Today, we have published our accident investigation report into the capsize of Wheelyboat 123 on Roadford Lake, Devon, England on 8 June 2022, resulting in two fatalities.
Chief Inspector of Marine Accidents, Andrew Moll OBE, said:
Trips on the wheelyboat were beneficial for the continuing wellbeing and therapy of the residents of the care home; however, no-one had taken time to properly consider the risks associated with taking the wheelchair users afloat, either before the accident or on the day itself.
The condition of the wheelyboat had been allowed to deteriorate so water could enter it, and on the day no-one recognised the implications of carrying vulnerable people who were strapped into heavy motorised wheelchairs around a lake in an open boat. In short, no-one had their eye on the risk, and tragically Alison Tilsley and Alex Wood lost their lives.
As well as the catalogue of failings highlighted by the report, the investigation has also uncovered a worrying lack of oversight which must be seen as an impetus for urgent action. Charitable activities such as this seem to fall into a grey zone with no organisation or authority in a position of oversight. This meant that no-one stepped in to question what had become custom and practice. Addressing this is not simple and may only be possible with a change in the law; however, the current situation is not something that should be tolerated.
