Australia Wide 1300 453 555 | International +613 9510 0477 | info@safetydimensions.com.au
Dreamworld Coroner finds leadership culpable

Dreamworld Coroner finds leadership culpable

On 25 October 2016, a tragic incident occurred on the Thunder River Rapids Ride (TRRR) at Dreamworld Theme Park, claiming four lives.

 

The 30-year-old TRRR ride was a water based family orientated ‘moderate thrill ride’ where patrons simulated white water rafting in a circular raft, suitable for patrons over the age of two, with the option of having children seated on an adult’s lap.

On that day Raft 5 became stranded on steel support rails situated at the end of the rides’ conveyor belt and it continued to travel where it collided with another raft before being lifted and pulled vertically into the conveyor mechanism. However, Kate Goodchild, Luke Dorsett, Cindy Low and Roozbeh Araghi were caught in the mechanism of the ride, and were either trapped in the raft or ejected into the water beneath the conveyor. Although ride operators and some patrons immediately responded, the four were declared deceased at the scene. Two children, aged 10 and 12, seated at the top of Raft 5 were able to free themselves and escape to safety.

Beginning 2018,  Coroner James McDougall ‘s inquest examined the circumstances that caused the fatalities, including:

  • The construction, maintenance, safety measures, staffing, history and modifications of the ride.
  • The sufficiency of the training provided to staff in operating the ride.
  • The regulatory environment and applicable standards by which amusement park rides operate in Queensland and Australia.
  • What further actions and safety measures could be introduced to prevent a similar future incident from occurring.

Coroner James McDougall handed down his findings on Feb 24 2020 telling the Queensland court that there was a “total” and “systemic failure by Dreamworld to ensure all aspects of safety” and referred parent company Ardent Leisure for possible prosecution.

The findings included:

  • That the design and construction of the TTTR ride “posed significant risk” to patrons.
  • “Dreamworld could, and should, have identified the safety issues” but there was no evidence of an engineering assessment on the TTTR ride in 30 years.
  • There were “frighteningly unsophisticated systems” in place, that “shoddy record-keeping was a significant contributor to this incident and contributed to the masking of the real risk of the ride” and that the likelihood of a serious accident “was simply a matter of time”.
  • The responsibilities placed on operational staff was stressful and “clearly unreasonable and excessive” which included monitoring of the pumps, CCTV, air pressure of the gates and queue lines. Operating the ride was “complex, confusing” and the ride lacked the “required labelling”, with ride operators having to perform more than a dozen tasks in the space of a single minute.
  • Each of the trained ride operators, noted that a requirement the role was to watch the water level, done by looking at an informal ‘scum’ mark around the trough of the ride, as well as the buoyancy of the rafts at the load and unload station, and whether they were sitting on the rails.
  • There was also evidence of “an inherent lack of proper training and process in place at Dreamworld to ensure the training provided to new Ride Operators and Instructors was suitable for the roles and responsibilities to be undertaken.”

Following the Dreamworld tragedy and the in the wake of the deaths of two workers at the Eagle Farm racecourse, Queensland introduced the charge of industrial manslaughter in 2017. Under those laws Ardent Leisure, Dreamworld’s parent company, would faces fines of up to $3 million, with individual executives facing up to $600,000 and five years’ jail.

However, this law does apply retrospectively and the industrial manslaughter provisions only apply to the deaths of workers, not visitors to a workplace.

Coroner McDougall said he “reasonably suspected” Ardent Leisure had committed an offence under the Work Health and Safety Act 2011 and advised he would be referring the company to the Queensland Office of Industrial Relations to consider prosecutions. In 2017 Queensland Police advised that no criminal charges would be laid against Dreamworld staff over the fatalities.

Coroner McDougall stated in his remarks that “such a culpable culture can exist only when leadership from the board (of Dreamworld’s parent company, Ardent Leisure) down are careless in respect of safety … that cannot be allowed.”

Download the complete Coroner’s report:

https://www.awu.net.au/wp-content/uploads/2020/02/10545784-final-dreamworld-draft-6-for-upload_compressed.pdf

Ready to train your people in safety, risk management, hazard identification or subcontractor management?

We have a range of programs to train your people in risk management, hazard identification  and subcontractor management which can be tailored specifically to your industry and organisational needs. Training can be delivered as individual modules or as part of one of our accredited programs.

You can see our full program suite here >> or see some relevant qualifications or units below:

BSB41419 Certificate IV in Work Health & Safety

The BSB41419 Certificate IV in Work Health and Safety is a nationally accredited program that will teach you how to identify hazards in the workplace, assist with responding to incidents, assess and control risk and consult on work health and safety issues. This program is most suited to those in a Safety Officer or Health and Safety Representatives role, or those currently in leadership roles wishing to shift their career into Health and Safety.

