Quad bike safety sensitivities

The quad bike safety issue is hotting up on a range of fronts in Australia with the trade unions taking an active interest,  meetings between bike manufacturers and safety designers, and the SafetyAtWorkBlog email box filling up with background content and opinion.

One of these emails reminded me of some court action that was taken in 2005 by Honda against the Victorian State Coroner, Graeme Johnstone.  Johnstone only recently retired from the position after many years and over that time there were fewer more ardent safety advocates, particularly not any that had the same broad audience and media attention.

In 2005 Johnstone was conducting an inquest into several quad-bike related deaths.  At one point he approached a witness outside of the Coronial process to seek their assistance in a training course.  Representatives from Honda took exception to this and began court action in the Supreme Court of Victoria to have him dismissed from conducting the inquests.

Justice Tim Smith found Johnstone remained open-minded and impartial throughout the inquest but the unreported judgement available online illustrates some of the tensions of the time and continue to exist to this day.

The judgement mentions the purpose of the inquest:

“The major disputed issues in the inquest relevant to the present application were the following:

  • whether the lack of roll-over structures on their ATVs caused the death of Mr Crole and Dr Shephard
  • whether roll-over structures should be installed on ATVs
  • whether the question of the provision of roll-over structures for ATVs should be investigated further.”

In describing the context of Johnstone’s contact with the witness, Dr Raphael Grzebieta, the judgement hints at the Coroner’s inquest findings (which are not available online)

“In addition, notwithstanding Dr Grzebieta’s conclusion that Dr Shepherd and Mr Crole [the deceased] would have been saved by the fitting of the roll bars and that this would be sufficient to justify a recommendation that they be fitted, the coroner expressed a provisional view that:

“My view at the moment is that it does not give me enough to recommend roll-over protection.””

The Victorian Coroner continues to be active in investigating quad-bike related deaths as seen in this newspaper article from earlier in 2009.  A related article quotes John Merritt, WorkSafe’s executive director as saying:

“This inquest came about as a result of a terrible spate of fatalities in the past two years… WorkSafe’s position on this is clear. It believes that a quad bike is like any piece of farming equipment and those who use them need the appropriate training to be able to use them safely.”

If a quad bike is like any other piece of farming equipment, the equipment designers would be reviewing their designs to minimise the risk of injury as the field bin and silo manufacturers have, or the milk vat designers have or the windmill manufacturers have or, indeed , as have the tractor manufacturers who actively promote the safety features of their new tractors.

The unreported Supreme Court judgement provides a good indication of the major players in the quad bike safety discussion, particularly the expert witnesses for and against.

Many of the issues are resurfacing because safety and work practices continue to change and the only satisfactory resolution is when hazards are controlled and harm is reduced and, hopefully, eliminated.  2010 in Australia looks set to be a year when quad bike safety gets a good going over once more.

Kevin Jones

Barry Sherriff talks about the Work Health and Safety Act

Boardroom Radio often has interesting speakers on topical issues.  On 11 December 2009,  they interviewed Barry Sherriff who recently joined the Australian law firm, Deacons.  The interview is of general interest and reflects many of the issues raised by Australian labour lawyers elsewhere.

Barry is an OHS law expert and was a member of the panel that reviewed Australia’s OHS legislation in 2008/09 in order to steer the development of  a model OHS law.  That process was completed in mid-2009 and the Government took on most of the recommendations.  Effectively the Government started a second separate process – the development of legislation based on a range of information, advice and public submissions.

Many recent submissions to the Government in this second phase harked back to earlier findings.  Many issues raised in the Model OHS Act Review, such as the issue of “suitably qualified” OHS advisers, are dead.  As Barry’s interview shows, contemporary thinking provides forward momentum and it is up to all of us to keep our state of OHS knowledge current.

Kevin Jones

Director accountability for OHS reinforced by NZ penalty

On April 5 2008, a cool store in New Zealand exploded killing one firefighter and injuring 7 others.  Icepak Coolstore Ltd, according to the fire services investigation report

“[had] very large quantities of combustible material contained in the expanded polystyrene construction panels and also in the foodstuffs stored.

“There were no compliant fire detection or protection systems or hydrants, and very limited firefighting water.”

