The particulars of the charge are:
(a) The defendant, at all material times, was a supplier of plant;
(b) The defendant, at all material times, supplied a hydraulically powered post driving machine ("the machine") to William Munton;
(c) The defendant, at all material times, failed to provide, or arrange for the provision, to William Munton of adequate information regarding the operation of the machine to ensure the machine's safe use.
(d) The machine could be operated whilst a person's limbs or head were below the hammer so that the hammer could come into contact with that person's limbs or head causing fatal injuries.
5 The statement of facts which I found made out on the evidence in the May judgment provided:
1. The prosecutor is an Inspector duly appointed under Division 1 of Part 5 of the Occupational Health and Safety Act 2000 and empowered under Section 106(1)(c) of the said Act to institute proceedings in this matter.
2. The defendant is a corporation whose registered address is at Level 2, 175 Scott Street, Newcastle, in the State of New South Wales (annexure K).
3. At all material times the defendant operated a business of supplying farm machinery at premises at 338 Pacific Highway, Hexham, in the State of New South Wales.
4. At all material times Mr William Munton conducted a livestock transport and rural fencing business at 181 Woodberry Road, Millers Forest in the State of New South Wales.
5. On 8 March 1999 Mr William Munton purchased from the defendant a Lyco hydraulically powered post driving machine serial number 4582 S/S 746 ("the machine") (annexure A; annexure J A.41 & 42).
6. The defendant had purchased the machine from its Victorian manufacturer, Lyco Industries Pty Ltd ("Lyco") and had taken delivery of the machine some time after 28 February 1999 (annexure J A.20 to 23). The machine had been ordered specifically for sale to Mr Munton (annexure J A.32).
7. The defendant was an approved Lyco dealer and had acted as a supplier of post driving machines manufactured by Lyco for the previous 10 or 11 years (annexure J A.31 & 37).
8. The machine sold to Mr Munton was new and had a sale price of $9650 (annexure A).
9. The machine was sold to Mr Munton by the defendant for use in operations on Mr Munton's farm (annexure J A.43, 44, 58 to 61).
10. As part of the sale of the machine to Mr Munton, the defendant fitted it to a Fiat 580 tractor owned by Mr Munton (annexure J A.51 to 53).
11. The machine as sold and provided to Mr Munton was fitted with a bi-fold guard (annexure J A.55 & 71; annexure D Munton 19/7/02 T91.28, 91.34, 92.29, 93.39, 93.45).
12. At no stage prior to 23 May 2001 did Mr Munton adjust or modify the bi-fold guard or the manner in which it was installed on the machine as supplied to him by the defendant (annexure D 19/7/02 T 80.38, 80.45, 80.49).
13. The driving mechanism of the machine was a hydraulic hammer that operated by striking the top of the post being installed. The weight of this hammer on a Lyco hydraulically powered post-driving machine as configured in standard form was 227 kg (500 lbs)(annexure H). The weight of the hammer on the machine as supplied to Mr Munton was 272 kg (600 lbs) (annexure A; annexure L p.60 A.295).
14. At approximately 8.30am on 23 May 2001 Mr Caine Hayward, a 26-year-old employee of Mr Munton, sustained fatal injuries when his head was crushed between the hammer of the machine and a wooden fence post.
15. The cause of death of Mr Hayward was a crush injury to the head (annexure M).
16. Pathological testing of blood, tissue and bodily fluids of Mr Hayward resulted in no alcohol or illicit substances being detected (annexure N).
17. Immediately prior to being fatally injured, Mr Hayward was working with Mr Suters who was also an employee of Mr Munton. Both Mr Hayward and Mr Suters were performing rural fencing duties on the property of Mr Munton at 181 Woodberry Road, Millers Forest in New South Wales. The performance of those duties involved use of the machine.
18. On 23 May 2001, the Prosecutor inspected the machine as part of her investigation into the circumstances of the death of Mr Hayward. A copy of the factual inspection report of Inspector Buggy dated 29 May 2001 is annexed hereto and marked with the letter "B".
