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Gerardo Tonogbanua

27 May 2014 · Coroner Maria Voisin · Avon
Check this reportOriginal

The coroner's concerns

  1. 1. overstressed fall wire

    “The fall wire of MV Tombarra's rescue boat failed because the winch electric motor was capable of easily overstressing the fall wire to the point of failure”

  2. 2. failed safety switch

    “Anelectronic switch, fitted to the rescue boat davit onboard Tombarra, failed to operate and stop the winch motor”

Responses

No published response was found on judiciary.uk.

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error