Systems of Work prior to the accident
14. No handrails, midrails or kickboards were in place preventing persons falling from the perimeter or voids on the first floor slab.
15. The defendant owns, and uses, a hand rail system which it had planned to install the day after the incident occurred to Mr Buchanan, prior to the scheduled work commencing on the first floor.
16. No handrails or midrails were in place preventing persons falling from the stairs.
17. There was perimeter scaffolding in place, however it was not set up correctly and did not contain any handrails, midrails or kickboards preventing falls from heights. The scaffold platform was situated approximately 1.2 metres from the top of the first floor slab.
18. No documented occupational health and safety policy, procedures or safety management plans were in place prior to, or at the time of, the accident.
19. No documented or stated safe work method statements or procedures were in place prior to, or at the time of, the accident.
20. All workers had completed the general construction occupational health and safety induction course however no site specific induction training, instructions or information had been given to any workers on the premises.
Systems of Work after the accident
21. Following the accident, three prohibition (7-73044, 7-73003 and 7-73011) and seven improvement notices were served on the defendant, five improvement notices on 20 December 2004 (7-73044, 7-73041, 7-73040, 7-73039 and 7-73033), two improvement notices on 21 December 2004 (7-3132 and 7-73127) and the three prohibition notices having been served on 20 December 2004. In addition to complying with improvement notices at the site for which they were issued, the Defendant has since unilaterally reviewed and implemented more stringent steps to improve safety on all of its sites, as follows:
a) Full Brick Homes is in the process of implementing safety management plans for all sites. The defendant is also ensuring that risk assessments and safe work method statements are implemented on all sites.
b) Handrail systems were placed around the entire perimeter of the first floor slab of the premises and around the voids for edge protection.
c) The scaffold was dismantled and re-erected to the correct heights and included handrails, midrails and toe boards.
9 The Agreed Statement of Facts in matter No. IRC2569 of 2006, the company defendant matter, was tendered and relevantly reads:
3. At all material times the defendant carried on the business of contract construction work.
4. At all material times the defendant employed Mr Martin Barratt as supervisor. Mr Martin Barratt was also managing director of the defendant.
5. At all material times the defendant sub-contracted Andrew Buchanan to perform work at a site situated at 2 Wolli Creek Road, Banksia in the State of New South Wales (" the premises ").
6. On 17 December 2004 Mr Buchanan was at the premises with sub-contractor's, Danny Barratt and Tony Hamilton, who were bricklayers. The men arrived at the premises around 6.55am.They had been given the task of finishing off the brickwork on the garage on the ground floor and to replace chipped bricks from the garden bed. There was no work planned to be conducted on the first floor slab to the building on that day.
7. Martin Barratt was not present at the premises when the men arrived on 17 December 2004. Prior to 17 December 2004 he was at the premises once a day between 30 minutes to 3 hours depending on the work being carried out.
8. Prior to the arrival at the building site of Mr Buchanan, Danny Barratt and Tony Hamilton; a delivery of bricks by the supplying brick company had occurred. The truck driver had unloaded the bricks on the top of the first floor slab instead of delivering the bricks to the ground level.
9. Shortly after arriving at the premises Mr Buchanan, moved the brick buggy from the ground floor to the first floor of the building.
10. Mr Buchanan walked backwards and pulled the brick buggy up the stairs from the ground floor to the first floor. Danny Barratt was walking behind Mr Buchanan to check that the bricks were secure. When Mr Buchanan stepped onto the first floor slab, the brick buggy was positioned on the top step. He pulled the buggy up over the top step and onto the first floor slab. In doing so he stepped backwards, falling through a void that was positioned directly opposite about 1.6 metres from the staircase. He fell backwards about 3 metres to the concrete slab below, landing on his head and shoulders.
11. Danny Barratt was still on the staircase.
12. Mr Buchanan was admitted to St. George Hospital suffering from left subdural haemorrhage and skull fractures requiring drainage and subsequent cranioplasty, non-displaced fracture of T10 and burst fracture of LI requiring an open reduction and internal fixation on 23 December 2004. Subsequent events include anaemia requiring transfusion, sepsis requiring antibiotics and a tracheotomy. He was admitted as an inpatient at Prince of Wales Spinal Unit on 24 February 2005. He still has post-traumatic amnesia and is still being evaluated for a possible post-operative collection. He requires ongoing rehabilitation and referral to a brain injury rehabilitation specialist.
