Person overboard and subsequent loss of life
Canship Ugland Ltd.
Atlantic Pilotage Authority pilot boat No. 18
2.01 NM ESE of Signal Hill, Newfoundland and Labrador
The occurrence
On 27 September 2022, just off the southeast coast of Signal Hill in Newfoundland and Labrador, one of the two crew members on board Atlantic Pilotage Authority pilot boat No. 18 fell overboard shortly after conducting a pilot transfer. The crew member was recovered by a vessel of opportunity and later pronounced dead. The TSB is investigating.
Investigation information
M22A0332
Person overboard and subsequent loss of life
Canship Ugland Ltd.
Atlantic Pilotage Authority pilot boat No. 18
2.01 NM ESE of Signal Hill, Newfoundland and Labrador
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Class of investigation
This is a class 3 investigation. These investigations analyze a small number of safety issues, and may result in recommendations. Class 3 investigations are generally completed within 450 days. For more information, see the Policy on Occurrence Classification.
TSB investigation process
There are 3 phases to a TSB investigation
- Field phase: a team of investigators examines the occurrence site and wreckage, interviews witnesses and collects pertinent information.
- Examination and analysis phase: the TSB reviews pertinent records, tests components of the wreckage in the lab, determines the sequence of events and identifies safety deficiencies. When safety deficiencies are suspected or confirmed, the TSB advises the appropriate authority without waiting until publication of the final report.
- Report phase: a confidential draft report is approved by the Board and sent to persons and corporations who are directly concerned by the report. They then have the opportunity to dispute or correct information they believe to be incorrect. The Board considers all representations before approving the final report, which is subsequently released to the public.
For more information, see our Investigation process page.
The TSB is an independent agency that investigates air, marine, pipeline, and rail transportation occurrences. Its sole aim is the advancement of transportation safety. It is not the function of the Board to assign fault or determine civil or criminal liability.