Demographics
2y, female
Coroner
Lock
Date of death
2008-10-21
Finding date
2010-12-13
Cause of death
drowning
AI-generated summary
A 2-year-old girl drowned in a backyard swimming pool after gaining access through a sliding security door with a deliberately disabled lock. The father had tampered with and rendered non-functional the locking mechanism shortly after moving in, without realising the consequences. Supervision failed when the uncle opened the glass door for ventilation and the father did not adequately monitor the children. The pool fence and security door were non-compliant with standards at that time. Key clinical lessons include the critical importance of adequate supervision of young children around water hazards, the necessity of functioning safety barriers, and the cumulative effect of multiple safety failures. This death was entirely preventable through proper maintenance of pool safety equipment and consistent, vigilant supervision of vulnerable young children.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Clinical conditions
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