Facts
The parties presented an Agreed Statement of Facts, which can be summarised as follows.
The offender operated a business recycling materials including dirt, bricks and plastic from its worksite located at Lot 90 Elizabeth Drive Kemps Creek, New South Wales (the site). The offender employed approximately 35 employees and 10 contractors, including Mr Laidlaw, Darlan Bartolome and Brendan Lowe.
Mr Laidlaw had been employed by the offender for approximately 12 to 14 months as a full-time plant operator and he usually worked in the recycling plant located at the site. Mr Bartolome had been employed by the offender for approximately 5 years as a fitter/mechanic and was involved in the work undertaken by Mr Laidlaw when he was injured. Mr Lowe was a contractor who was engaged by the offender to act as foreman at the site and to supervise the activities of 30 of its employees. Mr Lowe was an experienced plant operator and supervisor who had over 25 years experience and had been in the foreman/supervisor role at the site for approximately 22 months.
On 22 August 2011 Mr Laidlaw commenced work at 6.00am. He was directed by Mr Lowe to work in the Stockpile 4 area of the site and to operate the combined plant which consisted of:
a land fill grading machine (the Mustang trammel);
a mobile M40 conveyor that took oversized product away from the Mustang (the M40 conveyor); and
a mobile M100 conveyor that took fine product away from the Mustang (the M100 conveyor).
Mr Laidlaw had not previously worked in this area of the site or with the combined plant. Mr Laidlaw's duties were primarily to operate an excavator to feed material into the Mustang, to be sorted and distributed by the conveyors. Mr Laidlaw's duties included maintaining the operation of the conveyors, including removing any blockages from them.
The conveyors were operated by a common diesel engine and hydraulic system. The M40 conveyor was operated by use of the controls of the M100 conveyor. Mr Lowe instructed Mr Bartolome to instruct Mr Laidlaw on the start and stop procedures for the combined plant. Mr Bartolome showed Mr Laidlaw how to start and stop the conveyors. The informal induction given to Mr Laidlaw by Mr Bartolome was not documented and Mr Lowe did not make any enquiry as to the content of that induction.
Mr Laidlaw commenced work by cleaning mud off the combined plant that was present as a result of rainfall in the preceding days. At sometime after morning tea, Mr Lowe directed Mr Laidlaw to start feeding the Mustang with the dry land fill to be sorted. Mr Laidlaw used an excavator to put some dirt into the feed hopper of the Mustang, but noticed that the M40 conveyor was becoming blocked and thereby stopping intermittently.
Mr Laidlaw used the emergency stop button on the M100 conveyor to stop the combined plant. He attended the fitter's shed, sought assistance from Mr Bartolome and telephoned Mr Lowe. Mr Laidlaw, Mr Bartolome and Mr Lowe then went to the combined plant to clear the blockage.
Mr Lowe instructed Mr Laidlaw to shovel dirt off the conveyor. Mr Laidlaw declined and during the course of the ensuing discussion Mr Bartolome climbed onto the conveyor and shovelled dirt from it. At about this time, Mr Lowe returned his car which was approximately 30m away to take a telephone call. Mr Bartolome then went to the control panel of the M100 conveyor which was approximately 10 to 15m away, so that he could start and stop the M40 conveyor on the verbal command of Mr Laidlaw. Mr Bartolome stopped the M40 conveyor by putting it into neutral with the use of a lever control on the M100 conveyor. Whilst the M40 conveyor was disengaged, the engine was still idling.
While the M40 conveyor was stopped, Mr Laidlaw used his hands to clear a build-up of material near the tail drum. He reached between the conveyor belt and the tail drum of the M40 conveyor when the conveyor started operating and his right arm was caught and dragged into the tail drum of the combined plant. Mr Laidlaw cried out and Mr Bartolome stopped the M40 conveyor.
As a result of the incident, Mr Laidlaw sustained crush injuries and severe lacerations to his right arm, including a fracture to the proximal end of his right radius and ulnar. He underwent surgery on 24 August 2011 where plates and screws were inserted.
The offender investigated the incident and found that it had 3 causes:
1. the guarding of the tail drum of the M40 conveyor had been removed and was present in the Stockpile 4 area of the site within about 40m of the combined plant. It was agreed that another employee had observed the tail drum guard in situ on the M40 conveyor approximately 2 weeks before the incident and that to the best of Mr Lowe's recollection it had been in situ until about one week prior to the incident. The offender had a Daily Machine Report (DMR) that included a section to be completed to verify that machinery guards were in place. The offender did not provide adequate supervision to ensure that the DMR was completed by a supervisor, Mr Laidlaw or another employee in relation to the combined plant in the relevant period leading up to the incident;
2. the M40 conveyor had not been isolated. At the time of the incident the conveyor controls were in the neutral position, but it had not been isolated. The isolation of the M40 conveyor was required in order to prevent it from unexpectedly starting to operate, as it did. The isolation of the M40 conveyor required the switching off of the M100 conveyor engine and isolating the batteries;
3. there was no specific Safe Work Procedure for the combined plant. Mr Laidlaw had been given some training relating to his work in the recycling plant, including being given the general warning that conveyors without a guard were a hazard and as to the various isolation procedures to be adopted within the recycling plant. Mr Laidlaw had not been provided with any job specific training, safety information or safety procedures in relation to the combined plant. Mr Laidlaw was not adequately supervised in circumstances where he was working for the first time on unfamiliar machinery. There was no risk assessment conducted on the day the incident to identify the risk and to replace the guarding. There was no emergency stop button or lanyard on the M40 conveyor. There was no specific isolation procedure for the M40 conveyor or the task that Mr Laidlaw and Mr Bartolome were performing on the day of the incident. In the circumstances the offender was in breach of the Occupational Health and Safety Regulations 2001 and the Australian Standard AS1755 relating to the safety requirements of conveyors.
The offender complied with a prohibition notice and seven improvement notices issued on it by WorkCover in relation to the incident. It fitted guarding and signage to the M40 conveyor at a cost of approximately $10,000. It revised its Mine Safety Management Plan (MSMP) to ensure that it was up-to-date with the Work Health and Safety Act 2011 at a cost of $4,500. The offender conducted a risk assessment for the combined plant and developed a Safe Work Procedure for the operation of the combined plant that included the following requirements:
1. that the site supervisor ensure that employers are competent to perform their respective tasks in the safe operation of the combined plant, including having had an induction on the plant covering emergency stop location, its function and operation and the isolation procedures;
2. the plant operator is to undertake a pre-start inspection to ensure that all guards are in place; and
3. that the plant operator undertake the isolation procedures if it is decided to cease operation for any reason.
The offender has also retrained the relevant personnel in the isolation procedures.