Objective features of the offences
16The Agreed Facts record that the system of ground support installed by TJH in the intersection consisted of rock bolts and shotcrete. By their pleas of guilty, Thiess and John Holland (collectively referred to as TJH) have admitted that this system was inadequate to meet the poor geological conditions encountered at the intersection. In summary, the poor rock conditions encountered in the area comprised:
(a) bedrock at the intersection consisting of low to very low strength Ashfield shale;
(b) the intersection was transected in a southeast to northeast direction by an igneous (doleritic) dyke, which comprised a persistent low strength feature, both laterally and vertically, and its side boundaries constituted low strength defect planes;
(c) shale in the area of the intersection characterised by structures comprising bedding plane partings, joint plane defects and localised faults.
17Other poor geological conditions encountered at the intersection included low rock cover. Investigations and assessments by the project geologist had indicated that the strength of the shale further decreased closer to the ground surface, in turn passing up to residual soil and/or some overlying fill. The large effective span in excess of 20 metres also contributed to the poor conditions in the area. Although the MC5B and MCAA tunnels were "two lane" tunnels with spans or widths of approximately nine metres, the width of the underground opening at the intersection was greater. The weathered and low strength dyke passed through the intersection as a zone of weakness, aligned closely with the line of maximum span of the intersection.
18These factors combined to place TJH employees working at the intersection at grave risk to their health and safety. Both defendants have acknowledged that there was a serious risk to the safety of their employees in the area during the period of the charge. Moreover, the risk was obvious and reasonably foreseeable, if not actually foreseen. This latter statement is made on the basis of the evidence which indicates that both defendants had identified the risk of tunnel collapse and falling rock prior to the charge period. In the TJH Work Method Statement (WMS) dated 16 February 2005 prepared for the LCT Project, under the sub-heading "Risk and Opportunity", the risks of falling rock and tunnel collapse are expressly identified. A TJH Site Specific Induction document prepared for the LCT project, prepared some time prior to commencement of work at the premises, identified as a "major hazard", "collapsing and falling rocks". A TJH "Project Occupational Health, Safety and Rehabilitation Management Plan" prepared for the LCT project identified as an "OHS issue", "tunnelling operations generally, eg, tunnel collapse causing entrapment of workers, working in potentially oxygen deficient atmosphere". In another TJH document prepared for the LCT project, headed "Tunnel Excavation and Re-Entry", a potential hazard was identified as "fall of ground". Various tool box meetings conducted at the premises on 28 and 30 October 2005 record items of discussion as, "be aware when working at face especially in poor ground", and, "be vigilant when working under soft (and poor) ground conditions".
19In addition, during the period of the charge there were a number of other indicators, or identifiers, of the presence of the risk at the intersection recorded in the GC&GSD documentation. These included the following:
(a) 27-10-05 - "overbreak in crown has continued", "projections indicate dyke affected ground conditions continue" and the ground classification was "LCT G7".
(b) 28-10-05 - "There continues to be a fault & jointing in the face Rock mass condition still poor-moderate" and the ground classification was "LCT G7/G8".
(c) 31-10-05 - "- ... exposing dyke in left (back drive) - right wall shows 2 x joint sets (orthogonal) ...", the ground classification was "LCT G7/G8 (Backdrive)" or "LCT G7 (Updrive)".
(d) 01-11-05 - "ground conditions (sic) to be poor with low-med strength rock and dyke and multiple joint sets", the ground classification was "LCT G7/G8" and the estimated strength of the shale was "L-med".
20These matters reveal that TJH was clearly on notice that the risk existed during the charge period.
21Moreover, there can be no doubt that the risk to TJH employees working in the area of the intersection could result in very serious consequences, even fatal injuries. Photographs of the tunnel collapse taken shortly after the incident show a large volume of collapsed debris in the MC5B ventilation tunnel.
