SEAL Died in Dive Full of Safety Lapses

[JJ_BPK]

RIP CPO Leathers,

I hope there are positive, rather than vindictive lessons learned in the AAR..

Honolulu Advertiser | Apr 21, 2014 | by William Cole

The disappearance last year of a Pearl Harbor Navy SEAL who was spearfishing with other unit members on a training free dive off Kaena Point was accompanied by sweeping procedural and safety violations, according to the Navy's investigative report.

The death of special operations Petty Officer 1st Class Matthew John Leathers, 33, was likely caused by drowning due to shallow-water blackout during the breath-hold dive training, the command investigation concluded. No scuba gear was used for the exercise.

Leathers, a member of SEAL Delivery Vehicle Team 1, was wearing an estimated 8- to 10-pound weight belt on the day of his disappearance, Feb. 19, 2013, according to the report.

He was likely negatively buoyant, which would have kept him under water after a blackout, the report said. His body was never found.

Leathers, of Woodland, Calif., joined the Navy in 1998 and had been part of the unit at the SEALs' Pearl City Peninsula compound since 2004. Members of Seal Delivery Vehicle Team 1 go on missions using flooded submersibles launched from submarines.

Leathers was described as a "super-nice guy" who would give others the shirt off his back, according to friends and media reports. He was the father of three young children and had deployed to Iraq and Afghanistan.

Although the training "was to be a (scuba) diving evolution, it evolved into a breath-hold dive, and there were no indications that pre-/post-dive checklists, proper dive briefs, medical briefs, medevac plan, communications plan, roles and responsibilities requisite to a safe evolution, lost diver emergency, etc., were discussed in any detail," the report said.

No swim buddies were designated. Nor was a standby diver chosen.

Group members lost track of Leathers -- the dive supervisor for the exercise -- who jumped into the water last, and was spearfishing like the others.

One of the other swimmers "believes" he saw Leathers nearby on the ocean side of a dive supervisor boat, which is the last time anyone had sight of the SEAL, the report states.

"This is an unfortunate loss of life, and our condolences remain with SO1 Matthew Leathers' family, friends and teammates," Naval Special Warfare said Friday in a statement. "The command investigation is thorough, and it highlights the corrective actions Naval Special Warfare has taken to prevent this type of incident from happening again."

Portions of the investigation were obtained by the Honolulu Star-Advertiser through a Freedom of Information Act request. Some passages and all names except Leathers' were blacked out.

Spearfishing while on a training swim became a specific focus of attention.

In an April 2, 2013, letter, an unidentified commander said, "I am returning the investigation to you for further investigation into pertinent information, specifically including to what extent, and to what level of command, breath-hold dive spearfishing on command time and with command assets, was authorized at SEAL Delivery Vehicle Team 1."

The command endorsement of the investigation noted the recommendation that SDVT-1 conduct an "internal inquiry" regarding the use of spearguns during official command exercises.

"I do not concur with this recommendation," a commander wrote in the endorsement. "The use of spearguns and other personal or non-governmental-issue items on training missions shall be prohibited throughout NSWG-3," referring to Naval Special Warfare Group 3, the umbrella command.

The investigation endorsement said a NSWG-3 training standdown was ordered from March 18 through April 5, 2013, and a commander's conference was scheduled in San Diego.

"In addition to the standdown, I have issued a letter of instruction to all commanders and officers-in-charge, directing specific actions to be taken by all, as we review and change how we conduct business," the unnamed commander said.

Like the investigating officer, the endorsing commander did not believe Leathers' death was the result of willful neglect. His death was determined to be in the line of duty and "not due to his own misconduct."

At the time of the training dive, Leathers was leading petty officer with the team's Alpha Platoon.

Many of his teammates, including his commanding officer, were of the opinion that Leathers was among the most experienced SEALs and SEAL Delivery Vehicle operators. He could free dive down to 100 feet and was in excellent physical condition, the report says.

Ten sailors left the Pearl City Peninsula at about 11:45 a.m. on the day of the incident. They had two rigid-hull inflatable boats, chase and dive supervisor boats, an emergency truck and a personal vehicle.

During the drive, Leathers mentioned the possibility of going to Kaena Point instead of Electric Beach, the two locations discussed for the training.

One of the sailors reported that the chosen dive spot at Kaena Point had 9- to 10-foot waves, so the boats moved southward to a calmer area and dropped anchor.

The free dive was planned from 2 until 4 p.m. All the SEALs had fins, snorkels, masks, dive knives and weight belts.

"Look out for sharks," Leathers is reported to have said.

Before entering the water, Leathers advised others to be careful what they shot at with their spearguns, which one participant characterized as the "safety brief."

The SEALs were free diving to at least 25 feet. By 4 p.m., as the dive wound down, it was determined Leathers was missing, and a search began.

Around 5:45 p.m. the Coast Guard was notified about a "lost diver," and within minutes the first helicopter was on scene.

The search grew to include other SEAL surface craft; a Coast Guard C-130 aircraft, cutter and buoy tender; the vessel C-Commando; Honolulu Fire Department helicopters and lifeguard Jet Skis and swimmers, the report says.

Underwater caves were searched, and the SEALs looked as far as the eastern Kauai shoreline -- where drift models indicated Leathers could end up -- with foot patrols and small craft.

The command investigation also concluded that:

-- The SDVT-1 "evolution sheet" used that day did not contain the information and checks and balances necessary to properly schedule and ensure appropriate control measures were in place.

-- The exercise as conducted by Alpha Platoon "departed from the planned evolution in almost every significant regard, with no notice provided to SDVT-1 command group leadership."

