Some apt conclusions from a coronial inquiry regarding a workplace fatality in 2006.
In this example, the coroner was critical of an excess focus on using SWMS/work instructions to monitor safety rather than a focus on actual work.
Moreover, the coroner argues that, “the monitoring of safety in a workplace cannot properly function with such an artificial division between those who monitor safety and those who perform the task”.

Source: Coroner’s Court (2007). COR 272/03.

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