Read more about this program >>

Risk Assessment & Hazard Identification

This program helps you identify and describe the difference between a hazard and a risk, and introduces a way of thinking about hazard identification and risk management as an everyday activity.

It will also enhance the skills and capabilities of leaders in the areas of hazard identification, risk analysis and identification and how to implement appropriate risk controls.

Download the course outline>>

Subcontractor Management

Learn to effectively manage WHS site risks and performance by learning how to effectively select, manage and monitor the complex and difficult world of subcontractors.  It also covers the WHS obligations regarding subcontractors, stepping through the various stages of effective subcontractor management, including assessing, evaluating safety history, attitude and managing expectations of performance and reporting.

See our 1-day program >>

Want to find out more about how we can customise our programs to your industry and organisation?
Let's talk!
Call us on 1300 453 555, email info@safetydimensions.com.au or use our contact form here.

From our blog

What happens in an unsafe work environment? (Video)

What happens in an unsafe work environment? (Video)

In this brief video, Simon Sinek looks at what a psychologically safe work environment looks like and what happens to people when we don't create a safe place at work. People need to feel safe enough to share their honest feelings with the confidence that their bosses...

read more
Qantas safety video a trip down aviation memory lane

Qantas safety video a trip down aviation memory lane

The new Qantas in-flight safety video ‘A Century of Safety’ spans 10 decades and showcases some of the moments that have made Qantas the world’s safest airline. The video takes passengers on a trip down memory lane, recreating the aircraft , uniforms and music from...

read more
Dreamworld Coroner finds leadership culpable

Dreamworld Coroner finds leadership culpable

On 25 October 2016, a tragic incident occurred on the Thunder River Rapids Ride (TRRR) at Dreamworld Theme Park, claiming four lives.   The 30-year-old TRRR ride was a water based family orientated ‘moderate thrill ride’ where patrons simulated white water...

read more
What our learners say about our programs

What our learners say about our programs

The National Centre for Vocational Education Research surveyed graduates of our nationally recognised Vocational Education and Training (VET) programs. This report provides a summary of the outcomes of students who completed nationally recognised VET programs during...

read more
How to support your staff through traumatic events

How to support your staff through traumatic events

For many, 2020 has been a rough start to the year. With the horrific bushfires in Australia and fear of the spread of Coronavirus globally and locally, many workplaces are dealing with staff directly or indirectly impacted by trauma emanating from these events. Some...

read more

Why sleep is your superpower

Why sleep is your superpower

Are you and your workers skimping on sleep?

It’s been proven that sleep deprivation not only means poorer performance, productivity and safety outcomes, but has an impact on our physical health.

Researchers found workers losing just 16 minutes of sleep (from the 7-9 hours a night recommended) showed a difference between a clear-headed day at work or one filled with distractions.

At the point of sleep deprivation (less than 6.5 hours a night) the likelihood of a workplace accident increases by 70%.

In this deep dive TED Talk into the science of slumber, Matt Walker shares the good things that happen when you get good sleep — and the alarmingly bad things that happen when you don’t (with some surprising insights for men) on both your brain and body.

This includes sleep’s impact on your learning, memory, immune system and even your genetic code — as well as some helpful tips for getting some shut-eye.

 


Sources

https://www.sciencedaily.com/releases/2019/04/190423133605.htm
https://www.americansafetycouncil.com/content/osha-10-safety/


Need to get your people focused on all aspects of safety?

Download the Safety Leadership Foundation Program course outline or call us on 1300 453 555.

Learn More About Our Foundational Safety Leadership Program

Focusing on shifting individual attitudes and mindsets regarding how safety is viewed in the workplace, this program also teaches new skills and knowledge to embed behaviour change at an individual and organisational level.

To find out how we can customise this program for your needs call us on 1300 453 555.

Want to transform your organisation's safety culture?

Download Course OutlinesSafety Dimensions offers accredited and non-accredited leadership training for leaders, safety professionals and employees to support organisations to effectively deal with safety performance challenges.

We can train anywhere in Australia and our programs can be customised for your workplace and industry. Download our program guide.

