8 It is unnecessary to recite all of the detailed information from the agreed statement of facts. The following matters are, however, pertinent:
21 Mr Saunders attended Lot 207 on Saturday, 15 December 2001 to set the cornices.
22 Contractors were not prohibited from working on weekends.
23 Mr Saunders was required to work on both the ground floor and first floor of Lot 207 and in every room of Lot 207 to fix the cornices.
24 At about 2.30pm Anna Brzeska, a 13 year old girl, was riding her bike past the Site. She entered Lot 207 and saw Mr Saunders lying unconscious in the stairwell on the ground floor. He was breathing and she attempted to wake him before running for assistance.
25 Mr Lyle Erskine came to her assistance. Mr Erskine saw Mr Saunders lying across the stairwell between two walls. Mr Erskine arranged for his wife to call an ambulance. While waiting for the ambulance Mr Erskine moved cornice material which was stacked up in the stairwell and also some broken cornice which was laying under Mr Saunders.
26 Mr Erskine saw a ladder up against the wall on the right hand side against the first floor. He saw a footprint on top of the low wall and also some plasterboard broken away next to the foot print. He also saw a dark brown mark on the wall opposite the low wall approximately 1500mm up the wall.
27 Mr Saunders was taken to hospital and later died from his injuries.
28 At post mortem report found that Mr Saunders suffered a fractured skull. The direct cause of death was blunt force head injury.
29 Although no-one witnessed the incident it would appear that Mr Saunders fell from the ladder leading to the first floor.
30 Senior Constable Glen Merrett attended Lot 207 on Sunday, 16 December 2001. He observed a black scuffmark, possibly from a shoe, in an arc on the wall. It started 4 feet above the floor, vertical and was a quarter circle over to the horizontal.
31 Mr Sutton attended the Site after the accident. Mr Sutton observed the following:
(a) there were several pieces of cut cornice on the ground floor and the upper floor;
(b) in the main bedroom on the first floor there were buckets of water, cornice cement, tools and some stools
32 From Mr Sutton's observations he concluded that Mr Saunders had been working on the ground floor and the first floor at Lot 207. He had been cutting the cornice of the lower level. Mr Saunders did not commence work at Lot 208.
33 On 17 December 2001 Inspector Michael Kent of the WorkCover Authority, attended the Site. He observed several buildings under construction and a sign affixed to a building with the following information:
Masterbuilt
Lot 207
9651 3299
Builders Licence 41831
PO Box 229 Round Corner NSW 2158
34 The building was a two storey single unit dwelling under construction. On three sides of the building was scaffolding.
35 Inspector Kent was directed to the stairwell by Mr Sutton. Inspector Kent observed the following:-
(a) the opening led into a room that was approximately 3m by 3m;
(b) the wall, opposite the front entrance, extended from the floor to the ceiling;
(c) in front of and parallel to that wall was a raking gyprock partition wall;
(d) in the ceiling directly above the raking gyprock wall was an unprotected void;
(e) the void had five sides and was similar to a square with a corner cut off it;
(f) the raking gyprock partition wall appeared to be constructed with timber and lined with gyprock;
(g) there were several dry dark red marks on the concrete slab near the raking gyprock partition wall; and
(h) on the first floor there was a bucket containing a hammer, trowel, nail bag and a Stanley knife. There were 2 planks, 2 trestles, 7 cornices and 2 buckets containing water.
36 On 18 December 2001 Inspector Kent again visited Lot 207. He observed the following:
(a) a stairway had been installed through the void from the ground floor to the first floor;
(b) the two long sides of the void were measured at 2.7m;
(c) the two short sides of the void were measured at approximately 0.98m and 0.99m respectively;
(d) the corner side was measured at approximately 1.78m;
(e) the first floor was covered by chip board;
(f) the height from the top of the first floor to the ground floor concrete slab was approximately 2.7 metres;
(g) the raking gyprock wall was measured at approximately 0.11m wide;
(h) the outside of the raking gyprock partition wall to the top wall behind was measured horizontally at 0.98 metres.
37 At the request of Senior Constable Merrett, R A (Tony) Walker conducted a mechanical inspection of the ladder. He found that except for a faulty pin lock retract mechanism the ladder appeared to be in good condition.
38 At the time of the accident there was no system of fall protection or prevention in place at Lot 207. There were no handrails, safety fences or other forms of physical barriers in place to prevent persons falling from the first floor of the house through the stairway void to the ground floor.
39 Immediately following the incident the Defendant issued a directive that all work on two storey sites that did not have fall restraint systems in place, was to stop until a fall restraint system was installed.
40 Since the accident the Defendant has introduced a procedure whereby when the upper floor is laid a temporary floor is put in place with a ladder provided through a hatch in the floor. This is later removed when the stairs and handrails are installed.