Ministry of the
Solicitor General

OCC Inquest - Chard 2019

Office of the Chief Coroner

Verdict of Coroner's Jury

Office of the Chief Coroner

The Coroners Act - Province of Ontario

Surname: Chard
Given name(s): Jerry
Age: 59

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:

Jerry Chard

Jury Recommendations

We thejury recommend the following to the Infrastructure Health and Safety Association and Drain Bros. Excavating Limited:

  1. Standardize improved communication systems at construction work sites by implementing hands-free communicators.
  2. When more than one piece of heavy equipment is being utilized, consider a site spotter to ensure safety of all workers.
  3. If safety equipment is compromised on heavy equipment, safety risks are evaluated for replacement or repair.
  4. Reinforce education and training to all construction workers in relation to the use of heavy equipment and blindspots.
  5. Health and Safety Regular Training to includejob specific and safety hazards.
  6. Develop/Initiate critical incident stress management including debriefing after a critical incident on a construction work site.
  7. 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:

  1. Continue heightened enforcement initiatives at construction work sites

We thejury recommend to Canadian Safety Association/CSA:

  1. A placard/sticker be plainly visible in the cab of heavy equipment to bring awareness to blind spots.
  2. Operators manual instructions should identify blind spots.
  3. Evaluate the use of cameras/situational awareness devices in heavy equipment cabs