22According to the prosecutor, readily available steps existed prior to the incident which would have ensured the safety of the tunnelling work and avoided the risk, or reduced it, to the extent reasonably practicable. One such step is identified as the installation of an adequate system of ground support having regard to the poor work conditions, the low rock cover over the premises and the large effective span. This proposed step does little more than largely reproduce the allegations contained in each charge. A more specific step also relied upon by the prosecution, is one said to be readily available prior to the offences (but not implemented), namely, a measure introduced by Thiess, at least, at other projects after the charge period, which was a "permit to tunnel" system. This system is set out in the affidavit of Brendan James Donohue, employed by Thiess in the position of General Manager, Business Strategy. Mr Donohue explained the system as follows:
Additionally, in the tunnelling projects following the LCT project (including the East Link project and Boggo Road Project, referred to earlier in my affidavit) Thiess started to develop a "permit to tunnel" system. Most recently, in its Airportlink Project, this system has been refined further. The key aspects of the "permit to tunnel" system are:
(a) each day a group of senior design representatives and a group of senior construction team representatives meet to review a suite of information collected about the excavation that has occurred on the previous two shifts. The purpose of the meeting is for the design and construction teams to jointly consider whether tunnelling can proceed for the following two shifts (that is, can a "permit to tunnel" be issued for the next two shifts) and if so, to select the appropriate ground support type; and
(b) information about monitoring, geological mapping and photographs of the rock, ground support installation reports, excavation shift reports, any evidence of ground relaxation, and excavation sequence is collated for the design and construction teams' consideration.
Tunnelling can only proceed for the following two shifts if the Construction Project Manager and Senior Tunnelling Engineer (a design representative) sign the "permit to tunnel".
The "permit to tunnel" records the work planned in the period, the support to be installed, whether any additional support is to be installed or whether additional monitoring is required.
This "permit to tunnel" process is significantly more advanced than the systems that other constructors are currently using in the industry to minimise and control risk.
23The factors explored above compel the conclusion that the offences were objectively serious. There are, however, in the Court's view, factors which mitigate this finding.
24Although TJH was clearly on notice of the risk and its (undoubtedly grave) consequences, the evidence indicates that it had taken comprehensive steps to address the risk prior to the offence.
25A number of these steps have been conveniently set out in written submissions handed up on behalf of Thiess. They are of equal application to John Holland, as part of the joint venture. According to Thiess, the joint venture had taken a number of specific and practical safety measures to address the risks, prior to the period of the offences. These are set out below:
(a) First, Thiess (and John Holland) engaged PB, a member of an international group of design consultants who were world renowned for safe and effective design for tunnelling projects, to design the ground support for the tunnels on the Project, including the tunnels forming the Junction.
(b) Secondly, Thiess (and John Holland) relied upon the skill, knowledge, judgment and expertise of PB in the design of underground tunnels on the Project.
(c) Thirdly, PB prepared designs recording the ground support for excavations within the Project, including the Junction, with one type of ground support comprising rock bolts and shotcrete.
(d) Fourthly, PB upgraded the design for ground support for the excavation in the Junction to reflect the poor ground conditions encountered in the Marden Street area.
(e) Fifthly, PB modified the design for ground support for the excavation in the Junction to cater for the projected dyke in the Junction and the span at the Junction.
(f) Sixthly, Thiess (and John Holland) communicated the modification in design for ground support to its construction crews.
(g) Seventhly, Thiess assembled construction crews experienced in the installation of the ground support designed for the Junction and trained its construction crews on installation techniques and safe work practices.
(h) Eighthly, Thiess retained a superintendent experienced in tunnelling and the installation of the ground support designed for the Junction to supervise the work of the construction crews.
(i) Ninthly, PB developed an "observational approach" as a key element of the design, with the approach involving an assessment that the "as found" (or encountered) ground conditions were the same as the anticipated ground conditions). (This assessment occurred by the Project Geologist for the Marden Street area mapping the face of the excavation on a daily (or near daily) basis, by classifying the ground conditions on a daily (or near daily) basis, by identifying the appropriate ground conditions on a daily (or near daily) basis and by determining the construction sequence on a daily (or near daily) basis.) This approach allowed for the ground support to be increased where the encountered ground conditions were worse than the anticipated ground conditions.
(j) Tenthly, a Geotechnical Engineer, supplied by PB and being a design representative of PB, inspected each excavation regularly, reviewed and discussed the ground classifications and assessed independently from time to time the appropriateness of ground support installed or to be installed in each excavation.
(k) Eleventh, PB undertook monitoring of the tunnels during construction to ensure that the design being implemented remained valid.
(l) Twelfth, Thiess engaged the services of a Senior Rock Mechanics Engineer from Pells Sullivan Meynink ("PSM") to interpret data from tunnel and surface mounted ground support instrumentation and to manage the monitoring activities connected with the Project.
