Peter Clarkson died following a shark attack while abalone diving in coastal South Australian waters in February 2011. This finding does not involve direct medical care failures but provides important lessons about emergency response protocols. Following the incident, Mr Rodd (the boat operator) failed to take critical immediately actions: he did not activate the EPIRB to mark the location, deploy a marker buoy, use the marine radio to alert authorities on channel 16, or remain at the scene. These omissions prevented effective search operations that evening and subsequent days. The coroner was highly critical of Rodd's actions, noting that despite 30 years' maritime experience and holding a Master Class 5 qualification, his failure to follow basic maritime safety protocols for man-overboard/diver-in-distress situations compromised any potential rescue or recovery efforts.
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