19. Inspector Buggy observed that the bi-fold guard provided as part of the machine was fixed in a folded position against a section of the hydraulic operating control station located at the rear of the machine (paragraphs 26 to 28 of annexure B).
20. Mr Tony Martin, a mechanical engineer employed by TestSafe Australia, conducted an inspection of the machine on 25 May 2001 and prepared a report dated 30 August 2001 ("the TestSafe report"). A copy of the TestSafe report is annexed hereto and marked with the letter "C".
21. In the TestSafe report Mr Martin considered a hypothesis that Mr Hayward, while standing in a location adjacent to the post being driven, had reached under the bi-fold guard in an attempt to operate the machine's side-shift control lever and mistakenly operated the machine's hammer control lever causing the hammer to fall upon his head. In considering this hypothesis Mr Martin commented:
"The fact that the operator could reach and operate the controls when located on the incorrect side of the guard is a cause for concern. The concept of the guard is to keep body parts away from moving equipment, so as to as far as possible eliminate the risk of injury. The guard on this machine would appear to have been ineffective…" (annexure C, page 5).
22. In the course of the Coronial inquest into the death of Mr Hayward, 2 police officers, Detective Constable Glen Ward and Senior Constable Peter Rhodes, gave evidence that in the course of their respective inspections of the machine they were able to access the machine's hammer control lever while standing in the position where, in the hypothesis set out in paragraph 21 above, Mr Hayward was standing. A copy of the transcript of the evidence before Coroner R Wakely is annexed hereto and marked with the letter "D".
23. Detective Constable Ward said that he could perform such an action comfortably (annexure D Ward T19/7/02 at 9.25, 13.23, 13.34, 16.30, 17.31, 21.56, 25.9). Senior Constable Rhodes said that his recollection was that while performing such an action he could reach beyond the hammer control lever to other levers located further away (annexure D Rhodes 19/7/02 T 27.15, 27.25, 27.29, 27.34).
24. The lever that activated the hammer of the machine was accessible from a position that placed the operator between the hammer and the post being driven by it. There was no guard around the machine's moving hammer mechanism that prevented such access.
25. There was no "dead man" facility, control lever, push-button or switch, or any other safety device associated with the machine's hammer mechanism that prevented the possibility of a person placing any part of their body between the hammer and a post while the machine was operating (annexure D Martin 19/7/02 T29.22).
26. It was therefore possible for the operator of the machine to come into contact with its moving hammer mechanism while the machine was operating.
27. Contact with the moving hammer mechanism was also possible when the controls in the tractor to which the machine was affixed were used to lower the machine.
28. The manufacturer of the machine, Lyco Industries Pty Ltd, issued a document entitled "Hazard Identification and Risk Assessment - Product: Power House Post Driver" following an assessment conducted on 1 October 2001. This document was prepared and issued by Mr Jeff Hodson on behalf of that company's occupational health and safety committee. A copy of the document is annexed hereto and marked with the letter "E".
29. Page 2 of annexure E identifies a risk of a crushing injury as a result of the machine's hammer striking its operator if that person were to enter the work area with the hammer in the elevated position.
30. There was no direct witness to Mr Hayward's injury. It appears however that Mr Hayward may have been attempting to manipulate the hydraulic side shift controls located at the rear of the machine in order to straighten a post. Mr Hayward could have placed his head in a position between the hammer section of the machine and the top of the fence post and unintentionally activated the hammer by moving the hammer control lever instead of the adjacent side shift lever.
31. Subsequent to 23 May 2001 Mr Munton modified the bi-fold guard that was fitted to the machine. These modifications consisted of:
a. Lowering it a couple of inches
b. Re-positioning it so that it was no longer fixed in a folded position behind the hydraulic operating control station at the rear of the machine
c. The welding of a metal pipe between the hinge mechanism of the bi-fold guard and the machine
(annexure D Munton 19/7/02 T81.19 to 81.34)
32, Annexed hereto and marked with the letter "F" is a series of 5 colour photographs exposed by the Prosecutor which demonstrate the modifications identified in paragraph 31 above.
