Coronial
VICother

Finding into death of Geoffrey Stuart McInnes

Deceased

Geoffrey Stuart McInnes

Demographics

71y, male

Date of death

2015-10-09

Finding date

2017-06-07

Cause of death

Drowning

AI-generated summary

Geoffrey McInnes, 71-year-old experienced fisherman with history of ischaemic heart disease and prior coronary artery bypass grafting, drowned while fishing in a boat off Warrnambool. The vessel capsized in hazardous sea conditions (2-3 metre swells) near La Bella Reef despite a forecast of 1 metre waves. Neither occupant wore a personal flotation device (PFD), though neither was legally required to do so under current regulations. An overfilled fuel tank may have restricted engine fuel flow. The coroner found that PFD wearing would have enhanced survival chances, and identified gaps in maritime safety: inadequate reef hazard marking, boaters' misunderstanding of 'heightened risk' definitions, and insufficient regulatory requirements for PFD use in dangerous reef areas. Recommendations focused on reef safety markings, educational campaigns, and review of PFD legislation.

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

Contributing factors

  • Ischaemic heart disease
  • Adverse sea and weather conditions (2-3 metre swells, turbulent reef water)
  • Inadequate reef hazard marking and identification
  • Non-compliance with PFD wearing despite hazardous conditions
  • Possible fuel tank overfill restricting engine fuel flow

Coroner's recommendations

  1. Maritime Safety Victoria should conduct a systematic review of existing safety markings of Victorian coastal reefs to assess their adequacy and where necessary provide additional signage and cardinal markers
  2. The legislation regulating the use of PFDs should be reviewed, in particular as to the adequacy of the definition of 'heightened risk' and whether it should include boating in coastal reef areas and adverse weather or water conditions other than those currently specified
  3. Maritime Safety Victoria produce and disseminate educational information about the dangers of coastal reefs and the advisability of wearing PFDs at all times, particularly given the unpredictability of weather and water conditions
Full text

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