1 Star Track Express Pty Ltd ("the defendant") is an express freight distribution company. The defendant has 11 depots located in New South Wales and employs approximately 1,375 employees within the State. It also utilises the services of a number of contractors, including Western Freight Management Pty Ltd ("WFM") to transport freight on its behalf and has done so since 1984.
2 Mr Brian Lloyd and Mr David Norman were employed as truck drivers by WFM. At about 7.00 pm on 2 December 2004, as Mr Norman was reversing a semi-trailer towards the loading dock at the defendant's freight distribution depot located at 29-31 Waverley Drive, Unanderra in the State of New South Wales, Mr Lloyd was caught between the rear of the reversing trailer and the dock. As a result of the incident, Mr Lloyd received crush injuries, which subsequently caused his death.
3 The defendant was charged with an offence under s 8(2) of the Occupational Health & Safety Act 2000 ("the Act") which provides:
8 Duties of employers
...
(2) Others at workplace
An employer must ensure that people (other than the employees of the employer) are not exposed to risks to their health or safety arising from the conduct of the employer's undertaking while they are at the employer's place of work.
4 The offence with which the defendant was charged was that on 2 December 2004, at 29-31 Waverley Drive, Unanderra, the defendant, being an employer, failed to ensure that persons not in its employment and in particular Brian Lloyd, were not exposed to risk to their health or safety arising from the conduct or its undertaking, while they were at its place of work.
5 The particulars of the charge are:
1. Failed to ensure that a safe system of work in relation to traffic and pedestrian management was provided and/or maintained at the premises and, in particular, for line haul vehicles, with trailers attached, when reversing towards the line haul loading docks at the premises.
2. Failed to conduct risk assessments in relation to traffic and pedestrian management at the site prior to the incident, in particular, with respect to the line haul vehicles, with trailers attached, when reversing towards the line haul loading docks at the premises.
6 The defendant pleaded guilty to the charge. This judgment concerns the penalty to be imposed for the offence.
7 The prosecutor tendered an agreed statement of facts. The statement had annexed to it what is known as the defendant's "Bluecard" Occupational Health and Safety Awareness Procedures for the Transport Industry. Also tendered were 26 colour photographs taken on 2, 8 and 23 December 2004 of the defendant's office, loading dock, garden bed, driveway and a semi-trailer parked in front of the southern loading dock. A factual inspection report by Inspector John Patton dated 3 December 2004 was also tendered together with the defendant's record of prior convictions, which showed no prior convictions.
8 The agreed statement of facts described the incident as follows:
9. At about 7pm on the evening of the subject incident (2 December 2004), Mr Lloyd and Mr Norman were at the premises waiting for the defendant's employees to finish loading the trailers that Mr Lloyd and Norman were scheduled, by the defendant, to haul to other depots.
10. On the evening of 2 December 2004:
(a) WFM owned and supplied the prime movers being driven by each of Mr Norman and Mr Lloyd; and
(b) the defendant owned and supplied the trailers attached to the prime movers being driven by each of Mr Norman and Mr Lloyd.
11. Just prior to the subject incident, the trailer that struck Mr Lloyd was being loaded by the defendant's employees at the premises. After the defendant's employees finished loading the subject trailer, Mr Norman moved the trailer forward from the loading dock in order to be able to close and seal the doors located at the rear of the trailer.
12. After Mr Norman moved the subject trailer forward, away from the loading dock, Mr Lloyd assisted Mr Norman to close and seal the doors at the rear of the subject trailer in preparation for the departure of the semi-trailer.
13. After Mr Norman and Mr Lloyd had closed and sealed the doors to the trailer, Mr Norman got into the prime mover and completed some paperwork with respect to the load.
14. Due to the configuration of the defendant's depot, in order to exit through the southern gate of the premises, Mr Norman was required to choose whether to:
(c) wait until the semi-trailer parked at the adjacent loading dock left the depot; or
(d) reverse his semi-trailer back toward the loading dock in order to gain sufficient room to manoeuvre the semi-trailer through the southern gate of the premises.
Prior to and at the time of the subject incident, the defendant was aware that such a choice had to be made and that drivers, including Mr Norman, regularly chose to reverse back in order to gain sufficient room to manoeuvre, rather than waiting until the semi-trailer in the northern position moved out of the loading dock.
15. The mirrors fitted to Mr Norman's prime mover did not provide him with any view of the area directly behind the trailer as he reversed; nor were there any other mechanisms, such as reversing mirrors, or a traffic controller, to provide Mr Norman with information about the area located immediately behind the trailer as he reversed the semi-trailer towards the loading dock.
