Many safety recommendations made by the MAIB and from a separate Clarke report into general River Thames safety have already been implemented.

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The MAIB said Chloe was thrown to the deck and the RIB continued because the kill-cord for the engine was "not in use".

BBC: Holly Buchanan's remains found on Loch Lomond island

The MAIB said the boat had previously been laid up for the winter and investigations revealed that the steering had been difficult when the three family members were on the loch.

BBC: Holly Buchanan's remains found on Loch Lomond island

The MAIB report also criticised port operator Clydeport.

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The Marine Accident Investigation Branch (MAIB) is investigating.

BBC: Torquay JCK skipper lost at sea named as Andrew Westaway