Negligence of Allied
20The first matter requiring attention in this Court is the finding that Allied was negligent, that being a finding challenged by Mr Grima.
21Mr Grima gave evidence of the way in which rolls were packed in the back of vehicles of the relevant kind, with several rolls sometimes laid horizontally across the top of rolls standing vertically immediately inside the rear doors. He said:
"When it's laid down you can tell because there is a thick bar up top to hold it."
22He also explained that when rolls were placed horizontally on top in that way, five bars were installed, whereas if there were no horizontal rolls there were four bars; also, that standard procedure was to open the doors slightly to see how many bars were in position and that "that fifth bar would give you the - in your mind that there is rolls laying this way" - that is, "cross ways" and "on top of the standing ones". Rolls lying on top were often visible because resting against the fifth bar as a result of the vehicle's movement.
23Mr Grima explained the unloading process generally adopted. After the doors had been fully opened and latched back (following initial inspection through partly open doors), the fifth (or top) bar, if present, was removed and any rolls lying on top were removed. Next, the first, second and third bars were removed, leaving the fourth in place. The upright rolls were then removed by being pulled from the bottom, with the top of each roll hard against the fourth bar in such a way as to prevent the top emerging before the bottom.
24Turning to the particular incident, Mr Grima stated that he and Mr Tai-Rakena began by opening the back doors of the vehicle, with Mr Tai-Rakena dealing with the right-hand door and Mr Grima dealing with the left-hand door. They opened the doors slightly ("ajar"). He looked in and could not see anything on top. There was no fifth bar. Nor was there a fourth bar. He formed the opinion that the load was "safe". He and Mr Tai-Rakena opened the doors fully and latched them. He walked back to the rear opening, then:
"I looked back up and I said to myself, how am I going to unload this? Because the fourth bar I couldn't see the fourth bar, for safety to myself."
25It was at that point that the two horizontal rolls fell on him.
26Mr Grima's concern about safety did not relate to the possibility that there might be horizontal rolls on top. He was concerned because absence of the fourth bar had implications for safe removal of the vertical rolls. Without the fourth bar against which to steady the top of a vertical roll when the bottom of it was pulled, there was an obvious risk that the unsupported and unrestrained vertical roll would fall on the person pulling it from the bottom.
27Mr Grima gave further explanation in response to a question about when he first noticed that there were only three bars in place:
"A. I noticed the three bars when we opened the doors. Opened. Right, I went to unhook one and I saw three. I said, the fourth one's not there to hold the standing upright. That's when I left it there and I walked away. As soon as I walked to the right, the two rolls came from the top and that's how I finished, I didn't remember nothing else."
28And later:
"When there was no fourth bar, I stopped and walked away."
29He did this because of a safety concern - safety in unloading the unrestrained vertical rolls, it not being feasible to use the third bar, rather than the fourth, for the purpose of holding back vertical rolls as they were pulled from the bottom. His intention, in stopping and walking away, was to alert his supervisor to the unusual situation.
30Mr Tai-Rakena confirmed that the first step in unloading was to open the doors part-way to see "how it's loaded" and "that all the braces are in and what they're holding up". If there were rolls lying horizontally across the vertical rolls, they were "always like right at the end of the load" and "actually visible". The fifth bar was invariable in place when rolls were laid horizontally above those standing vertically. He agreed that the presence of the fifth bar was a "sign or indication that there are horizontal rolls in place". Mr Tai-Rakena also confirmed Mr Grima's description of the use made of the fourth as a means of restraint when removing vertical rolls by pulling them out at the bottom.
31Dealing with the particular incident, Mr Tai-Rakena referred to opening the doors part-way and looking up to see how the vehicle was loaded. He did not see any horizontal rolls. He saw three bars in position, something he did not think he had experienced before. That confirmed to him that there were no horizontal rolls on board.
32The failing of Allied, as found by the judge, was that the system of work it administered and its instructions to employees did not adequately deal with the risk of loose horizontal rolls falling. On the view the judge took, there was:
(a) inadequate instruction about the need to warn to make careful visual inspection to see if loose rolls were present;
(b) failure to warn that an assumption based on the absence of the top bar was unreliable and should not be acted upon;
(c) failure to require more careful visual inspection; and
(d) failure to provide supervision or oversight in the assessment of the safety of a load.
33In short, his Honour was of the opinion that Allied failed to take reasonable precautions by way of a system of inspection and supervision in the course of unloading.
34Mr Grima notes that he was aware of the need to make an inspection to see if unrestrained horizontal rolls were present. Allied, as his employer, may be taken to have incorporated into the system of work a requirement that reasonable inspection be made for that purpose. In accordance with that system, Mr Grima and Mr Tai-Rakena at first opened the doors only slightly and looked to see if horizontal rolls were present. The general expectation may well have been that any such rolls would be resting or pressing against the inside of the doors and therefore readily visible.
35RFI, in advancing additional reasons why the judge's finding of negligence against Allied should be upheld, pointed to the evidence of Mr Biermann, Allied's onsite manager, who said that standard procedure was to open only one door to check whether the load was secure. Also canvassed with Mr Biermann in cross-examination was whether an employee standing in a "man-up cage" attached to a forklift could be lifted so as to be able to see the space on top of the vertical rolls. There was also reference in the evidence to the possibility that an employee might walk back many metres so as to have a better view into that space, with only one door open. In summary, RFI contended that the judge should have found that no pantechnicon from RFI lacking the fifth bar should have been unloaded before an inspection of the load was carried out by leaving one door secured in the closed position and making a thorough visual inspection of the space above the vertical rolls, either by walking backwards or using some means of elevation.
36I am not persuaded that these additional matters to which RFI refers involve any material difference. The judge found that Allied's system of work was deficient because of lack of any adequately communicated and enforced inspection procedure, coupled with lack of supervision.
37Furthermore, that finding was, to my mind correct at least as it relates to inspection procedure (I am not sure that enhanced supervision was indicated or would have achieved anything that a sensible person could achieve without supervision). The employees were aware of the risk that horizontal rolls might fall when both doors were fully opened. It was for that reason that they at first opened the doors only slightly to determine if horizontal rolls were visible. That method of proceeding dealt adequately with the possibility that loose rolls may have rolled to the back so as to be visible from immediately below. It did not deal adequately with the situation that in fact arose, that is, where loose rolls were not visible from immediately below but would have been visible from some higher vantage point - and no fifth bar was in place.
38The absence from Allied's system of work of some element that involved inspection from an improved vantage point must therefore be accepted as absence of a precaution that a reasonable person in Allied's position would have taken against the foreseeable and not insignificant risk of injury when rolls lying horizontally across the top of the load fell to the ground. The judge was therefore correct in his conclusion that Allied was negligent: Civil Liability Act 2002 (NSW) s 5B.
39Mr Grima says that the judge did not make any specific finding of causation as regards Allied's breach of duty of care. RFI's submission, which I consider to be correct, is that such a finding is necessarily implicit in paragraphs [140]-[142] of the judgment set out at [19] above. His Honour there made it clear that, had there been an adequate system of inspection otherwise than from the ground immediately behind the vehicle, the probability was that the loose rolls would have been seen and dealt with in a way that prevented their falling on Mr Grima.
40In summary, therefore, I am of the view that the finding of negligence by Allied (including as to causation) was correctly made.