Call 1300 453 555 or email info@safetydimensions.com.au

From our blog

What happens in an unsafe work environment? (Video)

What happens in an unsafe work environment? (Video)

In this brief video, Simon Sinek looks at what a psychologically safe work environment looks like and what happens to people when we don't create a safe place at work. People need to feel safe enough to share their honest feelings with the confidence that their bosses...

read more
Qantas safety video a trip down aviation memory lane

Qantas safety video a trip down aviation memory lane

The new Qantas in-flight safety video ‘A Century of Safety’ spans 10 decades and showcases some of the moments that have made Qantas the world’s safest airline. The video takes passengers on a trip down memory lane, recreating the aircraft , uniforms and music from...

read more
Dreamworld Coroner finds leadership culpable

Dreamworld Coroner finds leadership culpable

On 25 October 2016, a tragic incident occurred on the Thunder River Rapids Ride (TRRR) at Dreamworld Theme Park, claiming four lives.   The 30-year-old TRRR ride was a water based family orientated ‘moderate thrill ride’ where patrons simulated white water...

read more
What our learners say about our programs

What our learners say about our programs

The National Centre for Vocational Education Research surveyed graduates of our nationally recognised Vocational Education and Training (VET) programs. This report provides a summary of the outcomes of students who completed nationally recognised VET programs during...

read more
How to support your staff through traumatic events

How to support your staff through traumatic events

For many, 2020 has been a rough start to the year. With the horrific bushfires in Australia and fear of the spread of Coronavirus globally and locally, many workplaces are dealing with staff directly or indirectly impacted by trauma emanating from these events. Some...

read more

The 4 team leadership mistakes you might be making

The 4 team leadership mistakes you might be making

Being a leader means you’re tasked with many responsibilities, across managing people and teams, organisational expectations and performance. Not every leader is awesome at all aspects of leading teams – here are four common mistakes you may be making:

  1. No vision.
    Without a clear vision compelling your team into action, does your team know what you’re all trying to achieve at a top level? And why should they care?
  2. Not developing your people.
    Are you setting goals to support a growth mindset and creating an opportunity for your people to develop? If not, you’re wasting their potential to move themselves, yourself (as their leader), and the organisation forward.
  3. Not knowing where to focus your energy.
    With so much to manage, do you know what the best use of your time and resources are? Not being able plan and prioritise your people and resources is a recipe for disaster.
  4. Not delegating.
    Burnt out? Micro-managing because you can’t let go? Chances are you’re doing too many things your team should be responsible for. You are also stifling their development. You need to find the balance between a hands-off approach and micromanaging. Look at additional training and development you think they lack and plan regular check-ins while they’re doing their job so you can concentrate on your priorities.

Want to develop your ability to lead teams?

Our Leading Teams program is designed both for managers of intact teams, project teams and for team members working in a matrixed organisation. This program outlines the key stages of team development and how to move the team from early relationship development through to an aligned focus on goals and a collaborative workflow.

Our 2-day program also focuses on planning and prioritisation in order to create efficiencies, reduce rework and optimise individual performance. The Leading Teams program can be taken on its own, or as part of the BSB42015 Certificate IV in Leadership & Management.

After this two-day Leading Teams program you’ll be able to:

  • Better appreciate where to focus your team’s energy in order to increase influence and reduce lost time on things beyond their control
  • Plan, prioritise and evaluate resources in order to create efficiencies and optimise performance
  • Identify opportunities to delegate tasks that support individual skills development and in-role growth
  • Recognise behaviours that occur at each stage of team development
  • Intervene appropriately to lead individuals through the stages of team development (either as a manager or team member)
  • Review your current team against the characteristics of a high-performing team and develop strategies to progress toward this
  • Build a vision and a compelling reason to motivate team members and subcontractors to work together toward optimal performance
  • Set goals to support a growth mindset and opportunities for development
  • Create action plans that can be implemented with current teams

 

Want to see how this program impacted Downer? Read more here: https://safetydimensions.com.au/leadership-excellence-at-downer/


Want more info?

Read more about our program BSB42015 Certificate IV in Leadership & Management>

Want this program customised for your workplace and industry?
Call 1300 453 555 or email info@safetydimensions.com.au

From our blog

What happens in an unsafe work environment? (Video)

What happens in an unsafe work environment? (Video)

In this brief video, Simon Sinek looks at what a psychologically safe work environment looks like and what happens to people when we don't create a safe place at work. People need to feel safe enough to share their honest feelings with the confidence that their bosses...

read more
Qantas safety video a trip down aviation memory lane

Qantas safety video a trip down aviation memory lane

The new Qantas in-flight safety video ‘A Century of Safety’ spans 10 decades and showcases some of the moments that have made Qantas the world’s safest airline. The video takes passengers on a trip down memory lane, recreating the aircraft , uniforms and music from...

read more
Dreamworld Coroner finds leadership culpable

Dreamworld Coroner finds leadership culpable

On 25 October 2016, a tragic incident occurred on the Thunder River Rapids Ride (TRRR) at Dreamworld Theme Park, claiming four lives.   The 30-year-old TRRR ride was a water based family orientated ‘moderate thrill ride’ where patrons simulated white water...

