TSB has completed this investigation. The report was published on 8 October 2024.
Crew member injury during mooring operations
Roll-on/roll-off ferry Atlantic Vision
Les Méchins, Quebec
The occurrence
On 23 March 2023, the roll-on/roll-off ferry Atlantic Vision was unmooring in preparation to enter the dry dock at Les Méchins, Quebec. During the unmooring operations, one of the mooring lines was released from the dock into the water to be winched back onto the vessel. The line was drawn into one of the vessel’s bow thrusters and wrapped around the rotating thruster propeller shaft, causing the line to rapidly pull through the mooring winch on the forward mooring deck. As the line pulled through the winch, it struck and seriously injured an on-board crew member. The crew member was evacuated by air transport to a hospital in Québec, Quebec.
Investigation information
M23C0032
Crew member injury during mooring operations
Roll-on/roll-off ferry Atlantic Vision
Les Méchins, Quebec
Investigator-in-charge
Amélie Boutour joined the TSB in 2022 as a regional investigator with the central region of the Marine branch. She graduated at the marine institute of Quebec in navigation and holds a Master Mariner certificate, issued by Transport Canada. She has more than 6 years of sea experience on Canadian tankers where she mainly sailed in Canadian waters, such as the Arctic. Ms. Boutour also worked as senior marine inspector for Transport Canada in Ottawa and as a search and rescue marine coordinator for the Canadian Coast Guard at the MRSC Quebec.
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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.