment Directive
MGN - Marine Guidance Note
MSC - Maritime Safety Committee
MSDS - Material Safety Data Sheet
MSN - Merchant Shipping Notice
NIFHA - Northern Ireland Fishery Harbour Authority
nm - nautical mile
NWA - National Workboat Association
OOW - Offcer of the Watch
PAN - Product Advisory Note
PEC - Pilotage Exemption Certifcate
PFD - Personal Flotation Device
PLA - Port of London Authority
PLB - Personal Locator Beacon
PMSC - Port Marine Safety Code
PUWER - Provision and Use of Work Equipment Regulations (1998)
reg - registered length
RNLI - Royal National Lifeboat Institution
RoPax - Roll on/roll off passenger vessel
Ro-ro - Roll on, Roll off vessel
75
GLOSSARY
RYA - Royal Yachting Association
SCV - Small Commercial Vessel Code
SIAS - Ship Inspections and Surveys
SMS - Safety Management System
SOLAS - Safety of Life At Sea
SOSREP - Secretary of States Representative
TSGC - Tanker Safety Guide (Chemicals)
UKHMA - UK Harbour Masters Association
UKMPG - United Kingdom Major Ports Group
UR - Unifed Requirements
VHF - Very High Frequency
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