Coronial
VICother

Finding into death of Jing Hui Chen

Deceased

Jing Hui Chen

Demographics

49y, male

Date of death

2023-04-28

Finding date

2024-09-04

Cause of death

Traumatic head injury sustained in a fall from the roof of a work vehicle

AI-generated summary

A 49-year-old air conditioning contractor died from traumatic head injury sustained when he fell from the roof of his work van while securing equipment. He was working at height without a harness or fall protection, and without formal safe working method statements in place despite this being industry standard practice. He lost his footing near the roof's rear roller mechanism and fell approximately 2 metres onto concrete. While paramedics responded promptly and he received emergency treatment including nine days in ICU, the severity of his head injury was unsurvivable. The coroner found he contributed to his own death by not following industry-standard practices for working at heights. WorkSafe determined no criminal investigation was warranted but the workplace subsequently improved safety procedures and record-keeping.

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

Contributing factors

  • Absence of personal protective equipment (harness) while working at height
  • Non-compliance with industry standard safe working method statements
  • Inadequate workplace safety procedures and records for work at heights
  • Slippery roof surface conditions
  • Proximity to roof rollers that may have caused loss of footing

Coroner's recommendations

  1. Improved workplace safety culture regarding work at heights in air conditioning and similar trades
  2. Mandatory implementation and verification of safe working method statements for work at heights
  3. Use of personal protective equipment including harnesses for all work at height
  4. Better record-keeping to demonstrate compliance with safety procedures
Full text

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