13. Mr Buchanan was not interviewed directly after the incident due to his medical condition, however he was interviewed on 11 November 2005.
14. On 17 December 2004 Inspector Denis Macready of the WorkCover Authority of NSW attended the premises. He observed the following:-
a. a partly constructed cream brick residence on the corner of Wolli Creek Road and Arlington Street;
b. both front boundaries of the property had temporary security fencing placed outside the existing red brick fence;
c. brickwork had been completed up to the first floor concrete slab;
d. scaffolding two metres high had been erected across the front and down each side of the house;
e. eleven (11) pallets of red bricks were stacked two pallets high on the southern edge of the first floor slab;
f. the front entrance had dimensions of approximately 3.34m (front entrance to the bottom stairs) by 2.24m wide. The floor was a concrete slab;
g. the top of the first floor slab at the edge of the void was measured at approximately 3.03m above the ground floor slab in the front entrance area;
h. at the southern end of the area was the main entrance approximately 1.3m wide with approximately 450mm of brickwork either side;
i. a stack of three whole common bricks and five part common bricks were located approximately 1.5m from the eastern side of the entrance area and approximately 250mm in front of the front door opening. A single common brick lay in the front door opening;
j. a small piece of masonite approximately 170mm x 60mm and a small block of wood approximately 80mm x 90mm x40mm lay just to the north of the stack of three bricks;
k. a stack of common bricks approximate dimensions of stack, 900mm x 300mm x 970mm high were located adjacent to the western side of the front entrance;
l. a piece of timber approximately 65mm x 65mm x 1m long lay with one end in the western side of the front opening, and the other end 300mm north of the western corner of the front entrance brickwork;
m. a blue cap with open mesh back and sides lay top down at the western corner of the front entrance brickwork. Cap had words "CHEVROLET WORK SAFELY" embroidered in red letters on a white patch. The cap had redish stains on the brim, and back right half of the bottom edge of the cap. The cap had a small white label with the words "INDUSTRIE" in black letters and "URBAN DWELLER" in red letters;
n. a flight of concrete stairs leading up to a landing, midway to the first floor, was located at the eastern half of the northern end of the entrance area;
o. the stairs were approximately 190mm and had treads approximately 260mm wide. The landing at the top of this first flight of stairs had approximate dimensions of 1.11m (north - south) x 2.18m (east - west);
p. a galvanized bucket was located at the bottom of the stairs (west side).
q. a red and an orange screw jack prop were located approximately 100mm and 95omm east of the south west corner of the stairwell, respectively. Both screw jack propers were approximately 160mm south of the southern edge of the stairwell. Another two screw jack props were positioned in line with and approximately 810mm south of the first screw jack props. Located between these four screw jack props was a piece of timber of approximate dimensions 95mm x 95mm x 1.28m. The timber appeared to be fixed to the slab and ran east - west approximately 760mm south of the southern edge of the stairwell. Two red screw jacks, approximately 760mm south of the southern edge of the stairwell. Two red screw jacks approximately 560mm apart, were chocked by timber and were angled at approximately 60 degrees to the horizontal, leaning to the north and bracing the underside of a second flight of stairs. A small timber wedge lay at the western end of the length of timber that was chocking the screw jack props;
r. a piece of plywood approximate dimensions 400mm x 150mm lay adjacent on the north side of the length of timber chocking the two red screw jack props. A second piece of plywood, approximate dimensions 300mm x 200mm lay approximately 500mm to the north-west of the first piece of plywood. A number of rusty nails were observed on the floor in the area between north of the screw jack props.
s. an aluminium step ladder, approximately 2.13m high, was leaning up against the southern brick wall of the laundry, adjacent to the stairwell;
t. the second flight of stairs with eight risers, leading up to the first floor had the same approximate dimensions as the first flight of stairs and ran upwards from the landing in a southern direction;
u. at the top of the second flight of stairs was a landing approximately 1.4m deep, opposite the top step and 1.16m deep opposite the stairwell. On the south side of the landing, directly opposite the top step, was an open void of approximate dimensions 1.925m (north - south) x 2.210m (east - west). The open void was approximately 3.03m directly above the front entrance area and had no fall prevention measures in place;
v. neither the stairwell nor any of the first floor perimeter edges had any form of fall prevention in place. The stairs had no handrails;
w. a trolley used for shifting bricks, referred to as a "brick buggy' was located on the first floor slab approximately 4.9m west of the void, and on the north side of the eleven (11) pallets of common bricks.