Coronial
VICother

Finding into death of Kaye D Ward

Deceased

Kaye D Ward

Demographics

60y, female

Coroner

Coroner Jonathan G Klestadt

Date of death

2012-11-25

Cause of death

Consistent with drowning

AI-generated summary

Kaye Ward, 60, drowned in Belfast Bay, Port Fairy after her fishing boat's motor failed to start due to corroded battery cable. With an undersized anchor that dragged ineffectively, the boat drifted into breaking waves and capsized. Both deceased wore inflatable Type I Personal Flotation Devices (PFDs) that lacked crutch straps, causing them to ride up over the wearer's shoulders and neck, rendering the devices ineffective and preventing arm use for swimming or self-rescue. The coroner found the PFD design flawed and inadequate—proper crutch straps are vital for preventing upward migration. Key lessons: ensure meticulous equipment maintenance (battery connections), carry appropriately sized anchors for vessel and conditions, and recognise that inflatable PFDs without crutch straps significantly compromise water survival capability, particularly in challenging sea conditions.

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

Error types

system

Contributing factors

  • Motor failure due to corroded battery cable
  • Undersized anchor inadequate for boat size and sea conditions
  • Anchor dragging ineffectively, allowing boat to drift into breaking waves
  • Type I inflatable PFD design flaw—lack of crutch strap causing device to ride up
  • PFD rendering arms unusable for swimming or self-rescue
  • Limited range 27 MHz radio not monitored by shore services
  • Flares not observed by nearby vessels
  • Deteriorating sea conditions throughout afternoon
  • Medical conditions compromising mobility and fitness of deceased

Coroner's recommendations

  1. Transport Safety Victoria should consider seeking modification to the Australian Standard for Type 1 inflatable PFDs to require that a crutch strap be part of the design of these devices
Full text

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