Prosecutor's evidence
27Mr I Taylor of senior counsel who appeared with Ms J McDonald of counsel for the prosecutor, tendered an agreed statement of facts ("ASF") which provided:
"Certain facts have been agreed with the Prosecution for the purposes of plea only. These Agreed Facts are made for the purposes of proceedings related to No. IRC 1293 of 2011 only and are not to be used as evidence against Santos, ESG, its related parties, directors, officers or employees in any other proceedings.
INTRODUCTION
1. At all material times, the Prosecutor was a government official (Investigator) appointed under section 127 of the Mine Health and Safety Act 2004 and thereby by section 47A of the Occupational Health and Safety Act 2000 (OHS Act) taken to have been appointed as an inspector under the OHS Act and authorised by section 106 of that Act to institute proceedings in this matter.
2. At all material times the Defendant Eastern Star Gas Limited (ACN 094 269 780) (ESG) was a publically listed corporation whose registered office is level 7, 51-57 Pitt Street, Sydney, NSW, 2000 and the holding company for a group of companies, including Eastern Energy Australia Pty Ltd ACN (009 321 662) (EEA), that undertake coal seam gas exploration in NSW. On or about 17 November 2011, Santos Limited (ACN 007 550 923) acquired the shares in ESG and, as such, ESG became a subsidiary of Santos Limited on or about that date. On 30 November 2012 ESG's name was changed to Santos NSW Pty Ltd.
3. As at 1 August 2009 ESG was an employer, and employed more than 40 people.
4. At all material times Austerberry Directional Drilling Services Pty Ltd (ACN 081 885 083) (ADD) was a corporation with its registered office located at 93a Young Street, Carrington, NSW, 2294.
5. At all material times the sole director of ADD was Shayne Austerberry, who was concerned in the management of ADD.
6. At all material times the sole shareholder of ADD was a company called Directional Nominees Pty Ltd (ACN 074 568 657), the sole shareholder of which was Shayne Austerberry.
7. ADD provides services including installing pipelines using a trenchless technology called horizontal directional drilling (HDD).
8. ESG is a holder of Petroleum Assessment Lease 2 (PAL 2) and Petroleum Exploration Licence 238 (PEL 238). PAL 2 is geographically located within PEL 238.
9. The land the subject of PAL 2 and PEL 238 is located near Narrabri in NSW.
10. PAL 2 and PEL 238 are "petroleum titles" granted pursuant to the Petroleum (Onshore) Act 1991 (POS Act). ESG was the nominated "operator" of the titles, pursuant to the Petroleum (Onshore) Regulation 2007 and the Schedule of Onshore Petroleum Exploration and Production Safety Requirements published by the Department of Mineral Resources in August 1992.
11. Pursuant to section 128 of the POS Act the holder of a petroleum title must carry out all petroleum exploration operations and operations for the recovery of petroleum in the title area in accordance with the provisions of the OHS Act.
THE WORKPLACE - THE BOHENA CREEK PROJECT
12. ESG required gas and water gathering pipelines to be installed on land within PAL 2 for what is known as the Bibblewindi West Production Pilot (Bibblewindi West Project).
13. The installation of the pipelines was part of petroleum exploration operations and/or operations for the recovery of petroleum and consequently was governed by the POS Act and accordingly was a "mining workplace" as defined in section 4 of the OHS Act.
14. ESG applied to and obtained from the Director General of the then Department of Primary Industry approval to construct the pipelines.
15. ESG either directly or via EEA contracted a Queensland based company, Greene Pipeline Services Pty Ltd atf GPO Trust, trading as GD Pipelines (ACN 643 583 248) (GD Pipelines) to install, as part of the Bibblewindi West Project, pipelines to either side of Bohena Creek, using standard trenching techniques. To complete the pipeline pipes needed to be installed under Bohena Creek. The pipeline was installed using HDD. In relation to this part of the Bibblewindi West Project ESG requested GD Pipelines to provide a site supervisor for the duration of the boring who would also assist with logistical support and help with the pull through of the pipeline, the final tie-in, and pressure tests.
