Coronial
VIChospital

Finding into death of Fangzhou Shi

Deceased

Fangzhou Shi

Demographics

24y, male

Date of death

2019-09-09

Finding date

2021-12-16

Cause of death

Complications of head injuries (operated), sustained in a tram impact (pedestrian)

AI-generated summary

A 24-year-old international student died from catastrophic head injuries sustained when struck by a tram. He was not wearing his prescription glasses, was distracted by his mobile phone, and misjudged his proximity to the tracks. The tram driver could not stop in time despite emergency braking. Contributing environmental factors included overgrown bushes obscuring visibility, poor lighting, and lack of barriers or warning signage at the collision site. The coroner found five prior tram-pedestrian collisions in the area between 2014-2019. No clinical errors were identified; the death resulted from a tragic accident. Recommendations focused on safety infrastructure improvements including barrier installation and vegetation management to enhance visibility for both pedestrians and tram operators.

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

Contributing factors

  • Poor eyesight without prescription glasses
  • Distraction from mobile phone use
  • Misjudgment of distance to tram tracks
  • Overgrown bushes limiting visibility
  • Poor lighting at night
  • Dark clothing
  • Downhill slope obscuring tram driver's view
  • Lack of barriers between designated crossings
  • Lack of warning signage in immediate vicinity

Coroner's recommendations

  1. The Department of Transport should conduct a safety review and audit of the Burwood Highway tram tracks in the vicinity of Milford Avenue, including: (a) consideration of the feasibility of erecting safety barriers and/or warnings along the sides of the tram tracks to discourage pedestrians from crossing between designated areas; and (b) consideration of risks posed by planting for tram driver visibility, with implementation of strategies such as regular maintenance schedules to trim bushes or replacement with lower-growing vegetation.
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