Coronial
NTcommunity

Inquest into the death of Lado Stephen Lazorous

Deceased

Lado Lazorous

Demographics

4y, male

Date of death

2011-05-01

Finding date

2012-04-20

Cause of death

drowning

AI-generated summary

A 4-year-old boy of Sudanese descent drowned at Lake Leanyer Recreation Park on 1 May 2011 despite lifeguard presence. While the facility had been extensively improved following earlier drowning deaths and met RLSSA standards, this death highlights critical lessons about parental supervision. The child gained pool access accompanied by an adult not actively supervising all children in the group. Lifeguards were appropriately staffed (2 for ~84 persons) and responded immediately with CPR. The coroner emphasised that lifeguards cannot replace parental supervision—parents must actively watch children under 10 years old, staying within arm's length. The incident prompted additional improvements: security guards at entry gates on busy days, enhanced water clarity, automated PA announcements, and supplementary signage. The case demonstrates that even well-maintained facilities with trained staff cannot prevent drowning without active parental vigilance.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • Inadequate active parental supervision
  • Deceased was non-swimmer
  • Deceased gained pool access with an adult not actively supervising the entire group of children
  • Pool was busy with reduced visibility due to crowd and glare
  • High water depth relative to child's height
  • Lack of consistent gate monitoring at pool entrance
Full text

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