In July 2008 the TSB released its inquiry. The report found among the "causes and contributing factors" that the decision to set to sea did not sufficiently take into account the long-range weather forecasts, especially in view of the crew's qualification and experience; Gainey did not get enough sleep in the 1–2 days before the accident; most likely miscommunication on the fatal evening resulted in her still getting up every hour instead of getting rest; the port breezeway of the ship was designated "off-limits" by the ship's master, but due to inefficient communication, Gainey seems to have remained unaware of that order; in the heavy weather, no safety nets were rigged on the ship; safety lines were rigged, but safety harnesses were not worn, and there were no "established fastening points" (other than the safety lines) to which to clip safety harnesses. The captain of the "Picton Castle" accepted the findings, and adopted improved safety procedures.