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Marine transportation safety investigation M18C0240

The TSB has completed this investigation. The report was published on 16 July 2020.

Table of contents

Crew member seriously injured

Passenger vessel Amadea
Québec, Quebec

View final report

The occurrence

On 09 September 2018, a crew member of the passenger vessel Amadea was seriously injured while stowing lifeboat No. 4 after a regular lifeboat drill. At the time of the occurrence, the Amadea was berthed at section No. 21 in the port of Québec, Quebec. The injured crew member was transported to a local hospital by ambulance.

Media materials

News release


Injury on passenger vessel Amadea highlights risks posed by lack of training and procedures
Read the news release

Deployment notice


TSB deployed a team to the Port of Québec, Quebec, following a lifeboat exercise incident involving the crew of passenger vessel Amadea

Québec, Quebec, 10 September 2018 — The Transportation Safety Board of Canada (TSB) has deployed a team of investigators following an incident during a lifeboat exercise yesterday, involving the crew of the passenger vessel Amadea while secured at the Port of Québec, Quebec. The TSB will gather information and assess the occurrence.

Investigation information

Map showing the location of the occurrence


Photo of François Dumont

François Dumont has been an investigator with the Transportation Safety Board of Canada since 2013. Before joining the TSB, Mr. Dumont sailed for 12 years in the merchant navy aboard bulk carriers, tankers, tugs, general cargo ships and icebreakers. He also was a Marine Safety Inspector with Transport Canada for three years. Mr. Dumont holds a diploma from the Institut Maritime du Québec in Marine Mechanical Engineering Techniques, a First Class Marine Engineer’s Certificate for motor vessels, and a Fourth Class Marine Engineer’s Certificate for steam vessels.


  Download high-resolution photos from the TSB Flickr page.

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.