16. As Mr Norman was reversing the semi-trailer towards the loading dock, Mr Lloyd was caught between the rear of the reversing trailer and the dock. It is not known why Mr Lloyd was behind the trailer when Mr Norman reversed the trailer back to the dock given that he and Mr Norman had closed and sealed the doors at the rear of the trailer in preparation for the departure of the trailer. The investigation did not disclose any operational reason for Mr Lloyd to be behind the trailer at the time Mr Norman reversed the trailer back to the dock.
17. As a consequence of being caught between the rear of the trailer and the dock, Mr Lloyd received crush injuries, which subsequently caused his death.
18. At the time of the subject incident, the defendant's employees who had loaded Mr Norman's trailer were loading the adjacent trailer to be driven by Mr Lloyd. None of these employees can recall hearing an audible reverse warning beeper when Mr Norman was reversing his trailer back toward the dock in order to leave through the southern gate of the premises. However, these employees did hear Mr Lloyd call out as he was caught between the rear of the trailer and the dock.
19. When interviewed, Mr Norman stated that he was unaware that Mr Lloyd was behind the trailer as he reversed the trailer towards the dock and that he was unaware that the trailer had struck Mr Lloyd.
20. After Mr Norman had reversed the rear of the semi-trailer toward the dock, Mr Norman drove the semi-trailer forward and commenced to leave the premises by the southern exit.
21. As Mr Norman was moving the semi-trailer forward, Mr Norman heard someone yelling out to him. Mr Norman then stopped the semi-trailer and was told that Mr Lloyd had been caught between the rear of Mr Norman's trailer and the dock.
22. Mr Norman's prime mover (which was owned and supplied by WFM) was fitted with an audible reverse "beeper". Mr Norman has stated that he can not say whether the beeper sounded as he was reversing towards the loading dock on that evening. However, on 7 December 2004 after Mr Norman returned to work following the incident, Mr Norman completed a WFM "repair request" form in relation to the prime mover he was driving on the evening of the incident. On that form Mr Norman wrote that the "rear beeper works sometimes". On receipt of Mr Norman's repair request form, WFM arranged for an auto electrician from S&S Auto Electrical Services Pty Limited to inspect the rear beeper on the prime mover which had been driven by Mr Norman on the evening of the incident. The auto electrician diagnosed a "faulty flasher unit and back alarm" and proceeded to "supply and fit flasher unit and back alarm". After the rear beeper had been replaced, Mr Norman said that it was "ten times louder".
9 The agreed statement of facts then described the defendant's Depot at Unanderra:
23. The defendant leased the premises from the owner, Truebond Investments Pty Ltd, at the time of the incident.
24. The nature of the business conducted by the defendant is express parcel distribution. At the time of the incident the premises were used by the defendant to distribute and collect express freight in the Illawarra area. The defendant employs approximately 1375 persons in New South Wales, and employed approximately 20 persons at the premises at the time of the incident.
25. The premises were operated as a depot by the defendant, or its predecessor Multigroup Distribution Services Pty Ltd trading as Discount Freight then Star Track Express, from 1995 until 17 December 2004, when the depot was relocated to a new purpose-built facility at 4 Industrial Road, Unanderra. The relocation was planned prior to the incident occurring.
26. At the time of the incident, the premises included a building which was used by the defendant as a goods warehouse and distribution centre. The perimeter of the premises had a 1.8 metre high chain wire fence with two chain wire gates in front of the two driveways. The building had 6 loading docks with a large roller door on each dock. The docks were located to the north of the building facing the west. There was an office located in the southern part of the building.
27. There was a concrete loading area to the western side of the building. There were two concrete driveways leading to the concrete loading area, one at the northern end of the premises and the other at the southern end, both coming off Waverley Drive. Inside the boundary fence, on the northern side of the southern driveway there was a concrete kerb around a garden bed. The kerbing was 19.8 metres from the building line.
28. The southern most loading dock was constructed from steel. There was steel checker plate to the top surface and outside vertical face. The top lip of the loading dock protruded out 190 millimetres from the building line and was constructed of 100mm RHS steel. The top level of the loading dock was 1.260 metres high from ground level. The roller door was 4.470 metres wide by 3.750 metres high. The front lip of the loading dock was damaged, approximately 1 metre from the left side.
