OCC Inquest - Chard 2019
Verdict of Coroner's Jury
Office of the Chief Coroner
The Coroners Act - Province of Ontario
Given name(s): Jerry
Held at: Peterborough
From: Feb. 5, 2019
To: Feb. 7, 2019
By: Dr. Mary Beth Bourne
having been duly sworn/affirmed, have inquired into and determined the following:
Name of deceased: Jerry Chard
Date and time of death: Nov. 10, 2015 at 2:23 p.m.
Place of death: 1260 Bensfort Rd. County of Peterborough, K9J 1C5, Waste Management Facility, Cell#3
Cause of death: Blunt force head injury
By what means: Accident
(Original signed by: Foreperson)
The verdict was received on Feb. 7, 2019
Coroner's name: Dr. Mary Beth Bourne
(Original signed by coroner)
We, the jury, wish to make the following recommendations:
Inquest into the death of:
We thejury recommend the following to the Infrastructure Health and Safety Association and Drain Bros. Excavating Limited:
- Standardize improved communication systems at construction work sites by implementing hands-free communicators.
- When more than one piece of heavy equipment is being utilized, consider a site spotter to ensure safety of all workers.
- If safety equipment is compromised on heavy equipment, safety risks are evaluated for replacement or repair.
- Reinforce education and training to all construction workers in relation to the use of heavy equipment and blindspots.
- Health and Safety Regular Training to includejob specific and safety hazards.
- Develop/Initiate critical incident stress management including debriefing after a critical incident on a construction work site.
- Enhance and emphasize the internal responsibility system. Ensure responsibility for each other and individual safety on work site.
We the jury recommend to the Ministry of Labour:
- Continue heightened enforcement initiatives at construction work sites
We thejury recommend to Canadian Safety Association/CSA:
- A placard/sticker be plainly visible in the cab of heavy equipment to bring awareness to blind spots.
- Operators manual instructions should identify blind spots.
- Evaluate the use of cameras/situational awareness devices in heavy equipment cabs