Investigation Report
Carbon monoxide poisoning on motor cruiser Diversion with loss of 2 lives
Carbon monoxide poisoning on motor cruiser Diversion with loss of 2 lives
- MAIB
- Investigation Report
- Hazardous SubstancesMarine Operations
- Hazardous substancesRespiratory hazards
- Inspection and maintenance
- Gas detector
- Functional testingAtmospheric gas testingPreventive maintenanceVentilation
- Vessel
Summary
This investigation examines two fatal carbon monoxide poisonings aboard Diversion at York. Exhaust leaked from an incompatible, non-marine cabin heater silencer and pipe connection, entering circulating air. Restricted ventilation and the absence of an alarm are analysed alongside installation checks, servicing and heater testing.
Classifications: Hazardous substances; hazardous chemicals; chemical exposure.
Classifications: Respiratory hazards; respirable dust; inhalation hazards.
Classifications: Inspection and maintenance; asset inspection; equipment maintenance.
Classifications: Gas detector; gas monitor; gas detection instrument.
Classifications: Functional testing; function test.
Classifications: Atmospheric gas testing; gas testing; atmosphere testing.
Classifications: Preventive maintenance; preventative maintenance; planned maintenance.
Classifications: Ventilation; forced ventilation.
Classifications: Vessel; aboard ship; onboard vessel.
Summary
The investigation examines fatal carbon monoxide poisoning aboard a motor cruiser.
Themes: hazardous substances, marine operations.