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Finding into death of Timothy Joseph De Voigt

Deceased

Timothy Joseph De Voigt

Demographics

12y, male

Date of death

2009-12-26

Finding date

2015-11-23

Cause of death

Effects of fire

AI-generated summary

Timothy Joseph De Voigt, aged 12, died in a house fire on 26 December 2009 at his family home in Cranbourne, Victoria. The fire originated in a multi-outlet power board in his bedroom, likely caused by an electrical fault within the power board or a connected appliance. Timothy was overcome by smoke inhalation and fire effects while sleeping. The coroner's investigation revealed widespread misuse of power boards including overloading, cocooning (covering with items), piggy-backing, and contamination. Key clinical lessons include: the vulnerability of young children to fire injury; the cumulative electrical degradation that occurs in aged power boards due to wear and tear; and the gap between safety standards (which test only new devices) and real-world use. The coroner recommended public awareness campaigns about power board safety and testing of used/old power boards to better understand aging-related risks, as current Australian/New Zealand Standards focus only on temporary use of new devices.

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

Contributing factors

  • electrical fault within multi-outlet power board
  • appliance connected to power board
  • power board misuse including overloading
  • power board contamination
  • possible cocooning of power board
  • possible piggy-backing of power boards
  • absence or failure of smoke detector

Coroner's recommendations

  1. ESV and MFB jointly fund a public awareness campaign on power board safety informing the public that power boards are for temporary use not permanent installation
  2. Public awareness campaign should inform about power board misuse including overloading, cocooning, piggy-backing, contamination, outdoor use of indoor power boards, DIY repairs, use of power boards manufactured before 1 January 1984, and boards subjected to prolonged wear and tear
  3. Public awareness campaign should inform about risks associated with power board misuse and how to identify when a power board should be discarded (signs of wear and tear, discolouration of plastics, age)
  4. ESV in consultation with MFB undertake testing of a range of used and old power boards (mutually agreed range) to determine if cocooning, contamination, general wear and tear, overloading, piggy-backing and age causes electrical degradation or safety issues
  5. Results of testing of used and old power boards should be compared against the most recent AS/NZS 3105 Standard
  6. If testing reveals electrical degradation or safety issues increasing fire risk, Standards Australia should review AS/NZS 3105 based on new information provided by ESV
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