Coronial
SAother

Coroner's Finding: McFARLANE Walter Muir

Deceased

Walter Muir McFarlane

Demographics

52y, male

Date of death

2005-11-27

Finding date

2008-10-16

Cause of death

salt water drowning

AI-generated summary

A 52-year-old man drowned after his fishing boat's hydraulic steering system failed catastrophically. The threaded connection between the hydraulic steering ram rods had become unscrewed, likely due to lack of threadlocker (loctite) or inadequate maintenance. When the threads separated during operation, the outboard motor suddenly turned to starboard, causing the vessel to spin violently and throwing the deceased into the water. He was wearing waders which would have caused rapid sinking. The boat had not been serviced according to manufacturer recommendations since purchase. No personal flotation device was worn. While the coroner noted a PFD may have assisted, the circumstances were deemed too unusual to recommend legislative change, though encouragement of PFD use in small powered vessels was endorsed.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Error types

Contributing factors

  • Failure of hydraulic steering system due to unscrewed threaded connection
  • Lack of threadlocker (loctite) or improper maintenance of steering components
  • Inadequate servicing and maintenance of vessel
  • Absence of personal flotation device
  • Wearing of waders which would cause rapid sinking
  • Sudden violent manoeuvre throwing operator from vessel

Coroner's recommendations

  1. No formal recommendation for mandatory PFD legislation made, but coroner endorsed the common sense value of wearing PFDs in small powered vessels under 4.8 metres while underway and in open areas, particularly for sole operators
  2. Noted that uniform national approach to PFD requirements through the National Marine Safety Committee would be preferable to ad-hoc state-based legislation
Full text

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