26TJH was entitled to rely on the expertise of both PB and PSM. According to the Agreed Facts, PB was a member of an international group of design consultants who were world renowned for safe and effective designs for tunnelling projects, including projects in New South Wales. It was also an agreed fact that PSM was a specialist geological consultant with world renowned experience in geological conditions in the Sydney basin.
27Another intended safety measure introduced by Thiess on the LCT project related to rock bolting. This involved a procedure described as "cut one, bolt one" for all rock bolting at the project to reduce the risk to employees installing ground support in the excavations (with a revision of the design drawings so as to reflect the procedure and apply it in addition to any recommendations made by the project geologist).
28In addition to the factors outlined above, the joint venture implemented a number of general safety measures for the Project which have been conveniently summarised in the submissions made on behalf of Thiess. These are:
(a) On 24 February 2004, Thiess (and John Holland) participated in a Construction Safety Study to identify and document construction specific risks for the Project.
(b) On 28 February 2004, Thiess (and John Holland) developed an OHS&R Management Plan (which contained an OHS policy statement and which set out the management system for the identification, assessment and elimination of risks associated with the Project).
(c) On 5 March 2004, Thiess (and John Holland) participated in a Project Risk Workshop to identify potential risks of the Project and to allocate responsibilities for the identification and implementation of measures to address those risks.
(d) In early 2004, Thiess (and John Holland) established a Risk and Opportunities Register (with one "Risk" (Risk 221) being the "Risk of tunnel collapse" and a second "Risk" (Risk 93) being the "Risk of falling rock").
(e) By 31 March 2004, Thiess (and John Holland) developed a Risk Management Plan for the Project (which allocated specific tasks to specific officeholders, including the Project Director and the Safety Manager, and which addressed risk identification, mitigation and management).
(f) In early 2004, Thiess (and John Holland) conducted Construction Hazard Assessment and Identification Review ("CHAIR") sessions, with involvement from PB and PSM, to address risks in the design process.
(g) In early 2004, Thiess (and John Holland) developed a Safety in Design document to manage risks in the design process.
29These matters have been outlined by Mr Donohue in his affidavit. In addition, Mr Donohue relied upon the following measures developed by Thiess for the LCT project:
in early 2007, a programme was developed called "My signature" in which employees recorded their commitment to safety on the project on boards placed at various sites throughout the project;
Thiess recruited personnel who were well-experienced in safety and risk management;
Thiess addressed safety issues as the first item in a standing agenda for senior management team meetings;
Thiess engaged external auditors and utilised its staff to conduct internal audits, to review the adequacy of its safety systems, and to monitor compliance with those systems.
30Mr Donohue also referred to a number of safety measures implemented in the area of the intersection (where the incident occurred) which included the following:
(a) At the start of each shift, each crew participated in a tool box talk to discuss the work to be completed and specific safety hazards to be considered and addressed. Written records of the tool box talks were prepared and kept.
(b) During the life of the Project, Thiess coordinated the preparation of Work Method Statements ("WMSs") (which addressed the method by which work was to be performed in tunnelling).
(c) Prior to undertaking work activities, crew members were instructed about the matters contained in WMSs.
(d) During the life of the Project, Thiess, in consultation with crew members, coordinated the preparation of Job Safety and Environmental Analyses ("JSEAs").
(e) Each crew member who was expected to undertake the task contemplated by a JSEA was either involved in the development of the JSEA or trained in the matters contained in the JSEA.
(f) At the start of the Project, Thiess (and John Holland) acquired equipment that avoided or minimised the need for operators to work in front of the equipment (including under potentially unsupported ground) whilst operating the equipment.
31None of these factors, relied upon in mitigation by TJH, were the subject of challenge by the prosecution. The Court therefore accepts them without qualification.
32John Holland also submitted that URS was retained as an independent verifier "to verify the safety and integrity of the design by the specialist contractor" (PB). According to John Holland, "[I]t was only when this failsafe mechanism failed as well that the serious risk arose". These submissions were the subject of challenge by the prosecution.
33The conflict is capable of resolution by reference to the affidavit of Dennis Charles Brewer authorised to make his affidavit on behalf of John Holland, and employed by John Holland Group Pty Ltd as executive general manager, strategic operations.
34Mr Brewer said in his affidavit:
In addition to the abovementioned parties, as independent verifier for the LCT Project, URS had the responsibility for approving on an ongoing basis, throughout the LCT Project, each of the design drawings promulgated by PB for construction by TJH. URS, as independent verifier, certified Drawing 59 Revision 1, which drawing was being used for the construction of the intersection at the time of the incident, as complying with the requirements of the LCT Project and complying with the documentation to enable construction and compliance with the Project Deed.
