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URGENT changes to ferry evacuation systems have been recommended after a P&O employee died in an "abandon ship" drill on the superferry Aquitaine in October.
A report released by the Marine Accident Investigation Branch on Tuesday, warned shipping companies that changes to vertical-chute systems must be made to prevent another fatal accident.
Linda McCabe Jones, 53, of Ashford, had volunteered for the drill and was the 125th person to evacuate the ship through a vertical chute into life rafts.
"Nine seconds later she shouted for help; the chute controller stationed at the top shouted to her to wriggle, but she replied that she could not," the report stated.
A trained member of staff went into the chute and found her stuck with her hands and feet above her head. Her lifejacket and her own jacket had come off and were covering her head.
When he realised he could not get her out he called for help and the chute was cut and lowered to the life raft below. She was already unconscious when she was taken ashore by a fast boat, which was on standby. She was taken to hospital were her death was confirmed.
Although the full investigation has not yet been completed, the interim report was released to give recommendations to shipping companies as soon as possible.
Stephen Meyer, chief inspector of marine accidents, said: "The MAIB will publish its report on completion of its investigation, with final recommendations."
The report said: "This tragic accident has highlighted a number of risks that need urgent attention. The volunteer who died might not have been particularly fit or healthy. Until the actual cause of death has been established, it is recommended that only fit and healthy volunteers are selected to participate in drills."
It also recommended that shipping companies using the evacuation systems should consider the possibility and effects of people blocking the chutes in the future and make sure that life jackets cannot ride up.
Manufacturers were advised to remove possible causes of blockages by redesign or other means.
Brian Rees, a spokesman for P&O Ferries said they were unable to comment on the interim report before the full investigation and the inquest were completed..
"MAIB is still investigating the incident and we don't want to pre-empt their findings," he said.