In July 2008, the New Zealand Department of Labour (DoL) issued a media statement and fact sheet concerning the explosive potential of flammable hydrocarbon refrigerants.

Language warning on the video below

On 15 December 2009, a New Zealand Court penalised two companies and a director with fines totalling over $NZ390,000.  The DoL has issued a media statement about the prosecution results.

The many reports and inquiries into the explosion and fire are very informative but one element that the DoL wants to focus on is the penalty applied to the Director of Icepak Coolstore, Wayne Grattan.  He was

“fined $30,000 on one charge that he acquiesced in the failure of the company to take all practicable steps to ensure the safety of its employees while at work.”

The Department of Labour’s Chief Adviser for Workplace Health and Safety, Dr Geraint Emrys said (click HERE for audio):

“The prosecution against the director of Icepak should serve as a reminder to officers, agents and directors of organisations that they can be held personally accountable for the failures of their organisation.

“Mr Grattan was charged with acquiescing in Icepak’s failure in respect of obligations to its employees.  The outcome of the case against Mr Grattan reinforces the requirements of directors to be proactive in health and safety matters.”

As many Commonwealth countries have a strong commonality of law, the Icepak Coolstore case should be an important case study in many jurisdictions.

Kevin Jones

OHS criticism needs to aim “at the source”

The e-Editor for the Institute of Occupational Safety & Health, Shaun Gibbons, has commented on the recent speech by David Cameron, the Opposition Leader of England’s Conservative Party.

In this editorial Gibbons says

“Instead of cosying up to the newspapers which perpetuate the myths that somehow health and safety is to blame for much of society’s ills, Cameron should be rounding on the media for its part in falsely reporting on health and safety issues.”

If one takes “health and safety” outside the factory fence and consider it as a social attitude or as a collective term for a range of social perspectives, “health and safety” is crucial, or rather the personal fears generated by our concerns for our own health and safety and for those of our family members are a crucial consideration in how we live and work.

David Cameron is a politician and needs the media to distribute his policies and campaign strategies so he is in his natural element.

The print media, principally, does report health and safety issues in an alarming manner but as sensation, and particularly in England titillation, is what sells newspapers, it seems pointless to blame the media for what they have always done.

It will be impossible to get the media to change their attitudes to health and safety.  The struggles of Australian OHS regulators in doing so has been touched on elsewhere in SafetyAtWorkBlog.  It seems clear that if traditional media cannot be changed in this area, alternate media outlets and mechanisms need to be produced that provide information that is not adequately or appropriately covered elsewhere.  This blog is one example.  IOSH’s website is another.

Gibbons gets closer to the core issue elsewhere in his editorial:

“…seeing through the predictable soundbites which came from his speech last week, Cameron has actually highlighted an important cultural issue that IOSH does welcome: people’s growing confusion and damaged confidence when it comes to managing day-to-day risk. With the fear of litigation at the heart of this debate, the speech did give IOSH the opportunity to make its call for us all to move away from a culture of blame to one that’s based on better ‘risk intelligence’.”

He is right in saying that society has an (increasingly) skewed perception of “day-to-day risk” but he is more correct when identifying that

“the fear of litigation [is] at the heart of the debate.”

IOSH and other safety professional organisations need to get a better understanding of the insurance and legal industries so that they are able to temper some of the extremism from these sectors that is sacrificing long-term cultural and societal health for short-term gain.

SafetyAtWorkBlog’s editor, Kevin Jones, wrote in National Safety magazine about the pernicious growth in the expansion of directors’ and officers’ liabilities insurance policies to cover the legal expenses AND fines from OHS prosecutions.  Either safety organisations are unaware of the impact of these products, do not understand them or do not care, as the silence has been deafening.

Kevin Jones

Self development course contributes to a workplace suicide

What would you do if a work colleague strips, screams, acts “like a child having a tantrum”, starts to sing and then jumps out of a window to her death?  That is the situation that was faced by staff at the Sydney office of the Royal Australasian College of Physicians in December 2005.

Only days earlier, 34-year-old Rebekah Lawrence, had participated in a self-development course called “The Turning Point” conducted by Zoeros P/L trading as People KnowHow.  The course, according to one media report, the course included a session called “The Inner Child”

“in which those taking part were encouraged to develop a dialogue between their child and adult selves.”

