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.
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
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
Noted that uniform national approach to PFD requirements through the National Marine Safety Committee would be preferable to ad-hoc state-based legislation
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