Coronial
WAcommunity

Inquest into the Death of Sweeny

Deceased

Annemarie Evelyn Sweeny

Demographics

20y, female

Date of death

2008-11-08

Finding date

2010-12-20

Cause of death

Multiple injuries followed by incineration as a result of single motor vehicle collision

AI-generated summary

Annemarie Sweeny, a 20-year-old Patient Care Assistant at Narembeen Regional Hospital, died in a single-vehicle motor vehicle collision on 8 November 2008 after completing a night shift. She had worked multiple consecutive night shifts with disrupted sleep cycles, took Doxylamine tablets for sleep, and was extremely fatigued when leaving work. The coroner found fatigue was a major contributor to the crash, likely involving a brief sleep episode while driving. While working hours were not excessive by total time, the night shift rostering system and difficulty securing day shifts created chronic sleep deprivation. The coroner found bullying concerns were not current at the time of death. Two safety issues were identified: a deficient gravel road warning sign at the crash location not compliant with Australian Standards, and the collision with a tree within the clearance zone. The coroner recommended upgrading the warning sign and that WA Country Health Service implement comprehensive fatigue management policies, staff education, and ensure accommodation availability for shift workers.

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

Contributing factors

  • Fatigue from working multiple consecutive night shifts
  • Disrupted sleep cycles and poor quality daytime sleep
  • Sleep deprivation accumulated over extended period
  • Doxylamine (Restovit) tablets contributing to drowsiness
  • Inadequate fatigue management policies at Narembeen Regional Hospital
  • Difficulty securing day shifts due to rostering constraints
  • Possible micro-sleep while driving
  • Deficient gravel road warning sign not compliant with Australian Standards

Coroner's recommendations

  1. The Shire of Narembeen replace the existing warning sign on Soldiers Road advising of the end of the sealed section of road with a sign that is compliant with Australian Standards and is of the specified minimum size and constructed of the specified material.
  2. WA Country Health Service put in place appropriate policies to address the safety of staff who work shift work.
  3. WA Country Health Service monitor fatigue related crashes involving staff working shift work.
  4. WA Country Health Service put in place training and education to address fatigue related issues.
  5. WA Country Health Service review accommodation throughout the state for staff working shifts with a view to ensuring, where possible, accommodation is available for staff who need to sleep prior to driving home.
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