16. HDD involves drilling a pilot hole using a directional drilling technique that allows control of direction and depth. A drill head is attached to metal rods (known as the "drill string") and guided towards a reception pit. Once the drill string arrives at the reception pit a reaming device is attached and the pilot hole is enlarged as the reaming bit is returned along the path of the pilot hole. Often the pipeline to be installed is dragged behind the reamer attached to a swivel.
17. HDD is common in the coal seam gas industry. Prior to 1 August 2009 ESG had engaged contractors whenever undertaking HDD works. HDD work requires specific skills.
18. ADD was engaged by EEA, on behalf of ESG, to install the pipe under Bohena Creek near Narrabri (Work Site) using HDD, in order to complete the pipeline already installed (or partially installed) by GD Pipelines (Bohena Creek Project).
19. Shayne Austerberry acted as the supervisor of the drill crew that undertook the Bohena Creek Project and was responsible for overseeing ADD's other drill crews. As the sole director of ADD and as the supervisor of the drill crew at the Work Site he was the person who made the relevant decisions as to ADD's acts and omissions at the Work Site.
20. In early 2009 ADD had undertaken two other similar jobs for ESG, as a sub-contractor to a company called Adtech FRP Pipelines, which had installed a fibreglass pipeline for ESG from Bibblewindi to Wilga Park some six months earlier (Adtech Job).
21. The initial inquiry for the work required for the Bohena Creek Project was made to Bob Reynolds of ADD, by Brett Langley, Manager Surface Engineering for ESG. At around this time, Mr Langley and Mr Reynolds undertook a site visit, including to investigate the terrain and area in which the Bohena Creek Project work was to be undertaken.
22. Following a site inspection by Mr Reynolds on 21 April 2009, ADD provided a quotation to ESG dated 20 July 2009 to install the pipeline for a total cost of $312,827.46 (Quotation). The Quotation stipulated that the:
(a) pipe would be supplied by ESG;
(b) fusion joining and debeading was to be done by ESG;
(c) full site access was to be supplied by ESG;
(d) water was to be supplied by ESG.
23. The Quotation attached to it ADD's "Terms & Conditions of Trade".
24. On 21 July 2009 ESG's wholly owned subsidiary company, EEA, issued a handwritten purchase order to ADD for the Bohena Creek Project, which accepted ADD's quotation (Purchase Order). The Purchase Order was requested by Erhart Stockhausen, Senior Petroleum Engineer for ESG and signed by Peter Lansom, Executive Director Operations for ESG. Mr Stockhausen sent the Purchase Order by email on 22 July 2009 to Mr Reynolds and Wayne Hunt of ADD.
25. Mr Stockhausen's email of 22 July 2009 stated: "GD Pipelines will be providing a Supervisor on behalf of ESG for the job to assist with coordination and preparation for the job. Note that all personnel will require an induction at the Narrabri office before entering the forest as conditions on site have changed, and I'm assuming some people won't have the normal ESG induction anyway."
26. ADD orally engaged, by telephone, a company known as Applied Soil Technology Pty Limited (ACN 068 177 677) (AST) to provide, at an hourly rate, a vacuum service for the Bohena Creek Project to suck mud out of the borehole to be drilled by ADD and remove it from the site, namely a vacuum tanker, a prime mover to tow the tanker and an operator. ADD had used AST on at least seven previous occasions prior to 1 August 2009.
27. AST orally engaged The Saver Guys Pty Ltd (ACN 125 166 832) (TSG) to help AST carry out its part of the Bohena Creek Project. Bruce Austin, who was 57 years old at the time of the accident, was the sole director and shareholder of TSG. The principal business activity of TSG was the provision of services requiring a prime mover, in particular earthmoving. All work undertaken by TSG was undertaken by Mr Austin or his son, Adam Austin.
28. AST engaged TSG to provide its prime mover to tow AST's vacuum truck, to assist in the removal of mud from the Work Site and to provide an operator of the prime mover and AST's vacuum truck. The operator was Mr Austin.
29. The Work Site was ADD's and ESG's "place of work" and the Bohena Creek Project was ADD's and ESG's "undertaking" within the meaning of section 8(2) of the OHS Act.