-- Platoon members did not perceive breath-hold diving to be a "diving" operation, despite Navy diving manual regulations to the contrary.

-- The platoon did not follow standard dive- or swim-safety protocols.

Platoon members did not perceive the use of spearguns on evolutions to be unusual, and used them without sufficient safety measures.

-- On the day in question, there were "shortcomings of leadership on multiple levels within Alpha platoon."

-- All that was ever found was Leathers' speargun.

"The work conducted in Naval Special Warfare is inherently dangerous and safety should never be compromised," the command said.

http://www.military.com/daily-news/2...tml?ESRC=eb.nl

[Pete]

When in uniform, even if its a swim uniform, safety procedures are to be followed. When in the water the buddy system is the most basic.

I've heard it all, no compressed air, we're just swimming, etc, etc but Shit Happens. When on duty follow the rules.

[glebo]

Sorry for the guy...and his loved ones..

Not to be crass, but hey, They're SEAL's, they have movies, not rules...

[The Reaper]

When I was in a joint assignment, we used to do MFF jumps with all of the services in the HQs.

We were rigging and a SEAL asked me if I wanted him to conduct my Pre-Jump Inspection.

I said sure, just to see how he did it.

He looked at the front, looked at the pins, and declared me GTG in less than 15 seconds.

Needless to say, I let an SF buddy who had been an instructor at Yuma reinspect, it took him two minutes.

RIP for PO1 Leathers. Prayers for his family.

TR

[Beef]

Originally Posted by glebo

Sorry for the guy...and his loved ones..

Not to be cass, but hey, They're SEAL's, they have movies, not rules...

You're not being crass, glebo. The "pick-up football game" or "we'll just SWAG it" attitude has been pervasive in the teams since the '70s, that I know of. While the SEALs have arguably the physically toughest selection process in the world, something is missing in the psyche. It has gotten them into trouble like this in war and peacetime alike. I saw them blow off a hydro in Kenya and got an LST beached. I wonder if Martin (Ambushmaster) saw "Lone Survivor?" I would love to hear a critique of everything they did contrary to MACV SOG SOPs on that recon patrol. Starting off with going out so personnel light. And the SEAL C&C screwups.

A kid from around the block from me is plank owner with ST 10. He was on the chopper that did not take an RPG round. They were not refused gunship support like in the movie. The SEAL CMDR. Christiansen (?) chose not wait on them (less than half an hour) and charged head on into the AO. And, along with 18 others, paid with his life for violating SOP.

I am very sorry that Leathers lost his life. He has served his country and I salute him for his service. I am just deeply saddened that it was so needless. Prayers out to his family.

[JJ_BPK]

There is a back-side learning point here.

Shallow Water Black-out.

http://shallowwaterblackoutprevention.org/

It is very real and there is nothing you can do to prevent it. No mater how pumped you are. It happens to some of the best freedivers in the world.

The schools in the Keys use to have open information "classes" on the topic of free diving and SWB. These were not formal classes,, but more of an FYI,, "be careful or DIE" info-mat. Mehgan Heaney-Grier, at one time, was very active in the safety sessions. One of our Keys friends lost their 15YO son to SWB.

http://www.freediver.com/

[Beef]

Originally Posted by JJ_BPK

There is a back-side learning point here.

Shallow Water Black-out.

http://shallowwaterblackoutprevention.org/

It is very real and there is nothing you can do to prevent it. No mater how pumped you are. It happens to some of the best freedivers in the world.

The schools in the Keys use to have open information "classes" on the topic of free diving and SWB. These were not formal classes,, but more of an FYI,, "be careful or DIE" info-mat. Mehgan Heaney-Grier, at one time, was very active in the safety sessions. One of our Keys friends lost their 15YO son to SWB.

http://www.freediver.com/

Great links, JJ. Thanks! I've forwarded to my kids, who are competitive swimmers. I'm sure you seem this during crossovers and bobbing in the old days.

[1stindoor]

Originally Posted by JJ_BPK

There is a back-side learning point here.

Shallow Water Black-out.

One of my guys on my dive team had one almost every single time he had to do the underwater swim in pre CDQC...at the end of the day though he became a diver. SWB's are very common in pre CDQC and CDQC. We joke about them, but we kept a close eye on everyone just in case.

[Ambush Master]

Originally Posted by Beef

You're not being crass, glebo. The "pick-up football game" or "we'll just SWAG it" attitude has been pervasive in the teams since the '70s, that I know of. While the SEALs have arguably the physically toughest selection process in the world, something is missing in the psyche. It has gotten them into trouble like this in war and peacetime alike. I saw them blow off a hydro in Kenya and got an LST beached. I wonder if Martin (Ambushmaster) saw "Lone Survivor?" I would love to hear a critique of everything they did contrary to MACV SOG SOPs on that recon patrol. Starting off with going out so personnel light. And the SEAL C&C screwups.

A kid from around the block from me is plank owner with ST 10. He was on the chopper that did not take an RPG round. They were not refused gunship support like in the movie. The SEAL CMDR. Christiansen (?) chose not wait on them (less than half an hour) and charged head on into the AO. And, along with 18 others, paid with his life for violating SOP.

I am very sorry that Leathers lost his life. He has served his country and I salute him for his service. I am just deeply saddened that it was so needless. Prayers out to his family.

Thoughts and Prayers Out!!

I have not seen Lone Survivor, but I'll make a point to do so!!

[The Reaper]

Originally Posted by Ambush Master

Thoughts and Prayers Out!!

I have not seen Lone Survivor, but I'll make a point to do so!!

It's just going to piss you off.

TR