29. Inspector John Patton, who visited the site on the day of the subject incident, observed a white coloured semi-trailer parked approximately 4.2 metres away from and in front of the second loading dock. The prime mover was a Freightliner (rego XZA 577) and the trailer was a three axle Freighter (rego VT86DH). Painted on the side of the trailer were the words 'Star Track Express'. Painted on the prime mover were the words 'Western Freight Management'.
30. Inspector Patton also observed a white coloured semi-trailer parked on the roadway directly outside the premises, facing in a northerly direction. The prime mover was a Freightliner (rego WZR 076) and the trailer was a three axle Freighter (rego VT10CV, VIN 49762, model No: ST3). Painted on the side of the trailer were the words 'Star Track Express'. Painted on the prime mover were the words 'Western Freight Management'. The prime mover and trailer measured 16.400 metres long.
31. Inspector Patton sat in the driver's seat of the prime mover (rego WZR 076) parked on the roadway. With the doors closed, he looked into the left and right side mirrors. He found the mirrors clean and was able to see unobstructed down both sides of the trailer to the rear of the trailer and beyond.
32. Inspector Patton observed a driver start the engine of the prime mover and then reverse the vehicle. When the prime mover was in reverse gear, there was an audible alarm or beeper. The prime mover and trailer reversed for approximately three metres (10 seconds) with the reversing alarm audible, and then the reversing alarm stopped even though Inspector Patton observed that the semi-trailer was still reversing the truck and trailer. The truck driver stopped the truck, selected a forward gear, and then selected reverse gear again, and the audible alarm did not activate.
10 The safety systems in place at the time of the accident were described in the agreed statement of facts as follows:
33. In accordance with the contractual agreement between the defendant and WFM, WFM employees providing the services on behalf of WFM to the defendant were required to wear Star Track Express uniforms. The defendant's uniforms are, and were at the time of the incident, blue-coloured.
34. The defendant also had in place a policy that required its staff, including employed drivers, to wear high visibility clothing, or vests when on the ground. The defendant also had in place a policy requiring sub-contract drivers, such as Mr Lloyd and Mr Norman, to wear high visibility vests whilst on the ground in the vicinity of trucks and/or in traffic movement areas.
35. Both Mr Norman and Mr Lloyd were wearing Star Track Express uniforms at the time of the subject incident. Neither Mr Norman nor Mr Lloyd were wearing high visibility vests whilst on the ground in the area of the loading docks at the time of the incident. However, prior to the incident Mr Norman:
(a) was aware of the defendant's policy regarding the requirement to wear high visibility clothing at the premises;
(b) normally wore high visibility clothing at the premises; and
(c) had been spoken to by a representative of the defendant about not wearing high visibility clothing at the premises.
36. There were two loading docks at the premises where trailers used for line haul services were loaded and unloaded. The loading docks were located at the southern end of the warehouse building, adjacent to the office area. These are the loading docks that were being used on the evening both prior to and at the time of the subject incident.
37. Prior to the subject incident, each of Mr Lloyd and Mr Norman had reversed the trailer attached to their prime mover into position at the two line haul-loading docks at the premises, so that the trailers could be loaded by the defendant's employees. After being loaded each afternoon, the trailers were transported to the defendant's main distribution facility located at 51 Sargents Road, Minchinbury by WMF employees. Once the trailers were loaded at the premises, the trailers were moved forward from the docks in order for the rear doors to be closed and sealed. The doors were sealed with security tags by the driver of the vehicle after the driver had checked the trailer and the load.
38. This operation occurred daily Monday to Friday.
39. Mr Norman had, as an employee of WFM, been providing line haul services for the defendant for approximately 9 years prior to the incident. During the 9 years or so, he commenced duty at the premises daily and performed 3 return journeys from the premises to the defendant's Minchinbury depot, ceasing duty at the premises after the third return journey.
40. Mr Lloyd had been employed by WFM for about three years prior to the incident. In the 12 to 18 months prior to the incident, Mr Lloyd had driven to, and had his truck loaded at, the premises on a daily basis.
41. Mr Lloyd's daily working routine prior to the incident was to commence duty at WFM's premises in Blacktown, drive a WFM prime mover (without a trailer) to the premises at Unanderra, connect one of the defendant's trailers to the prime mover being driven by Mr Lloyd, wait for the trailer to be loaded at the premises and then drive the prime mover (with trailer attached) to the defendant's depot at Minchinbury, then drive from Minchinbury to Orange and then drive from Orange back home.