EVENTS LEADING TO THE ACCIDENT
30. ADD, that is, its employees Mr Austerberry, Robert Milne, Ken Anderson and Michael Anderson arrived at the Work Site on or about Wednesday 29 July 2009. They were shown around by Mr Dan Roulston, an employee of GD Pipelines who had been appointed by GD Pipelines to be the site supervisor.
31. ESG had requested GD Pipelines to provide a site supervisor for the duration of the Bohena Creek Project who was to organise accommodation, inductions in Narrabri and final site preparation. An email from Mr Stockhausen of ESG to Ryan Maloney of GD Pipelines dated 21 July 2009, stated that ESG "would still like GD Pipelines to provide a site supervisor for the duration of the boring as well be part of the GD mobilisation to help with the pull though" and requested that the site supervisor stay "in regular contact with John Higgins (Site Manager) regarding issues and updates." GD Pipelines had experience in managing drilling sub-contractors including those who had expertise in HDD.
32. The pipeline for the Bohena Creek Project was already welded up and lying on the ground at the Work Site ready to be installed when the ADD crew arrived. The length of pipeline required to be installed under the creek was approximately between 280 metres and 350 metres.
33. The pipeline was constructed from 200mm high density polyethylene pipeline (DN200 PN8 SDR21 PE100 Metric Pressure Pipe Series 1) manufactured by PPI Corporation Pty Limited.
34. It is not uncommon for a pipeline to become stuck while being pulled into a drilled hole using HDD techniques, the causes of which are many and various. The cause of the pipeline at the Work Site becoming stuck has not been determined, but the primary theory is that the ground conditions changed causing what is commonly referred to as a "hydraulic lock".
35. When a polyethylene pipeline of 200mm diameter is pulled in circumstances where one end is underground and becomes stuck, for instance due to hydraulic lock, then, as the pipeline is pulled it stretches and energy builds in the pipeline such that if the end being pulled is released the pipeline will recoil along its length and as it recoils it will move.
36. A polyethylene pipeline of 200mm diameter is a hard and heavy object, in the manner of a solid plastic. Accordingly when it moves there is a risk of injury to any person who might be struck by that hard heavy object.
37. ADD spent the first day on site setting up equipment. The entry and exit holes for the pipeline had already been prepared, apparently by GD Pipelines. ADD used star pickets and orange barrier mesh to fence off the two pits, two metres from the hole.
38. Mr Austin arrived at the Work Site on or about Thursday 30 July 2009. He set up the vacuum truck near the ADD drilling equipment.
39. Drilling began for the installation of the water pipe, on the western side of the creek, on Thursday 30 July 2009. On that day:
(a) Mr Milne operated the drilling machine;
(b) Mr Austerberry guided the drill head using the electronic sounder;
(c) Mr Michael Anderson mixed the drilling mud and put it into the reservoir that ran into the drilling machine;
(d) Mr Ken Anderson kept the bore logs;
(e) Mr Roulston of GD Pipelines provided a 3 km water line and regularly refuelled the pump to supply water for drilling and periodically checked on what was happening at the site;
(f) there was no work for the vacuum truck so Mr Austin helped with the mud mixing and site clean-up.
40. By the end of Thursday 30 July 2009 the pilot hole beneath the creek had been completed.
41. On or before 31 July 2009 ESG's safety officer, Tom Bennett, provided Messrs Michael and Ken Anderson and Mr Austin with an ESG induction at ESG's Narrabri office. This had been organised by Mr Roulston. Mr Austerberry and Mr Milne did not undergo an induction at this time. They had received an induction by ESG in January 2009 when ADD had done the Adtech Job and ESG and ADD regarded such induction as still being current.
42. On Friday morning 31 July 2009 the ADD crew, on the eastern side of Bohena Creek, attached a reamer to the drill string (also known as drill rods) using an adaptor designed and manufactured by Mr Austerberry and using a swivel, shackles and a pipecap attached the pipeline and thereafter began reaming the hole and simultaneously pulling in the pipeline.