35Mr Brewer's affidavit annexed a copy of the contract under which URS provided its services as independent verifier. Under Recital F, URS is said to be, "experienced generally in construction and project management and, in particular, in the construction and project management of major road and tunnel projects and offers its expertise in those fields". In clause 3.2(a)(i), URS acknowledges that each of the parties to the contract (which includes TJH as the "contractor"), "is relying upon the skill and expertise of the Independent Verifier in the performance of its obligations under the Deed". Under Schedule 3 of the contract, the obligations of URS include the following (relied upon by John Holland in developing its submission):
Clause 5.2(a) - Independently verify that the Project Works and Temporary Works comply with the requirements of the Deed and make determinations as required (under the contractual arrangements);
Clause 5.2(c) - Receive information and documents, attend all design meetings and obtain access to such premises as may be necessary or reasonably required for the performance of the obligations of the Independent Verifier;
Clause 5.3(a)(ii) - Observe, monitor, audit and test all aspects of the quality of the Contractor's Works and the durability of the Project Works, the Motorway and the Third Party Works to ensure compliance with the requirements of the (contractual arrangements);
Clause 7.4(c) - Receive each of developed Contractor Project Plans;
Clause 7.4(e) - Receive each amended Contractor Project Plan;
Clause 7.4(i) - Receive each further developed, amended or updated Contractor Project Plan;
Clause 8.3(a) - Comment on and monitor the development of the design;
Clause 8.3(c) - Verify in accordance with the Trustee Documentation Schedule that each discrete design element of the Project Works and the Temporary Works:
(a) is appropriate for construction; and
(b) complies with the D&C Deed including the Scope of Works and Technical Criteria and the Company Brief (and in particular the durability and design life requirements),
or if he is unable to do so give reasons to the Parties.
36The prosecution relied, in particular, on Item 17 contained within Appendix 1 of the Contract. In the opening paragraph, Item 17 (headed "Verification of Design Documentation) states:
Verification will rely on the Designer to carry out all calculations and design checks and the Quality System audits by the Trustee's appointed Quality Manager. The Designer's Quality System and verification of the process will ensure compliance of its design with the requirements of the Project Deed. The Independent Verifier will conduct reviews of the design elements as per the checklists to ensure that compliance with the Project Deed has been met.
37Item 17 also states:
Following resolution of any outstanding qualifications and issues raised by the Independent Verifier or the RTA the Issue for Construction ready documents ("IFC's") will be reviewed and verified and the Final Design Verification Certificate (Schedule 6) issued to the Trustee for its record and distribution. IFC documentation includes final drawings, final specifications, final design reports and the Designer's Design Assurance Certificate ("DAC"). The DAC is to assure that the design is fit for the intended purposes, compliance with the Project Deed and must include specific assurance regarding durability and safety.
...
If the structures are propriety items, design inputs and design outputs (inclusive of drawings, fabrication process and technical specifications) must be certified by the subcontractors for compliance with the Project Deed and Scope of Works and Technical Criteria (including durability and safety) before the verification process commences.
38Item 17 would appear to suggest that safety issues with regard to the design were the responsibility of the designer (PB), that is, URS as the Independent Verifier was relying on PB as the designer to carry out necessary design checks and make its own calculations. Appendix 1 suggests that URS's obligation was to review design inputs and criteria and calculation methods and software. There is no obligation imposed on URS under the contract to review the "as found" ground conditions at the premises and compare them to the design as projected by the designers. On the other hand, Item 19 of Appendix 1 (relied upon by John Holland) suggests that safety considerations built into the design verification process should form part of the design verification reviews by URS. Item 19 states:
As part of the design verification process the important considerations relating to safety and durability as prescribed in the Project Deed will be incorporated into the design verification reviews of the discrete design elements.
Safety considerations encompass
Specific examination of safety issues relating to work practices, induction training as well as adequacy of relevant elements, including bridge railing, barrier approaches and specification provisions; and
Review of the Trustee's independent design safety audits undertaken on each of the discrete design elements.
39There is no evidence upon which the Court could properly assess whether URS discharged this particular contractual obligation. An analysis of the available material reveals an obligation to review discrete design elements which incorporates into that process safety considerations, but the material does not go so far as to establish the proposition advanced by John Holland that URS was obliged to verify, "the integrity and safety of the design".