Lack of equipment checks
Incident Date
2014-02-05
Incident Description
The dive was going well until the diver bit through one of the mouthpiece lugs. It was surprising how quickly the cut developed from a small break to a complete failure. The broken lug was retrieved and spat out to prevent it jamming in the rebreather valves. The broken gag resulted in a lopsided attachment to gas which isn't life-enhancing. The prospect of using this for another 3 hours wasn't appealing so the dive was turned. For entertainment value the damaged rebreather was used on the return which highlighted the magnetic qualities between a damaged rebreather and rock; every other bend seemed to drag the mouthpiece from the diver's lips and allow water into the no-longer closed circuit. On inspection the other lug had a small cut in exactly the same corresponding place and was all set to repeat the failure.
Lessons Learned
Whilst this was a simple failure to manage at the time and a bailout was available it could easily have developed into something serious had another stressor occurred. This is not a failure that would allow a dive to continue. The mouthpiece was an old friend of at least 10 years' standing - and that was the problem. Familiarity bred complacency. How many other small but important bits of kit have not been subjected to close scrutiny for a long time?
Factors |
|
Line Management |
Unknown |
Gas Management |
Unknown |
Equipment Management |
Major |
Equipment Failure |
Major |
Training |
Unknown |
Medical |
Unknown |
Planning |
Unknown |
Procedural Error |
Unknown |
Cave Environment |
Unknown |
Weather |
Unknown |
Other Factor |
Unknown |