43. Sometime between 12:00pm and 3.00pm Mr Milne, who was on the western side of the creek and who was pulling out the drill rods with the reamer and pipe attached, noticed the pipeline had become stuck and was no longer being pulled through the borehole. After Mr Milne recovered the remaining drill rods from the borehole, which measured around 120 metres, it was discovered that the reamer was no longer attached to them. He observed that the thread adaptor from the drill rods to the reamer had failed and it appeared that the reamer was still attached to the pipe under the ground.
44. Mr Austerberry decided to try and pull the pipeline out from under the ground (the Activity). By doing this the reamer may have been retrieved. The reamer was owned by ADD and it is understood would have cost approximately $20,000 to replace.
45. Neither ADD nor Mr Roulston informed ESG that the Activity was to take place. Therefore ESG was not aware that the Activity was being conducted. ESG did not at any stage give any directions or otherwise make any request to ADD or GD Pipelines in relation to the recovery of the pipeline or the Activity.
46. In an interview conducted by Inspector Paul Raftery on 14 October 2009 Mr Ken Anderson, a member of the ADD work crew, stated that on the day before the incident, he had had a conversation with Mr Austin while the retrieval work was being carried out. Mr Anderson said to the Inspector that he had seen Mr Austin walk up to the entrance of the drill hole and had then called out to Mr Austin not to go there and that he should come back and stand with him, some 10 - 15 metres from the hole as if the pipe broke anything could happen. He said to the Inspector that he then told Mr Austin that to be safe he needed to be 10 to 15 metres away from the entrance of the drill hole.
47. ADD did not have a documented safe work procedure or method (SWP) for the Activity and no job safety analysis or risk assessment for the Activity was conducted by ADD, either during or prior to the Bohena Creek Project, although Mr Austerberry had performed the procedure a dozen or so times in his career, Mr Milne had been involved in pulling pipelines out previously and Mr Michael Anderson had seen the procedure performed once in Darwin.
48. The Activity commenced on 31 July 2009 using a sling attached to the end of the pipeline and a backhoe owned by GD Pipelines and later a WesTrac Caterpillar 320C hydraulic excavator operated by Mr Austerberry.
49. All attempts on Friday 31 July 2009 to get the pipe moving were unsuccessful. On each attempt the pipe collapsed where it had been tied causing the sling to come off. Each time it failed gently, with no recoil. Ultimately the outer sheath of the sling failed. When this occurred, attempts to pull out the pipe were abandoned.
50. Mr Austerberry then took the excavator to the middle of the creek, to a position where, based on the number of drill rods that had been recovered, the ADD crew suspected the reamer and front end of the pipe were located, and began to dig, with the objective being to dig up the reamer and disconnect it from the pipeline, which would make pulling the pipeline back out easier. While Mr Austerberry was digging in the creek, sand and water flowed back into the hole making the process difficult. Some drilling mud was found, but not the pipeline. As it was getting dark it was decided to back-fill the hole and try again on the next day, Saturday. The ADD crew, including Mr Austin, left the site at around 4.30pm - 5.30pm.
51. On the morning of Saturday 1 August 2009 Ken and Michael Anderson left Narrabri to return home. Messrs Austerberry, Milne, Roulston and Austin returned to the Work Site to attempt to recover the pipeline and reamer.
52. A small pipe of about 100 - 110mm diameter was placed inside the 200mm pipeline already under the creek using a sling and a backhoe. The small pipe had a beacon inside it, so its position could be detected from the creek surface. Once the beacon had been pushed to what was believed to be the end of the pipeline digging in the creek began, with Mr Austerberry and later Mr Austin, operating the excavator.
53. The attempt to dig up the reamer was unsuccessful and at around 1.30pm - 2.30pm it was abandoned. Mr Austerberry then decided they should have a further attempt at pulling out the pipeline (which continues to be referred to as 'the Activity' in this statement). Mr Austin drove the excavator over to the eastern side of the creek so the Activity could begin. Meanwhile Mr Roulston commenced back filling the hole in the creek using GD Pipeline's backhoe.
THE ACCIDENT
54. According to Mr Austerberry, before the Activity commenced on Saturday 1 August 2009, a toolbox talk was held during which those present discussed where they were going to dig the hole in the creek. At that time, Mr Austin stated "everybody's got to keep out the bloody road." There are no documents recording this tool box talk.
