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Marine transportation safety investigation M22A0332

Table of contents

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

Map showing the location of the occurrence


Photo of Karie Allen

Karie Allen joined the Transportation Safety Board of Canada (TSB) in March 2021, as a Senior Marine Investigator in the Atlantic Region. Karie began her sea-going career as a navigation cadet at the Canadian Coast Guard College. In her 26 years of experience, Karie worked for the Canadian Coast Guard in various sea- going and shore-based positions, operating on Canada’s Atlantic coast and throughout the Arctic, including as commanding officer and as compliance officer. She holds a Bachelor of Technology- Nautical Science from the Canadian Coast Guard College and holds a Master Mariner certificate.


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

  1. Field phase: a team of investigators examines the occurrence site and wreckage, interviews witnesses and collects pertinent information.
  2. 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.
  3. 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.