Coronial
TASother

Coroner's Finding: EL de-identified

Deceased

EL

Demographics

32y, male

Date of death

2020-05-01

Finding date

2022-10-19

Cause of death

Blast injuries including extensive subarachnoid haemorrhage and pulmonary haemorrhage due to explosive tyre decompression

AI-generated summary

A 32-year-old experienced mechanic died from blast injuries sustained when a damaged truck tyre he was inflating exploded under pressure. The tyre had pre-existing sidewall damage from previous impact and was being inflated without a pressure regulator or safety cage—standard safety equipment available at the workplace. The compressor delivered 150 psi, exceeding the tyre's load capacity. Although EL was safety-conscious and competent, he deviated from established procedures by attempting to repair the damage himself without informing his employer. This case demonstrates that even experienced workers can have fatal outcomes when basic safety protocols are bypassed. Use of the available safety cage and pressure regulator would likely have prevented this tragedy.

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

Contributing factors

  • Failure to use available safety cage when inflating tyre
  • Removal of pressure regulator from airline prior to inflation
  • Inflation of damaged tyre with pre-existing sidewall damage and fatigue
  • Standing in trajectory zone during inflation
  • Over-inflation to compressor maximum of 150 psi (50 psi above typical industry standard)
  • Attempt to repair damage without informing employer
  • Tyre fatigue from previous impact damage and operation on borrowed rim
Full text

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