55. The bunting across the front of the entry pit from which the pipeline protruded was pulled down before any pulling commenced so that it did not get in the way. However, the bunting that was placed at the sides of the pit remained.
56. Using a 10 millimetre, two legged chain that was on-site to be used to lift the drill rods onto the truck used to transport them, Mr Milne tied one leg of the chain in a clove hitch knot around the pipe and placed the other leg of the chains around a bucket tooth on the excavator and choke hitched it back over the chain.
57. The chain was a lifting chain. The chain's intended use was not to pull something. It had a breaking strength less than the pulling power of the excavator.
58. Mr Austin then started operating the excavator, approximately 2 - 4 metres from the end of the pit. He moved the arm and bucket of the excavator, the pipe may have moved a little bit and then the chain broke. The other leg of the chain was then attached as before by Mr Milne. The pipe was again pulled. It moved about a metre before shearing off the pipe. The chain was reattached one or more times but sheared off the pipe each time.
59. Mr Austin then suggested placing a piece of wood inside the pipe to prevent the pipe crushing and shearing. This was done by Mr Milne, using a chainsaw to cut a suitably sized piece of wood. Placing wood inside a pipe to stop the pipe collapsing while it was being pulled was not a procedure that ADD had ever used before. It was successful in stopping the pipe shearing and the pipe started to move as Mr Austin drove the excavator backwards.
60. After about 35 metres of pipe had been extracted, Mr Milne suggested Mr Austerberry take over driving the excavator as Mr Austin was having difficulty going straight while driving backwards.
61. When Mr Austerberry took over the excavator he told Mr Austin to go and sit on a log which was located about 17m from the pipeline in a southerly direction from the location where Mr Austerberry had taken over driving the excavator form Mr Austin. There was at least one tree between the log and the pipeline. Mr Austerberry and Mr Milne both observed Mr Austin heading in the direction of the log, but neither observed him reach his designation and no one watched him to ensure that he stayed at the designated point.
62. Mr Austerberry then drove the excavator back while being directed by Mr Milne. Mr Milne was watching the movement of the excavator and did not turn around to look at the progress of the pipe out of the pit or to observe what Mr Austin was doing.
63. Initially Mr Austerberry was driving the excavator while looking straight down at the pipeline, however he ultimately turned around (away from the pit) to see where he was going.
64. At a distance of about 145 metres from the entry pit, at approximately 3.45pm, the chain broke (for the second time that day) and the pipeline recoiled.
65. Mr Austerberry and Mr Milne retrieved the broken chain set and walked back towards the entry pit with the intention of cutting the pipe and re-pulling whatever remained. They called to Mr Austin and received no reply. A short time later they found Mr Austin lying on the ground adjacent to the entry pit and inside the bunting around the pit, with his head facing a southerly direction, right up against the barricade.
66. Mr Austin was given first aid and an ambulance called. The ambulance officers arrived and treated Mr Austin at the site around 4.20pm before transporting him to the highway at approximately 5.00pm, arriving about 5.20pm. He was then transferred to a helicopter ambulance, but due to difficulty stabilising Mr Austin the helicopter did not leave the scene until approximately 6.30pm. The helicopter proceeded to transport Mr Austin to Tamworth Hospital, arriving at approximately 7.15pm. Mr Austin was subsequently transferred to John Hunter Hospital in Newcastle and was admitted at around 4.50am on 2 August 2009. On 4 August 2009 it was found that there was negligible neurological recovery and after the ventilator was removed, Mr Austin died from his injuries around 5.30pm. The autopsy found that the direct cause of death was a closed head injury and that Mr Austin had suffered an intra cerebral haemorrhage, an extradural haemorrhage around the upper spinal cord, and a laceration involving the left earlobe.
67. Video and photos of the scene taken after the accident show that the pipeline had come to rest in a wide arc over seven metres away from the pit. There was a spot on the bowed pipeline which has been wiped clean of some mud. This part of the pipe was taken and tested by the Division of Analytical Laboratories. Mr Austin's DNA was found on that part of the pipe that had been taken and tested.
68. Mr Austin's death was caused by him being hit in the head by the pipeline as it recoiled following the failure of the chain being used to pull it from the ground.
