Coronial
NThome

Inquest into the death of Brody Wauchope-Dirdi

Deceased

Brody Roy Wauchope-Dirdi

Demographics

11y, male

Date of death

2020-10-28

Finding date

2021-11-24

Cause of death

Combined effects of electrical shock and jack-knife body position

AI-generated summary

Brody Roy Wauchope-Dirdi, an 11-year-old boy, died from electrical shock combined with positional asphyxia after contacting a metal roof live with 240 volts in a remote Aboriginal community. The roof became electrified due to degraded insulation on Power and Water service conductors that failed to adequately separate energised conductors from metallic support structures. Critical failures included: lack of earthing of the riser pole and metal roof; poor initial installation; and absence of inspection and maintenance systems over 25 years. The Forensic Pathologist found electrical injury markers and concluded he became immobilised by the shock, then unconscious within 8-30 seconds due to jack-knife positioning. Preventable through proper installation to Australian Standards, adequate earthing, and regular inspection and maintenance regimes. Power and Water subsequently implemented systematic inspection programs across remote communities and amended standards.

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

Error types

systemproceduraldelay

Clinical conditions

electrical injurypositional asphyxia

Contributing factors

  • Degraded insulation on Power and Water service conductors
  • Failure to earth the metal roof and riser pole
  • Failure to properly install electrical connection to Australian Standards
  • Inadequate separation of energised conductors from metallic support structures
  • Lack of inspection and maintenance systems over 25 years
  • Poor workmanship in initial electrical installation
  • Metal roof not insulated from energised structures
  • Braided cable in direct contact with metal gooseneck riser
  • Insulated collar positioned incorrectly below mounting disk

Coroner's recommendations

  1. Power and Water Corporation ensure that all infrastructure including service conductors and clamps is subject to a system of regular inspection and maintenance and that the inspection and maintenance be recorded and audited
  2. Power and Water Corporation ensure that all appropriate records are maintained in relation to its functions
Full text

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