33. The modifications referred to in paragraph 31 had the effect of preventing access by the operator of the machine to the levers of the hydraulic operating control station at the rear of the machine while standing in a position potentially in the path of the machine's moving hammer mechanism (photograph 5 of annexure F).
34. The machine when purchased by Mr Munton was supplied with an instruction manual (annexure O A.18 & 19; annexure J A.50). This manual provided information in relation to the use and operation of the machine including the installation and operation of the bi-fold guard. A copy of the instruction manual is annexed hereto and marked with the letter "G".
35. Page 6 of the instruction manual contained the following safety rule: Do not operate post driver without guards fitted and closed
36. Figure 3 on page 10 of the instruction manual is identified as indicating the "open" position of the guard for the purpose of assisting in the task of guard attachment.
37. Figure 7 on page 15 of the instruction manual is entitled "Driving a Post".
38. Annexed hereto and marked with the letter "I" is a series of 18 colour photographs exposed by Senior Constable Glen Ward on 23 May 2001 with annotations of Inspector Buggy.
ANNEXURES
A Copy of the defendant's sale docket number 14380
B Factual inspection report of Inspector Buggy dated 29 May 2001
C Report of Mr Tony Martin (TestSafe Australia) dated 30 August 2001
D The transcript of the Coronial Inquest into the death of Mr Hayward
E Lyco Industries Pty Ltd document entitled "Hazard Identification and Risk Assessment - Product: Power House Post Driver"
F Series of 5 colour photographs exposed by Inspector Buggy on 3 October 2001
G Instruction manual for Lyco hydraulically powered post-driving machine as supplied to William Munton
H Information sheet concerning Lyco hydraulically powered post-driving machine provided to Inspector Ruth Buggy by Mr Brian Thomas Graham on 13 September 2001
I Series of 18 colour photographs exposed by Senior Constable Glen Ward on 23 May 2001 with annotations of Inspector Buggy
J Record of interview of Brian Thomas Graham with Inspector Ruth Buggy (nee Huber) on 13 September 2001
K Historical company search relating to the defendant dated 11 April 2005
L William Munton Police ERISP 24 May 2001
M Report to Coroner of Dr Tim Lyons, Newcastle Hospital Department of Forensic Medicine, dated 24 May 2001
N Report of Rajeev Malhotra, Division of Analytical Laboratories, Institute of Clinical Pathology and Medical research, dated 18 June 2001
O Record of interview of William Munton with Inspector Ruth Buggy on 21 February 2003
6 The case advanced for the prosecutor by Mr Reitano of counsel, was that given the two offences charged and proven, in imposing penalty, the principle of totality must be applied. The question of the overlap of the offences had, however, to be considered.
7 The first offence was concerned with the provision of dangerous machinery, the second with the failure to provide adequate information about safe use of that dangerous plant. The common element in the two offences was the existence of the dangerous machine, the differences the provision of that machine and the failure to provide information as to its safe use.
8 It was argued that the evidence graphically demonstrated the foreseeability of the risk which the machine posed. The bi-fold guard on the machine was designed to guard the operator from the dangerous moving hammer of the machine. When the machine was supplied, it was fixed in position, in a way which made the risk posed obvious, given that it permitted contact between the operator and the hammer. The evidence also showed that even if opened, as had been intended, it would not have prevented deliberate, or accidental contact with the moving hammer. The information supplied did not adequately direct itself to these risks.
9 The consequences of the breaches had resulted in a death. The evidence placed the offence in a serious category. There was nothing advanced by the defendant by way of subjective matters relevant to penalty, because the defendant had not appeared to raise them. Questions such as mitigation of penalty and the defendant's means, accordingly could not arise for consideration.