Inquest into the death of Paul SMITH Decision of Deputy State Coroner Dillon on 8 April 2016 CATCHWORDS CORONIAL LAW, cause and manner of death, Industrial accident, worker trapped in stormwater drain, whether risk adequately assessed, whether policies and procedures appropriate, whether policies and procedures complied with, fluid dynamics of stormwater and underestimation of risk, whether rescue possible, changes to infrastructure and policy consequent to fatal accident.

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