William Corben, a 4-year-old non-swimmer with documented chlorine reaction, drowned in neighbours' backyard pool on 28 February 2015 after approximately 20-27 minutes without oxygen. Critical factors included: pool gates intentionally propped open with timber blocks by the pool owner; lapse in direct supervision when the supervising adult left the pool area to shower/change for a movie engagement; and William's re-entry into the pool unnoticed after leaving a hide-and-seek game. The owner had initiated a 'bad practice' of propping gates despite knowing William could not swim and required direct supervision. The death was preventable through: maintaining pool gate compliance, ensuring continuous adult supervision, and communicating swimming plans to parents. Post-incident evidence suggests the secondary safety feature (bedroom door with bracket) was non-compliant, indicating cavalier pool safety practices.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Intentional propping open of swimming pool gates with timber blocks
Lapse in direct supervision of children
Supervising adult absent from pool area (showering/changing clothes)
Deceased was non-swimmer with documented inability to swim
Supervising adult did not verify with parents that children would swim
Supervising adult relied on young children's word that deceased had gone home without verification
Pool compliance breach regarding bedroom door safety feature
Failure to communicate swimming plans to parents
Coroner's recommendations
Issue of creating a new offence where serious injury or death occurs in circumstances where there have been intentional or negligent breaches of pool safety laws be reconsidered by the responsible State Government Minister in the context of facts arising from these cases and support for implementation of such additional offences by other coronial jurisdictions
QPS review their Operational Procedures Manual Chapter 8.5.11 regarding the investigation of swimming pool deaths to ensure all possible aspects of swimming pool compliance and safety are included in the investigation
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