35 Dewar was not at work on 24 June, 1996, having called in sick. On the day of the accident (25 June, 1996) Dewar rang his employer to inform them that he would be coming to work late.
36 Early on the morning of 25 June 1996, Robert Cockburn, a truck driver/operator employed by Ledonne was instructed by Kevin McDonald (Ledonne's foreman or leading hand) to assist Rowling (of Ledonne) in opening the scour valve (which was necessary to let water out of the main pipe from the Pumping Station to the reservoir) and removing a section of pipe to allow an inspection. Jabboury was then not on the site. Rowling was aware that Sydney Water alone was responsible for water isolation. Neither Ledonne employee carried an access ladder for entry into the valve chamber which was approximately 3 metres below. Both men stepped on the top of the gate valve then onto the floor of the valve chamber. A ladder was a standard piece of equipment on AWT trucks. Cockburn (of Ledonne) described the action they took in a statement to Inspector Clark on 23 July 1996. He said:
"At about 7am, I was told to go with Geoff Rowling to the Reservoir and help him prepare the line so a section can be removed in the pit. We checked the valves in the pit [valve chamber], they were still off, we opened the air valve between the two pits. The water came out, we then went down to the Carcoola Avenue, and opened the 'scour valve'. We ran that for about 10-15 minutes. Turned it back off and then went back up the Reservoir, we then checked the air valve between the two pits to see if air was going in. We saw that there was still water there. We presumed that the line between the two pits was an isolated line. I then went in to the pit and cracked the bolts on the down side of the bypass valve, allowing air into the line so that the section could be removed. I then went to smoko and that was the last I worked on that pit until the accident."
37 'Scour valves' as mentioned by Cockburn (of Ledonne) above, are located at the lowest points along a water main. They are used to drain the pipeline so work such as cleaning or repairs can be carried out. Scour valves are usually left open when repairing or replacing part of a watermain to allow drainage of the water into what is usually a water course. However, Cockburn and Rowling (both of Ledonne) closed the scour valve in Carcoola Avenue after they had opened it for about 10-15 minutes. This scour valve was not open at the time of the accident.
38 At about 7.30 am on 25 June 1996, Rowling (of Ledonne) requested Kenny (of AWT) to assist with the removal of the straub coupling and spigot valve connector. This request was consistent with the contractual relationship between Ledonne and AWT whereby Ledonne was in charge of the work performed by AWT in installing valves and pipework. In accordance with that request, at about 8.00am that day, Kenny and John Watson (a fitter employed by Waycon) attended the reservoir site. Kenny said to Rowling "Just make sure the valves are off". Both gained access to the inspection pit by placing a foot on the gate valve and jumping down to the floor of the valve chamber. This method of gaining access to the pit had been used by other workers during the project. Both Kenny and Watson realized they had the wrong size spanners to undertake any work and so returned to the Pumping Station (located approximately a 5 minute drive from the reservoir site) to obtain the correct equipment. Later, whilst at the Pumping Station, Kenny informed Watson that Ledonne employees were ready at the reservoir site and requested him to return to the valve chamber with the tools and remove the straub coupling and the spigot valve connector.
39 At about 9 am Dewar arrived for work at the Pumping Station. Watson (of Waycon) approached Dewar at the Pumping Station and requested a lift to the said site and asked Dewar to assist him in the valve chamber.
40 When they arrived at the reservoir site, both Dewar and Watson (of Waycon) entered the valve chamber by stepping on the top of the gate valve. The bypass valve assembly had been disconnected from the spigot valve connector. Watson removed the straub coupling and then, with the assistance of Dewar, both men removed the bolts which attached the spigot valve connector to the gate valve. They left two bolts in position at ten o'clock and two o'clock on the gate valve until an excavator could assist in pulling the spigot valve connector out of the valve chamber.
41 Approximately 5 metres from where they were working in the valve chamber, McCarron (of Ledonne) was operating an excavator with a hydraulic hammer attachment, hammering the top of the concrete anchor block in order to try and break it. Dewar climbed out of the valve chamber by climbing on the gate valve and asked McCarron (of Ledonne) to remove the spigot valve connector from the valve chamber. A sling was attached to the spigot valve connector inside the valve chamber and McCarron lifted the spigot valve connector out of the valve chamber using the excavator. Watson climbed out of the valve chamber by climbing on the gate valve and removed the sling off the spigot valve connector. Watson then left the valve chamber area for a short time.
42 After removal of the spigot valve connector, Rowling (of Ledonne) entered the outlet pipe and crawled through the outlet pipe a distance of about two metres. He was inside the outlet pipe for approximately 2 minutes inspecting the rubber ring joint to see if it was causing the leak. During this time, Dewar was standing on the floor of the valve chamber. Rowling exited the outlet pipe and Dewar then entered the outlet pipe to have a look himself. He was not asked to enter the pipe and it was not part of his duties to do so. Dewar had completed a refresher training course in working in confined spaces in February 1996 (see paragraph 47(a) below). Rowling remained on the floor of the valve chamber. Dewar had been inside the outlet pipe for about two minutes, when the water pressure caused the gate valve and socket valve connector (which weighed approximately 840 kgs) to dislodge from the inlet pipe. The valve chamber flooded with water in approximately 10 seconds and Ledonne's Rowling floated to the top of the valve chamber where upon he shouted for help. Throughout this time, both Sydney Water and AWT (except for Malcolm Dewar) was unaware of what was taking place at the incident site. No employees of Sydney Water or AWT (except for Malcolm Dewar) were present at the reservoir site at the time of the accident.
43 Prior to entry to the pipe, Dewar did not obtain a safety harness.
44 Immediately after the incident referred to in paragraph 42 above, Macdonald (Ledonne's leading hand) who was present at the reservoir site, contacted Kevin Brown (an isolation expert employed by Sydney Water in its Network Services Division) on Brown's mobile telephone to request his urgent assistance to stop the flow of water. The responsibilities of the Network Services Division of Sydney Water (in which Brown worked) included the monitoring of the operation of the water system which in turn involved responsibility for performing shut down and "charge up" being connection of the water) procedures. At approximately the same time as Macdonald informed Brown of the incidents, Keith Ross (also an employee of Sydney Water working in the Illawarra Region) became aware from the flowmeters in the control room (located in the regional office of Sydney Water at Coniston) that a large volume of water was escaping at the reservoir site. Ross contacted Brown on his mobile phone to notify him of this issue. Brown informed Ross that he was already aware of the problem and was on his way to the reservoir site.
45 Water continued to flow from of the valve chamber until Brown (of Sydney Water) arrived on site about 15 minutes after the accident and isolated the water. Brown effectively isolated all valves necessary for the isolation of the water and the water ceased flowing out of the valve chamber. Each of the valves had between 40 and 100 turns depending upon the size of the valve. It took Brown approximately thirty minutes to turn off the water.
46 No request was made of Sydney Water to isolate the mains water in respect of the reservoir site. Both Sydney Water and AWT were unaware of any plan to remove a section of pipe from the valve chamber. As Ledonne failed to advise either Sydney Water or AWT of any proposal to remove a pipe section or for Rowling (of Ledonne), or anyone else, to enter the outlet pipe, no means were utilised to safely isolate the water prior to commencing work in the valve chamber.
The Verdict
11 After reviewing the agreed facts and in light of the charges and the particulars thereof, I am satisfied that the offences have been proven. The pleas of guilty by the two defendants were properly made and I enter verdicts accordingly.