Lawrence’s actions just before her death mirrored some of the course teaching.

PeopleKnowHow’s website has closed down with an announcement that all of its courses are under review.  Other organisations that provide similar courses are running for cover.  Transformational Learning Australia has said it

“…no longer has a professional relationship, affiliation or any other connection with People Knowhow.” [emphasis added]

TLA also says any relationship ended in 2005.  That the company has felt it necessary to make a media statement about the end of the relationship shows the extent of the effect of Rebekah Lawrence’s death on this industry sector.

TLA goes on to say that

Our organisation does not accept participants who have a recent history of chronic mental illness, participants under the care of a treating professional who have not obtained that professional’s consent to participate, or people who demonstrate a propensity towards psychological fragility or a significant lack of cohesion during the introductory sessions of the program.”

The New South Wales Coroner found that in the absence of any history of psychosis in Rebekah Lawrence that,

The evidence is overwhelming that the act of stepping out of a window to her death was the tragic culmination of a developing psychosis that had its origins in a self-development course known as ‘The Turning Point’ conducted by Zoeros Pty. Ltd, trading under the name of ‘People Know-How” on the 14, 16, 17 and 18 December 2005.

The full coronial findings are difficult to read due to the personal details of Lawrence’s life, her relationship with her husband David and the general picture of her personality that comes through.   An upsetting and enlightening interview with David Booth is available online from earlier in the investigation process.

The findings also provide considerable detail to the components of the course that Lawrence undertook.  There is a greater level of detail than would be expected to be known by someone signing up for such a course and this is where the lessons can be learnt for the OHS professional and safety manager.

It has become common in many corporations who are trying to improve or introduce a positive workplace culture, to supplement their own efforts with “self-help” or “self-awareness” courses.  Lawrence’s death has highlighted the lack of regulation or accountability in some sectors of this industry.  This also highlights the need for people managers to thoroughly investigate such courses to ensure that good intentions are not likely to increase the risk of harm or damage to the employees who participate.

An audio report on the Coroner’s findings is available online.

Counselling Services

Many workplaces often provide access to counselling services through schemes such as Employment Assistance Programs.  The Coroner’s recommendations have some direct bearing on the issue of “counsellors”.

“The Executive Director of the Australian Psychological Society, Professor Lynne Littlefield pointed out that there are no legal restrictions in Australia for practising under the title ‘psychotherapist’ or under the title ‘counsellor’ and therefore no public safeguards against untrained or incompetent practitioners in this field.

Professor Littlefield pointed out that although there were many skilled counsellors and psychotherapists, there were also many whose competence is questionable and without any regulating mechanisms to stipulate the required training and levels of competence, there was no way of protecting the public from these poorly trained practitioners.”

Rebekah Lawrence’s death is receiving considerable media coverage in Australia at the moment and the New South Wales Government is carefully considering the Coroner’s recommendations concerning the regulation of some areas of the self-development industry.  Employers and safety professionals are going to have a very different set of criteria shortly from which such workplace-related courses need to be evaluated.

One media report has indicated the start of the ramifications of this unfortunate death:

“The NSW Health Minister, Carmel Tebbutt, said she had asked her department for ”urgent advice” on the case and would consider the coroner’s recommendations. A code of conduct for counsellors and psychologists had already been implemented and the Health Care Complaints Commission now monitored practitioners.

The Royal Australian and New Zealand College of Psychiatrists called for closer monitoring and accountability of self-help and psychotherapeutic courses.”

Kevin Jones

Safety awareness ≠ safety (always)

Workplace fatalities have markedly increased in Victoria over the last couple of months.  According to WorkSafe Victoria information nine people have died within the last two months bringing the current total to 27 for 2009.

Victoria has a high awareness of the need for safety in the workplace, principally due to the advertising campaigns of WorkSafe which began, in one form or another, in the 1980s when Andrew Lindberg was WorkSafe’s CEO.  But clearly awareness of the need for safety is not being translated into action.

WorkSafe Victoria has become alarmed at the recent surge in deaths and issued a media release asking for things to settle down.  John Merritt, executive director, has said

“With many industries now reaching their peak activity the risks are extreme as people rush to get work completed and begin to think about what Christmas, holidays and the New Year has to offer.