69. The contract for the Bohena Creek Project consisted of the Quotation and the Purchase Order (Bohena Creek Contract). A copy of the Quotation is at Annexure 1. A copy of the Purchase Order is at Annexure 2.
70. At the time of the accident ESG had a contractor management procedure that was recorded in a document entitled "Contractor Management Procedure" dated 20 September 2008 (Contractor Management Procedure). A copy of the Contractor Management Procedure is at Annexure 3.
71. ESG's nominated "Site Representative" (as referred to in clauses 4.6 and 5 of the Contractor Management Procedure) for the Bohena Creek Project was Mr Langley who was based in Brisbane. Mr Langley visited the Bibblewindi West Project a number of times, but neither he nor another ESG representative visited the Work Site when ADD were undertaking the Bohena Creek Project.
72. ADD's nominated "Contractor Representative" (as referred to in clause 4.9 of the Contractor Management Procedure) for the Bohena Creek Project was Mr Reynolds, who did not work at the Work Site during the conduct of the Bohena Creek Project. Mr Austerberry had arranged for Mr Reynolds to visit the Work Site prior to work commencing for the purposes of checking on access and the nature of the pipeline to be installed.
73. ESG did not:
a. provide ADD with a copy of the Contractor Management Procedure;
b. ensure that ADD had documentary evidence of appropriate risk assessments having been undertaking for tasks, in particular for the Activity;
c. ensure that ADD had appropriate SWPs for all the tasks being conducted on site and in particular the Activity;
d. ensure that ADD had evidence and records of appropriate training programs having been provided to all personnel; and
e. complete the "Checklist for Bringing Major/Minor Contractor to Site" as provided in Appendix 1 to the Contractor Management Procedure.
74. ESG obtained copies of ADD's OHS documents, including approximately 42 SWPs, from Adtech arising from ADD's engagement by Adtech for the Adtech Job. ESG made no inquiries or requests for further documentation directly to ADD and ADD did not provide ESG with any OHS related documentation as a result of its engagement to undertake the Bohena Creek Project.
75. No-one from ESG checked whether the ADD safe work method statements and safety documentation it had obtained from Adtech were specific to the task to be performed at the Work Site.
76. No-one from ESG made enquiries of ADD prior to the incident to ascertain whether the ADD safe work method statements and safety documentation that it had obtained from Adtech addressed all the activities likely to be performed on the Bohena Creek Project and specified controls for those activities.
77. Contrary to the Contractor Management Procedure, Mr Reynolds, as Contractor Representative failed to ensure that the Activity was subjected to hazard identification and risk management process and consequently no SWP for the Activity was recorded and approved by Brett Langley.
78. Mr Roulston of GD Pipelines was present at the Work Site on both the day of the incident and the day prior. Mr Roulston did not report back to ESG that the Activity, being work for which there was not SWP, was to be undertaken or was being undertaken, nor was ESG made aware of any written risk assessment or safe work method for the Activity.
79. The Contractor Management Procedure required contractors to undergo an ESG site induction prior to undertaking work at its sites. The ESG induction consisted of a PowerPoint presentation (Induction Presentation) followed by an exam (Induction Assessment). The Induction Presentation and Induction Assessment were conducted by ESG's Safety Officer based in Narrabri. A copy of this presentation is at Annexure 4.
80. The induction presentation contained information about the SLAM process (Stop, Look, Assess, Manage) being a mental-only process designed to identify and control work place hazards; job safety analysis (JSA); and HAZOBs (Hazard Observation). The presentation stated that a JSA should be completed in the following instances:
a. where there is no formal procedure in place and an element of risk has been identified;
b. where a procedure exists but an element within the procedure has changed; and
c. where a procedure does exist but the task itself has not been performed for some time, making the task unfamiliar to personnel.
No attempt was made by ESG to ascertain whether ADD was in fact undertaking JSAs in the above circumstances or at all.
81. Other than that which was said at the induction, noted above, ESG did not require ADD by contractual term, nor did ESG instruct or inform persons who were working at the Work Site, that work was to be stopped immediately when a work activity was to be carried out that was an unplanned activity for which no risk assessment or safe work method had been prepared and not to commence further work until ESG was informed and appropriate safety procedures were prepared, documented and approved by ESG.