read more
What our learners say about our programs

What our learners say about our programs

The National Centre for Vocational Education Research surveyed graduates of our nationally recognised Vocational Education and Training (VET) programs. This report provides a summary of the outcomes of students who completed nationally recognised VET programs during...

read more
How to support your staff through traumatic events

How to support your staff through traumatic events

For many, 2020 has been a rough start to the year. With the horrific bushfires in Australia and fear of the spread of Coronavirus globally and locally, many workplaces are dealing with staff directly or indirectly impacted by trauma emanating from these events. Some...

read more

What Do Van Halen & Brown M&M’s Have To Do With Safety?

What Do Van Halen & Brown M&M’s Have To Do With Safety?

Van Halen’s Brown M&Ms – Their Key To Rock and Roll Safety

There’s a long tradition of musicians and actors adding in absurd demands in their performance contracts just because they could.

Van Halen, the American hair rock band of the 80’s were infamous for this inclusion in their contract, Article 126, “There will be no brown M&M’s in the backstage area, upon pain of forfeiture of the show, with full compensation.”

For years this clause was seen as a frivolous and ego-maniacal expression of the rock and roll lifestyle.

In his book, Crazy From the Heat, original front man David Lee Roth explains that the request was actually a quick safety assessment. With tonnes of stage equipment, high powered electronics, pyrotechnics and large crowds, the humble brown M&M was a warning signal to see if the stagehands had been paying attention to each detail of the written contract to ensure the safety of the band, crew and audience.

Watch the David Lee Roth speaking about the Van Halen Brown M&M clause:

Lee Roth writes:
“Van Halen was the first band to take huge productions into tertiary, third-level markets. We’d pull up with nine eighteen-wheeler trucks, full of gear, where the standard was three trucks, max. And there were many, many technical errors, whether it was the girders couldn’t support the weight, or the flooring would sink in, or the doors weren’t big enough to move the gear through. The contract rider read like a version of the Chinese Yellow Pages because there was so much equipment, and so many human beings to make it function.

mm1So just as a little test, in the technical aspect of the rider, it would say ‘Article 148: There will be fifteen amperage voltage sockets at twenty-foot spaces, evenly, providing nineteen amperes…’ And article number 126, in the middle of nowhere, was: ‘There will be no brown M&M’s in the backstage area, upon pain of forfeiture of the show, with full compensation.’

So I would walk backstage, if I saw brown M&M’s in that bowl…..well, line-check the entire production. Guaranteed you’re going to arrive at a technical error. They didn’t read the contract. Guaranteed you’d run into a problem. Sometimes it would threaten to just destroy the whole show. Something like, literally, life-threatening”

Dan and Chip Heath’s book, Decisive, How to make better decisions in life and work they summarise that “David Lee Roth was no diva; he was an operations master. In Van Halen’s world, a brown M&M was a tripwire.”

Image Credit: http://www.flickr.com/photos/clender/7239011350/

Ready to train your people in safety, risk management, hazard identification or subcontractor management?

We have a range of programs to train your people in risk management, hazard identification  and subcontractor management which can be tailored specifically to your industry and organisational needs. Training can be delivered as individual modules or as part of one of our accredited programs.

You can see our full program suite here >> or see some relevant qualifications or units below:

BSB41419 Certificate IV in Work Health & Safety

The BSB41419 Certificate IV in Work Health and Safety is a nationally accredited program that will teach you how to identify hazards in the workplace, assist with responding to incidents, assess and control risk and consult on work health and safety issues. This program is most suited to those in a Safety Officer or Health and Safety Representatives role, or those currently in leadership roles wishing to shift their career into Health and Safety.

Read more about this program >>

Risk Assessment & Hazard Identification

This program helps you identify and describe the difference between a hazard and a risk, and introduces a way of thinking about hazard identification and risk management as an everyday activity.

It will also enhance the skills and capabilities of leaders in the areas of hazard identification, risk analysis and identification and how to implement appropriate risk controls.

Download the course outline>>

Subcontractor Management

Learn to effectively manage WHS site risks and performance by learning how to effectively select, manage and monitor the complex and difficult world of subcontractors.  It also covers the WHS obligations regarding subcontractors, stepping through the various stages of effective subcontractor management, including assessing, evaluating safety history, attitude and managing expectations of performance and reporting.

See our 1-day program >>

Want to find out more about how we can customise our programs to your industry and organisation?
Let's talk!
Call us on 1300 453 555, email info@safetydimensions.com.au or use our contact form here.

More from our blog