42. There were two access/exit gateways at the premises, one at the northern end of the premises and one at the southern end of the premises. If the trailer located at the southern line haul loading dock, where the incident occurred, was loaded first and therefore, ready to leave prior to another trailer being loaded from the next line haul loading dock to the north, then, after the rear doors to the trailer were shut and sealed, the driver had to reverse back onto the loading dock in order to have sufficient turning room to leave the site via the southern gate. This manoeuvre at the southern most loading dock was necessitated by the length of the prime movers and trailers in use and the presence of a garden bed adjacent to the southern exit gate, which combined to preclude a direct exit via the southern gate from the southern loading dock.
43. As a consequence, trailers at this particular loading dock were regularly reversed hard up against the southern loading dock in order to give drivers sufficient room to avoid the garden bed whilst exiting the southern gate.
44. When reversing the semi-trailer used at the time of the incident, the driver had vision along both sides of the trailer via side mirrors, but no vision immediately behind the rear of the trailer. The trailer attached to the prime mover being driven by Mr Norman was an enclosed freight trailer. Also, the loading docks were not fitted with reversing mirrors.
45. The defendant's management was aware of the space restrictions caused by the flower bed located adjacent to the southern exit and the manoeuvres that were necessary at the southern loading dock to enable semi-trailers to exit, around the garden bed, through the southern gate.
46. Mr Norman stated that he believed Mr Lloyd was aware that he was going to reverse the trailer back against the dock after they had closed the doors for the following reasons:
(a) Mr Norman had often performed the task (in the presence of Mr Lloyd) when leaving from the same dock, including on the previous afternoon; and
(b) Mr Norman said "goodbye" to Mr Lloyd twice after they had closed and sealed the rear doors to the trailer; and
(c) immediately after Mr Lloyd and Mr Norman departed at the rear of Mr Norman's trailer, Mr Norman proceeded to walk down the side of his trailer, open the door to the prime mover and get in.
47. All prime movers owned by WMF are manufactured by Freightliner and have audible reversing signals (reversing beepers) fitted including the prime mover, registered number WZR-076, involved in the incident. Trailers are not fitted with reversing beepers or reversing lamps.
48. Advice from the Roads & Traffic Authority (RTA Technical Inquiries) revealed that reversing lamps are not required on trailers in accordance with Australian Design Rules. Advice from RTA Technical Inquiries also revealed that reversing beepers are not required on vehicles, including heavy vehicles, in accordance with Australian Design Rules.
49. WMF had a documented system in place for the reporting of all vehicle defects or repairs required, together with an ongoing vehicle maintenance program. The reversing beepers were required to be checked for operation as part of the vehicle maintenance program. WFM's system required repair requests to be actioned when reported.
50. A Western Freight Management repair request was completed by Mr Norman on 7 December 2004, following the incident, in relation to the reversing beeper on the prime mover involved in the incident. The request indicated that the 'rear beeper works sometimes'. Mr Norman stated that after the incident he listened carefully to the beeper and noticed that it didn't work sometimes. Repairs were carried out on the reversing alarm on 8 December 2004.
51. However, the apparent fault with the reversing beeper was not reported prior to the incident. No record of a fault report or repair request of the reversing beeper prior to the incident has been produced by WFM.
52. The defendant provided some WMF employees who performed work for the defendant with 'Bluecard' training prior to the subject incident. Bluecard training is OHS awareness training for the transport industry. Attached, marked with the letter "A", is a true copy of the presentation used for Bluecard training at the relevant time.
53. Both Mr Norman and Mr Lloyd were provided with Bluecard training by the defendant prior to the incident. Attached, marked with the letter "B", is a true copy of Mr Lloyd's Bluecard training assessment.
54. After the incident, Bluecard training was provided to other WMF employees who were performing work for the defendant.
55. WMF also provides and ensures its drivers undertake and complete a Certificate III in Transport and Distribution. The training deals with various OHS and operational issues.
56. Both Mr Lloyd and Mr Norman had completed this training prior to the incident. Attached, marked with the letters "C" and "D", respectively, are copies of the certificates of attainment issued to Mr Lloyd and Mr Norman with respect to the completion of the requirements for Certificate III in Transport and Distribution, including a list of the units completed by Mr Lloyd.
57. WMF had, at the time of the incident, an OHS Management System in place, in the form of a written Policy and Procedures manual provided to and carried by all drivers. Attached, marked with the letter "C", is a true copy of the Policy and Procedures manual provided by WMF to all of its drivers.
58. Both Mr Lloyd and David Norman were in receipt of the manual prior to the incident.
59. The defendant had an OHS Management System in place in relation to the company and its sites, including the premises, prior to the incident.