82. Mr Austin completed a Site Induction Assessment on 31 July 2009, after he had already spent a day at the Work Site. Mr Ken Anderson completed a Site Induction Assessment on 31 July 2009. Mr Michael Anderson's Site Induction Assessment is undated. There is no indication on Mr Austin's Induction Assessment that anyone marked or looked over his answers - he was not allocated a score out of 44 - but it was signed by Mr Bennett and Mr Austin.
83. Mr Higgins, was ESG's "Site Manager" based in Narrabri. Mr Higgins was aware of the work which ADD was undertaking via the weekly operations meetings which he was involved in. At no stage did Mr Higgins, Mr Bennett or another ESG representative, visit the Work Site while ADD was undertaking work on the Bohena Creek Project.
84. No employee of ESG visited the Work Site on 1 August 2009. ESG was unaware that the Activity was taking place either on 31 July 2009 or 1 August 2009 because no employee of ESG attended the Work Site on those days and it had not been reported to ESG by either ADD or GD Pipelines' employee, Mr Roulston.
85. While the Contractor Management Procedure required the Site Representative to complete ongoing assessments of contractor's safety and health capabilities according to criteria specified in the Contractor Management Procedure, ESG had no policy as to how often ESG personnel would visit contractors on site and no formal system for monitoring or checking that a contractor like ADD was undertaking toolbox talks and risk assessments.
86. ESG did not monitor or check that at the Work Site ADD was undertaking toolbox talks, risk assessments or completing JSAs. ESG did not monitor or check whether ADD at the Work Site was applying its SWPs nor whether ADD had trained or informed those doing the work as to the content of those SWPs.
87. Further to the matters set out at paragraphs [30] and [31], ESG did not take steps to ensure that Mr Roulston had been informed that ESG's safe system of work required ADD to:
a. have documentary evidence of appropriate risk assessments having been undertaken for all tasks;
b. have appropriate SWPs for all the tasks being conducted on site;
c. complete a JSA where there was no formal procedure in place and an element of risk has been identified.
88. ESG did not communicate with Mr Roulston directly. ESG relied on GD Pipelines to instruct Mr Roulston as to his duties. Mr Austerberry after the incident said that Mr Roulston was "like a site supervisor". After the incident Mr Roulston described his role to be one of facilitation and identified the supervisor of the work being done on the day of the incident to be Mr Austerberry."
28Mr Taylor also tendered what was described as the prosecutor's tender bundle. It contained the following documents:
(1)ADD quotation for directional drilling 20 July 2009.
(2)ESG/EEA purchase order 21 July 2009.
(3)the defendant's "Contractor Management Procedure" dated 20 September 2008.
(4)ESG's Powerpoint Induction Presentation.
(5)2 videos: Schematic video of horizontal directional drilling together with NSW Police video of PAL 2 incident scene which were played during the proceedings.
(6)20 colour photographs taken by Inspector Steve Millington, Inspector Glynn Macdonald, Dan Roulston and Mr Tom Bennett showing the worksite, the polyethylene pipeline, the excavator, the pit area, and the log and surrounding bush.
(7)PAL 2 Plan.
(8)Locality plan of incident.
(9)Amended Survey Plans - Bibblewindi West Lateral Pilot Project PEL 238 - Bohena Creek Pipeline Crossing.
(10)Email from the defendant to ADD attaching purchase order 22 July 2009.
(11)Email from the defendant to GD Pipelines 21 July 2009.
(12)Email from the defendant to GD Pipelines dated 22 July 2009.
(13)Bruce Austin's Site Access Authorisation Form and Site Induction Assessment.
(14)Robert Milne's Site Access Authorisation Form and Site Induction Assessment.
(15)Shayne Austerberry's Site Access Authorisation Form and Site Induction Assessment.
(16)Robert Milne's Site Access Authorisation Form and Site Induction Assessment.
(17)Ken Anderson's Site Access Authorisation Form and Site Induction Assessment.
(18)Michael Anderson's Site Access Authorisation Form and Site Induction Access.
(19)Certificates of OHS convictions.