Coast Guard convenes highest-level marine casualty investigation into loss of Conception

united states coast guard 

 News Release  

U.S. Coast Guard Headquarters
Contact: Headquarters Public Affairs
Office: (202) 372-4630
Headquarters online newsroom

Coast Guard convenes highest-level marine casualty investigation into loss of Conception

WASHINGTON - The Coast Guard Deputy Command for Operations, Vice Adm. Dan Abel, announced Wednesday that he has convened a formal Marine Board of Investigation (MBI) to investigate the loss of the small passenger vessel Conception.

The Conception caught fire and sank in the early morning hours of Sept. 2, 2019, just off Santa Cruz Island in California. Only five of the 39 people onboard survived.

A commandant-directed formal Marine Board of Investigation is the highest-level marine casualty investigation in the Coast Guard. The marine board consists of four members who will investigate all aspects of the casualty including, but not limited to, the pre-accident historical events, the regulatory compliance of the Conception, crewmember duties and qualifications, weather conditions and reporting, safety and firefighting equipment, and Coast Guard oversight. 

Separately, the Coast Guard Investigative Service, the Federal Bureau of Investigation, and the Bureau of Alcohol, Tobacco, Firearms and Explosives are supporting a Department of Justice investigation and will work in close coordination with the US Attorney's Office. The Coast Guard's Marine Board of Investigation will coordinate directly with DOJ before seeking additional information from a witness, seeking new evidence or holding public hearings.

The Coast Guard is deeply saddened by the tragedy that occurred near Santa Cruz Island,” said Capt. Jason Neubauer, chair of the Marine Board of Investigation. “Our hearts go out to the victims, as well as their families and friends. The Coast Guard will conduct a thorough and detailed investigation to determine potential causal factors associated with this tragedy.”

During the course of the MBI, panel members must decide:

  • The factors that contributed to the accident;
  • Whether there is evidence that any act of misconduct, inattention to duty, negligence or willful violation of the law on the part of any licensed or certificated person contributed to the casualty; and
  • Whether there is evidence that any Coast Guard personnel or any representative or employee of any other government agency or any other person caused or contributed to the casualty.

A MBI is a lengthy and detailed process that may take a year or longer to complete. It consists of witness interviews, public hearings, and evidence collection and analysis. However, the Coast Guard does not have to wait for the Board’s final report to implement urgent and necessary safety actions. 

“In some instances, our marine casualty boards identify pressing safety issues related to vessel stability, the engine room, or lifesaving and firefighting equipment,” said Neubauer. “In those instances, we issue safety alerts or bulletins to ensure a wide spread dissemination of the most recent safety guidance. All of our safety notices and lessons learned from investigations are also publicly available online through our Coast Guard Office of Investigations and Casualty Analysis website.” 

The Coast Guard issued just such a safety bulletin September 10, urging mariners to: 

  • Review conditions listed on the vessel’s Certificate of Inspection;
  • Review crew emergency duties and responsibilities and ensure escapes are clearly identified;
  • Review the vessel log book and ensure records of crew training and emergency drills;
  • Ensure all required firefighting and lifesaving equipment is onboard and operational; and
  • Review the overall condition of areas accessibly by passengers, including accommodations. 

The safety bulletin is available online.

 An e-mail has been set up for witnesses or anyone else with information about the vessel or the marine casualty. This e-mail will be checked regularly. The e-mail address is:

Editor's note: This bulletin was edited Sept. 11, 2019 at 5:02 p.m. to correct the name of the MBI convening authority.