Coronial
QLDother

Forster, Adam Douglas

Deceased

Adam Douglas Forster

Demographics

34y, male

Date of death

2011-10-25

Finding date

2014-03-06

Cause of death

Torn aorta due to crushing accident

AI-generated summary

Adam Douglas Forster, a 34-year-old sales and marketing manager at a small mineral processing company, died from a torn aorta sustained in a crushing accident involving an unguarded rotating ball mill. Despite not being employed to work with the machinery, he had unrestricted and unsupervised access to the mill room. While sweeping spillage alone, he became ensnared by protruding bolts on the rotating cylinder and was dragged underneath. The exact mechanism of entrapment could not be determined. The coroner identified inadequate workplace health and safety measures in very small businesses as a systemic issue, with no guards, barriers, or restricted access to dangerous machinery. Key clinical findings included a trace level of THC that had no adverse effect. The death was not preventable as an individual clinical event but highlighted systemic workplace safety failures in small business operations lacking oversight.

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

Contributing factors

  • Unrestricted and unsupervised access to operating ball mill
  • Absence of guards, barriers or apparatus restricting access to machinery
  • Unguarded rotating machinery with protruding bolts
  • Inadequate workplace health and safety measures in small business
  • Lack of operator training or safety briefing for employee with operational area access

Coroner's recommendations

  1. Copy of findings to be forwarded to Attorney-General and Minister for Justice
  2. Copy of findings to be forwarded to Chief Executive, Workplace Health and Safety Queensland
  3. Policy makers and advisors of WHSQ to consider circumstances and determine what else may reasonably be done to educate very small business operators to foster a culture of workplace health and safety in their operations
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. All court orders for redaction and non-publication are respected; documents with technically defective redaction have been excluded from the database entirely. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction —