A 77-year-old man died from multiple chest injuries sustained when a Mini Loader he was operating rolled over and crushed him. He had no prior experience with plant machinery and received minimal induction training. The critical failures were: operating the loader with the mast elevated (contrary to explicit instructions), not wearing the available seatbelt, and inadequate workplace safety oversight. The coroner found the death entirely avoidable, emphasizing that proper training, adherence to manufacturer specifications, and consistent use of safety equipment (seatbelt) could have prevented this fatal accident.
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