60. On 8 December 2004, Inspector Patton issued Improvement Notice No 270108 requiring the defendant to provide and maintain a safe system of work for those persons required to access the loading dock and to identify, assess and control any risks associated with accessing that loading dock.
11 Following the incident, the defendant made a number of changes to the systems of work as follows:
61. The defendant conducted a risk assessment with respect to semi-trailer movements at the entire premises and implemented a written operational procedure for line haul departures as a result of the findings of that assessment.
62. The procedure implemented by the defendant after the incident provided that after a semi-trailer had been moved forward off each dock and its doors were closed and sealed, the driver was required to give 2 short blasts of the horn and await an all clear signal from the leading hand on the dock before reversing the semi-trailer back into the dock. The procedure also provided that the leading dockhand was to ensure the area behind the trailer was clear and then give a hand signal to the driver before the vehicle was to be reversed. Also, the leading hand was to remain in position, providing guidance to the driver, until the vehicle moved forward and departed the premises.
63. The defendant's site policy requiring pedestrians working or passing through the yard/loading dock areas to wear high visibility vests remained in place after the incident.
64. The defendant vacated the premises on 17 December 2004 in order to move into its new depot at 4 Industrial Road, Unanderra. The new depot was purpose-built by the defendant and has adequate access and exit areas for all vehicles accessing the loading docks, including line haul vehicles.
65. The defendant fully co-operated with WorkCover in its investigation of this matter.
66. The defendant has no prior convictions under the Occupational Health and Safety Act 2000 or associated legislation.
12 Mr H J Dixon SC with Mr T Saunders of counsel, who appeared for the defendant, read an affidavit of Sean Patrick M'Gee who was required for cross-examination. Mr M'Gee is the Director of Branch Operations with the defendant, a position he has held since 2 April 2001. Mr M'Gee described his role, the corporate background of the defendant and the site.
13 Mr M'Gee also described the usual procedures in respect of the loading of semi-trailers at the Depot, stating:
On the evening of 2 December 2004, Leon Parr (Mr Parr) was the Leading Hand in charge of the Depot.
Since commencing employment with Star Track Express in May 1997, Mr Parr has worked only at the Depot and the New Depot. As part of his respect responsibilities as a Leading Hand, Mr Parr was:
(a) responsible for the work being undertaken around the loading dock at the Depot during the afternoon shift (4pm until the close of the Depot). That involved supervising 7 or 8 freight handlers employed by Star Track Express to load and unload freight that arrived at, and was transported from, the Depot during the evening shift. Mr Parr worked on the loading dock with the freight handlers during most of the afternoon shift;
(b) responsible for locking up after the Depot had closed;
(c) required to and did keep a look out at all times in relation to the movement of vehicles around the Depot; and
(d) responsible for ensuring that neither employees or visitors were walking around where the trucks were being loaded, except where such movement was necessary, such as the truck drivers closing and sealing the doors to the trailer of a truck.
During the afternoon shift, the Depot was staffed by approximately 8 Star Track Express drivers and 1 Leading Hand at any one time. I am also informed that there were 2 WFM drivers who regularly attended the Depot.
The usual daily routine at the Depot as at 2 December 2004 was as follows:
(a) The linehaul vehicles would arrive separately at the Depot with loaded trailers in the early hours of the morning and would reverse onto the 2 loading docks, which were located at the southern end of the Depot. Other than the WFM driver of the linehaul vehicle, no person would be present at the time the linehaul vehicles arrived at the Depot.
(b) The driver of the linehaul vehicle would open the doors to the trailers before completing the process of reversing against the loading dock.
(c) Star Track Express drivers would arrive at the Depot for the first shift at approximately 7am and commence unloading the freight from the trailers onto the conveyor belts on the raised loading dock.
(d) Depending on the destination, the freight would then be loaded into respective Star Track Express trucks parked at their allocated run bays for delivery.
(e) Star Track Express drivers would then depart from their allocated run bays to deliver and collect freight in the Illawarra region before returning to the Depot.
(f) The 2 linehaul vehicles and trailers would remain parked at the docks until the evening.
(g) In the late afternoon or early evening, Star Track Express employees would load the trailers of the linehaul vehicles (one at a time). Once the trailers were loaded, the linehaul vehicles would leave the Depot.
The usual procedure for loading the linehaul vehicles at the Depot at the time of the incident was as follows:
(a) The rear doors of the linehaul vehicles would be opened at the trainer would be loaded with parcels from a conveyor belt located on a raised loading dock. The employees loading the trailer worked on the raised loading dock;