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It further stated: “The controls listed in the vessel’s risk assessment to mitigate the severity were not being followed at the time of the accident.

“The vessel’s safety management system was incomplete and was not being properly used or maintained on board Olivia Jean.”

Need for wide-ranging changes

A “weak” safety culture across the fleet of fishing vessels owned by Olivia Jean’s managers, TN Enterprises, was also cited.

Recommendations have been made to TN Enterprises, aimed at improving safety management on board its fleet.

These include the “utilisation and full implementation of a fishing safety management system, as recommended by the Maritime and Coastguard Agency”.