1 Young Roller Flour Mill Co Ltd (YRFM) pleaded guilty to an offence under s 8(1) of the Occupational Health and Safety Act 2000 (2000 Act). At the time of the offence, it conducted a flour milling business in Lovell Street, Young. Its business was the milling of grain for stock feed.
2 Allan Murphy (the first defendant) pleaded guilty to an offence under s 8(1) and s 26(1) of the 2000 Act. Mr Murphy, at the time of the offence, was the managing director of YRFM and remained so until 9 October 2009.
3 The charges against the defendants are based on the same facts. The allegation contained in both charges against YRFM was that it failed to ensure the health, safety and welfare at work of all its employees, in particular, Bradley Wayne Horwood. Each charge contains two identical particulars of the offence alleged against YRFM. These are expressed as follows:
a) the defendant failed to ensure that the moving parts of plant known as a Satake Roller Mill ("the plant") used by its employees at work at the premises were adequately guarded or had other appropriate controls in place so as to prevent contact by employees with moving parts of the plant.
b) the defendant failed to ensure there was a system of work in place at the premises for the isolation of power and maintenance of the plant that was safe and without risks to health.
4 Mr Horwood at the time of the offence was YRFM's head miller, or production manager. He commenced employment with YRFM from May to June 1998 as a casual. Thereafter, he had four separate periods of employment with YRFM progressing through the ranks to the position of production manager. In the years 2001 to 2004, Mr Horwood completed a TAFE traineeship sponsored by his employer and obtained Certificates II and III in Food Processing (Flour Milling). In 2005, he completed a TAFE course in dust explosion awareness. He also attended and completed a number of training sessions provided by YRFM during the periods of his employment.
5 Mr Horwood's duties as production manager included taking care of orders, organising shift rotations and undertaking small maintenance jobs on machinery at the mill. He was responsible for the day-to-day running of the mill and the packing area.
6 The Satake Roller Mill (the roller mill) was located in an area of the mill known as the "mill floor". Its primary function was to grind cereal product. It contained two separate and independent pairs of grinding rolls placed back-to-back in a common frame, called the first break and the second break. Above each pair of grinding rolls was a pair of feed rolls. Grain was cracked by passing it between the grind rolls which rotated at different speeds. Occasionally, the gap between the grind rolls required adjustment. The usual method for accomplishing this was the use of a handwheel fixed to the mill cabinet. The range of adjustment permitted by the handwheel was limited by dead stop screws inside the roller mill. The dead stop screws (dead stops) prevented the rolls from touching each other. From time-to-time, through roll wear, the dead stops needed adjustment to permit a greater range of adjustment by the handwheel. The dead stops were located in a part of the roller mill which housed the differential drive. This part of the roller mill was enclosed by a flat steel panel or guard. On the day of the offence, the guard was secured by eight Phillips head screws. To the side of the guard was a blue sign depicting a picture of two gears with a mesh cover. On it appeared the words:
Stop machine before removing guard.
7 At 6.00am on 19 April 2007 (the day of the offence), Mr Horwood commenced work. Mr Jeremy Murphy (Mr Murphy's son) was also at work and was assisting Mr Horwood. According to Mr Horwood, he discovered soon after his arrival at work, that the machines would not start because of an electrical problem. He said everything was shut down and they waited for the electricians "to fix the problem". Once the electricians had fixed the problem Mr J Murphy started up the roller mill and production began.
8 According to Mr J Murphy (whose recollection of these events was quite different from Mr Horwood's recollection) the dead stops on the second break of the roller mill required adjustment. Mr Horwood, he said, suspended the roller mill while Mr J Murphy went to the basement and isolated the roller mill's drive motor. Mr Horwood then removed the metal guarding on both sides of the second break and adjusted the dead stops. After that, the guard was refitted, the motor started, and milling operations commenced.
9 About three hours later, Mr Horwood noticed that the grind on the second break roll was still experiencing problems. By this stage, Mr J Murphy had left the premises for a medical appointment and Mr Horwood was working alone. Mr Horwood inspected the second break and attempted an adjustment with the handwheel, however, it did not appear to be working. He then removed what he called "the side cover" (ie, the guard around the differential drive assembly of the second break). At that time, the roller mill was not stopped or isolated from its power supply. According to Mr Horwood, he removed the guard by hand by "pull(ing) it off, all the screws on it were loose". Mr Horwood said that he did not use any tools to remove the guard because, "the guard has like a hand hole thing in it, so no tools were used". Again, Mr J Murphy gave a somewhat different account. He said it would have been necessary to use a Phillips screwdriver to undo the screws securing the guard because Mr Horwood had earlier that morning used a Phillips head screwdriver to refit the screws to secure the guard.
10 Whichever version is correct, the agreed facts were that Mr Horwood attempted to move (with his left hand) the handwheel while the roller mill was still operating and the guard had been removed. Mr Horwood described what happened next in an interview with WorkCover. According to him, when he,
went to move around the side of the roll my hand slipped off the roll, hit one of the cogs and then got crushed between two gears and ... jammed between, near a bracket at the back.
11 Mr Horwood's right arm became wedged in the roller mill, trapped in the differential drive assembly between the larger cog and the idler arm. The roller mill at that time was still operating. Mr Horwood was able to stop the machine by activating the red emergency stop button on the roller mill cabinet. Mr Horwood's arm was freed some 20 to 30 minutes later by co-workers who came to his assistance. He sustained serious crush injuries to his right forearm which included a compound radius and ulna fracture, radial artery injury, ulnar artery injury, ruptured flexor tendons and a thumb fracture.
12 YRFM, at the time of the offence, had in place a procedure for making adjustments to the roller mill's internal mechanisms. That procedure, simply put, was to stop the machine and isolate the mill drive motor from electrical power. This procedure had in fact been followed by Mr Horwood earlier that morning.
13 The evidence tendered during the proceedings revealed a number of procedures and measures which were to be followed by workers at the mill with regard to work performed inside the roller mill. These were, in summary: