Coronial

12 results for stability testing

WA2018-02-28

Inquest into the Death of Murray Allan TURNER and Mason Laurence CARTER and Chad Alan FAIRLEY

Male·immersion (drowning) for Murray Turner; unascertained but likely immersion for C…

…ly 2015. The vessel had undergone extensive modifications by owner Murray Turner (age 57) without proper stability assessment. Critical ballast was removed and heavy equipment added without disclosure to the surveyor. T…

occupational and environmental healthdiagnosticprocedural
WA2018-02-28

Inquest into the Death of Mason Laurence CARTER and Murray Allan TURNER and Chad Alan FAIRLEY

57y · Male·immersion (drowning) - for Turner confirmed by post mortem; for Carter and Fairl…

…. The Department of Transport surveyor accepted the modifications as 'minor' without requiring mandatory stability testing. In deteriorating weather conditions, the unstable vessel capsized rapidly. Turner was found on …

occupational and environmental healthdiagnosticcommunication
VIC2024-10-29

Finding into death of Munif Mohammed

64y · Male·consistent with drowning in a man with ischaemic heart disease

…eeboard. The vessel had multiple safety defects including water ingress points, missing bung plugs, poor stability, and no boarding ladder. The operator had never received practical emergency training. The death was pre…

systemcommunication
SAhospital2010-07-09

Coroner's Finding: STEMMER Jessica Lee and MAHAR Thomas William

Jessica: disseminated intravascular coagulation following haemorrhage (subgaleal…

…essons include: maintain high suspicion for subgaleal haemorrhage severity despite apparent haemodynamic stability; repeat blood gas and haemoglobin testing regularly; ensure transfusions proceed without delay; communic…

obstetricsneonatologydelaycommunication
NSW2023-09-14

Inquest into the disappearance and suspected death of Allan Beeby

74y · Male·Drowning

…northeast). Expert naval architect analysis revealed the vessel had a critical design flaw: insufficient stability for coastal cruising operations, failing ISO 12217-1 standards for beam sea resistance. The narrow hull …

occupational and environmental healthemergency medicinesystemdiagnostic
WA2018-02-28

Inquest into the Death of Chad Alan FAIRLEY and Mason Laurence CARTER and Murray Allan TURNER

57y · Male·Immersion (drowning) for Murray Turner; likely immersion (drowning) for Mason Ca…

…urner (aged 57) and deckhands Chad Fairley (29) and Mason Carter (26). The vessel's catastrophic loss of stability resulted from extensive modifications undertaken by Turner between December 2014 and April 2015, particu…

occupational and environmental healthdiagnosticcommunication
QLDcommunity2017-10-11

Leonardi, Christine Nan and Leonardi, Samuel John

37y · Female·Christine Nan Leonardi: massive soft tissue and bony injury due to motor vehicle…

…liefs about how to recover control. Critical gaps identified: no speed limitations despite known lateral stability issues; inadequate driver licensing requiring no on-road assessment in mobile cranes; missing guidance o…

systemdelay
NSW2015-09-02

Inquest into the death of Matthew Lewis

21y · Male·blunt force trauma to the head as a result of a single motor vehicle accident

…elts were worn. Police failed to secure the accident scene for several hours and could not perform breath testing on the driver because the accident occurred on private property, beyond Road Transport Act jurisdiction. …

systemdelay
WAhome

Inquest into the death of Christine TURVILLE (aka NICHOLLS)

56y · Female·Bronchial asthma and emphysema

… acknowledging that a welfare check on 25 March would likely have found her alive, and that lung function testing would have better informed clinical decisions. Key clinical lessons include: integrated management of com…

psychiatryrespiratory medicinedelaysystemolanzapine
NSWcommunity2011-09-09

Coroner's Finding: Morgan James Hill

26y · Male·self-inflicted gunshot wound to the head while suffering severe depression

Morgan Hill, a 26-year-old NSW police officer, died by self-inflicted gunshot wound in March 2009 while severely depressed. Over 20 months prior to death, he experienced escalating mental health difficulties with work ab…

general practiceoccupational and environmental healthdiagnosticcommunicationefexor xr
SAcommunity2006-08-07

Coroner's Finding: ROWE Stephen and HUNT Charmaine and HUNT Olivia and FERGUSON Peter (South Road Inquest)

Unknown·Stephen Rowe: atlanto-occipital fracture dislocation (broken neck); Charmaine Hu…

…le negotiating a sweeping right-hand bend, crossing into the path of northbound vehicles. Skid resistance testing in December 2001 revealed dangerously low friction levels (0.36 mean grip number vs. 0.45 recommended int…

communicationsystem
QLDaged care2016-06-15

Drane, John Edward

75y · Male·Burns

…on from a dropped cigarette, fire investigation evidence—including burn pattern analysis and experimental testing—indicated the fire originated at his trouser legs, consistent with deliberate ignition. Key clinical less…

oncologygeriatric medicinediagnosticcommunicationchemotherapy agents

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