Coronial
TAS2016-06-29

Coroner's Finding: McDougall, Kirsten

34y · Female·Aspiration pneumonia due to traumatic brain injury

…ital, having aspirated and become haemodynamically unstable. The coroner's investigation concluded driver fatigue was the cause of the crash. No clinical negligence was identified. The coroner recommended that the Depar…

QLD2008-08-14

Greaves, Colin Arthur

26y · Male·Multiple injuries sustained from a fall of 12 metres through an open hatch on Se…

…had worked 25-26 consecutive 12-hour shifts immediately prior to his death, contributing significantly to fatigue, inattention and loss of concentration. Critical control failures included: absence of hard barricades ar…

occupational and environmental healthemergency medicinesystemcommunication
VICcommunity2019-02-28

Finding into death of David Keith Molloy

64y · Male·Head and neck injuries sustained in a bicycle incident

…nents, particularly on older bikes, have finite service lives and require regular inspection for signs of fatigue and damage. This death was not preventable by clinical intervention but underscores the need for public e…

VICcommunity2013-08-13

Finding into death of Graeme Andrew Dunn

52y · Male·Chest injuries involving massive left haemothorax, right pneumothorax, multiple …

…bly on the Westgate Freeway on 1 October 2007, sustaining fatal chest injuries. The axle fractured due to fatigue cracking that originated from damage sustained during an incident in 1989-90 when the vehicle rolled over…

diagnosticsystem
TAS2020-11-02

Coroner's Finding: Wilson, Kerry Paul

54y · Male·Multiple injuries to chest, heart and spine sustained in motor vehicle collision

…al defects, no impairment of the other driver, and road conditions were excellent. The coroner identified fatigue from long-haul international travel (over 20 hours) and presence of alcohol in Mr Wilson's system as cont…

atorvastatin
VIC2011-11-18

Finding into death of Rachel Louise Incoll

Female·Injuries sustained in a motor vehicle accident

Rachael Incoll died in a motor vehicle collision on the Calder Highway when a vehicle driven by learner driver Shaun Matfin (age 16) drifted across the centre line into the path of a 57-tonne fuel tanker. The tanker was …

supervisionsystem
VIC2011-10-28

Finding into death of Peter Andrew Ross

56y · Male·Thoracic Crush Injuries

…zones; unsafe work practices including non-vertical lifting and lack of protection in confined holds; and fatigue management failures—Mr Ross had worked extended consecutive shifts in hot, humid conditions with minimal …

systemdelay
VIC2010-06-18

Finding into death of Warwick Lorne Greville

68y · Male·Multiple injuries sustained in a motor vehicle collision (passenger)

…er the driver lost control on a descent following a left-hand bend. Contributing factors included: driver fatigue (the precipitating factor), excessive speed (around 100 kph in a 90 kph zone), wet road surface from rece…

general practicesystem
QLDhome2013-04-16

Borusiewicz, Luke Anthony

2y · Male·head injury due to accidental fall from bed

… food and fluid intake for several days, lay down to rest and fell into deeper sleep than intended due to fatigue. While unsupervised, Luke fell from his bed, striking his head. A 9-year-old foster child witnessed the f…

emergency medicineneurosurgery
TAS2020-02-17

Coroner's Finding: Dawkins, Kelvin John

77y · Male·Blunt trauma to the chest: haemothorax, rib fractures and lacerated aorta with a…

…ions at usual doses. The coroner could not definitively determine why the vehicle drifted (distraction or fatigue most likely) but was satisfied no acute medical event occurred. The crash was ultimately unavoidable give…

QLDcommunity2015-12-15

Andrew - Non-inquest findings

34y · Male·Multiple injuries due to a motor vehicle collision against a background of methy…

…ng sedation, loss of perception, and cognitive effects, while methylamphetamine withdrawal causes intense fatigue and sleep desire. Road conditions, vehicle mechanics, and weather were not contributory factors. This cas…

forensic medicinetoxicologymethamphetamine
TAS2015-07-29

Coroner's Finding: Drew, Malcolm

69y · Male·Head injuries due to single vehicle motor vehicle crash

…ound and weather conditions, while wet, were not hazardous. This case illustrates the critical dangers of fatigue-related driving, particularly for older drivers undertaking long journeys. The coroner emphasised road sa…

VIC2011-08-25

Finding into death of Peter James

74y · Male·Severe head injury as a result of a motor vehicle incident (passenger)

…ent section of freeway as problematic and recommended safety improvements including wire rope fencing and fatigue warning signs. This case highlights the importance of road safety infrastructure and driver fatigue aware…

QLDcommunity2018-06-05

Smit, Bernardus Johan

50y · Male·Head injuries due to motor vehicle accident

…ence concluded codeine toxicity did not cause loss of consciousness. The driver likely experienced sudden fatigue, drowsiness or undiagnosed cardiac event. Key lessons: medical practitioners should assess fitness to dri…

general practicehaematologysystemparacetamol/codeine
NT

Inquest into the death of Road Deaths 37, 38 and 39 of 2024

Unknown·Multiple blunt force injuries sustained in high-speed head-on motor vehicle coll…

…icle 1, with potential contributing factors including excessive speed (likely over 130 km/h speed limit), fatigue, distraction, or inattention. The northbound vehicle was travelling at median speed exceeding 130 km/h ov…

procedural
VIC2026-01-22

Finding into death of Sanel Mujezinovic

40y · Male·Multiple injuries sustained in a workplace incident

… operator died when a concrete placing boom collapsed, striking him fatally. The boom failed due to metal fatigue cracking in the king post (internal turret component), which had developed over years but showed no exter…

systemprocedural
VIC2010-06-18

Finding into death of Mark Ritchie

48y · Male·Multiple injuries sustained in a motor vehicle collision (passenger)

…uck a light pole after the driver lost control on a wet desert highway at night. The coroner found driver fatigue was the precipitant and crucial factor causing the collision. Contributing factors included: excessive sp…

system
ACThospital2016-11-02

INQUEST INTO THE DEATH OF RICHARD ROGER JOHN STANTON

52y · Male·hypoxic-ischaemic encephalopathy due to or as a consequence of head, facial and …

…e catastrophically failed during normal riding. Expert evidence established that the fork failed due to a fatigue fracture in the aluminium alloy steering tube, originating from a manufacturing defect. The fracture occu…

pathologyforensic medicinesystem
QLD2023-05-02

Watts, Billy-Joh

36y · Male·Multiple injuries due to struck by falling pipe

…operations. Multiple contributing factors were identified: he had worked 26 days consecutively (breaching fatigue management laws), was profoundly deaf in his left ear, was grieving a colleague's death two days prior, a…

occupational and environmental healthpsychologysystemcommunication
VIC2010-06-18

Coroner's Finding: KRISTY OLSEN

34y · Female·Multiple injuries sustained in a motor vehicle collision (passenger)

…uck a light pole and palm tree, coming to rest on its side. Coroner Paresa Antoniadis Spanos found driver fatigue was the precipitant cause, compounded by speed, dark conditions, wet road surface, and unfamiliar driving…

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