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Finding into death of Carol Fay Slade
54y · Female·Severe burns sustained in a house fire (palliated)
Carol Fay Slade, a 54-year-old woman with acquired brain injury from a 2003 motorcycle accident and mobility limitations, died from severe burns sustained in a house fire at her public housing property in Shepparton. The fire was caused by a carelessly discarded or improperly extinguished cigarette on the couch in the lounge room. Carol was likely impaired by prescription drugs (methadone, diazepam, tapentadol) and illicit drugs, reducing her ability to escape. While a smoke alarm was present and operational, she had reduced mobility and security screens on windows limiting egress options. The coroner found this a preventable fire death, identifying multiple prevention opportunities: improved smoke alarm requirements (bedroom placement, interconnection, tamper-proofing), implementation of home fire sprinklers in public housing, clarification of regulatory frameworks for sprinkler installation, streamlined water meter approvals, and cigarette packaging warnings about fire risk.
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