“The construction and manufacturing sectors are aiming to complete projects before a summer shutdown, while transport, warehousing and retailing are ramping-up to Christmas.

“With just a few weeks before Christmas and the spectre of nine deaths in two months behind us, employers and workers must lift their game and reject the urge to take shortcuts or become complacent.”

But there is nothing unique about this time of year as the same activities, the same work pressures exist each year at this time.  More analysis is required of why this October and November 2009 have been particularly bad.  This analysis needs to be much deeper than the market research and attitudinal studies that OHS regulators frequently undertake.

Dead men tell no tales but survivors do and perhaps it is time to investigate the circumstances of an incident in a way that is outside of the legal/prosecution motivation.  Everyone has a different perspective on a workplace incident and many are less than truthful or honest in order to not incriminate themselves or because a lawyer has advised against unsupervised cooperation.  Could it be possible to offer a special consideration to the witnesses of an incident, prior to the Court experience, so as to encourage accurate data of an incident that can then be issued as a safety alert?

The media releases of OHS regulators often refer to incidents that have occurred months or years ago when the circumstances are only remembered by the Courts, the company and the family of the deceased.  Surely there must be some way of issuing an interim alert that does not jeopardise the prosecution?  The preventative benefit would be so much more if the alert relates to an event that has occurred within the last week, for example, or while the tragedy is still being reported in the media.

In various venues throughout Victoria, John Merritt, has been showing a graph of the number of fatalities in the State in line with the National OHS Strategy leading to 2012.  Earlier this year, the fatality rate was above the benchmark.  Now, WorkSafe must be realising that the 2012 target is likely to be impossible.

Australia is not renowned for its OHS research.  What occurs is way below that of other similar economies and the funding is abominable.  It may be time to pull back on advertising expenditure and start researching the causes of the fatalities for a quick turn around of, at least interim, results.  Until this occurs, regardless of regular pleas from OHS regulators it is likely that we will still be hearing of incidents like these from Victoria:

“…a 42-year-old man fell from a roof and died while installing cables for a television antenna on a house in Tullamarine.”

“…another 42-year-old man is being treated for serious burns at the Alfred Hospital after fuel ignited as he prepared to refill a generator…”

“A man has died at Werribee after being run over by the trailer of a reversing tractor”

“…a farm worker was run over by a tractor on another Werribee South vegetable farm. He suffered serious injuries to his pelvis and was flown to hospital for surgery…”

“A Lower Templestowe man, 47, died from crushing injuries after a tractor he was driving became entangled in a steel wire supporting poles for a canopy over a Wandin North orchard.”

“A 45-year-old dairy farmer died near Portland when he was hit by his tractor and an implement and suffered fatal crushing injuries.”

“A man’s head was crushed between an industrial chipper and a truck at Warrandyte North”

“A man aged in his 50s died at Bannockburn near Geelong while operating a boom lift. He was found crushed between the machine’s bucket and the roof of a building in which he was working”

What we can be sure of is that 27 Victorian families will not be celebrating this Christmas.

Kevin Jones

NZ quad bike fatality

On 26 November 2009, a contract worker on a New Zealand dairy farm was found seriously injured after his quad bike “flipped over on to him”.  The details of the incident according to the New Zealand Police statement are included below.

A Department of Labour spokesperson said he was unable to provide any information about the incident other than that they are investigating.

Our sympathies go to Mr Wilson’s family and all those involved in the incident

“A dairy farm worker was been killed this morning in what appears to be a tragic quad bike accident.

Police were contacted around 7.35 this morning (Thursday, 26 November) when 40-year-old Rhys Mark Wilson, from Alton who is a sharemilker at a farm in Manutahi, near Hawera, was found in a gully on the farm by a co-worker. The worker had gone looking for Mr Wilson because the cows had not been brought in for milking.

CPR was administered and this continued when emergency services arrived on scene but they were unable to revive him.

OSH and police have carried out an investigation and it is believed that the accident happened around 5am when Mr Wilson was rounding up the cows for milking. He had gone down into a gully, probably to retrieve some stray cows and it appears that as he attempted to traverse a steep slope the quad bike he was riding flipped over on to him.

OSH has recovered the bike as part of its investigation and the Police are investigating on behalf of the Coroner.”

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