Construction, Forestry, Mining & Energy Union v State of Qld and Anglo Coal (Grasstree Management) Pty Ltd [2005] QCA 127 [2005] 2 Qd R 358
SUPREME COURT OF QUEENSLAND
CITATION: CFMEU v State of Qld and Anglo Coal [2005] QCA 127
PARTIES: CONSTRUCTION, FORESTRY, MINING & ENERGY
UNION
(applicant/respondent)
v
STATE OF QUEENSLAND
(first respondent)
ANGLO COAL (GRASSTREE MANAGEMENT) PTY
LTD ACN 078 099 313
(second respondent/appellant)
FILE NO/S: Appeal No 6191 of 2004
SC No 9823 of 2003
DIVISION: Court of Appeal
PROCEEDING: General Civil Appeal
ORIGINATING
COURT: Supreme Court at Brisbane
DELIVERED ON: 27 April 2005
DELIVERED AT: Brisbane
HEARING DATE: 10 November 2004
JUDGES: McPherson JA, Fryberg and Mullins JJ
Separate reasons for judgment of each member of the Court,
each concurring as to the order made
ORDER: The appeal should be dismissed with costs
CATCHWORDS: MINING LAW – Statutory regulation of conduct of mining
operations – Regulation as to safety of mines and machinery
– In general and definitions – Construction of ‘reasonably
foreseeable event’
Coal Mining Health and Safety Regulation 2001 (Qld), s 148,
s 296, s 296(1)
Tame v New South Wales (2002) 211 CLR 317, cited
Wyong Shire Council v Shirt (1980) 146 CLR 40, referred to
COUNSEL: H B Fraser QC, with P P McQuade for the appellant
M D Hinson SC, with D R Kent for the respondent
SOLICITORS: Blake Dawson Waldron for the appellant
Hall Payne Lawyers for the respondent
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[1] McPHERSON JA: I agree with the reasons of Fryberg J for dismissing this
appeal.
[2] FRYBERG J: Grasstree is a new underground coal mine near Middlemount in
central Queensland's Bowen basin. It is operated on a day-to-day basis by the
appellant (“Anglo”).1 Many of Anglo's employees at the mine are members of the
respondent (“the CFMEU”). Development of the mine began in 2001. A permanent
workforce began underground development operations in October 2003. Full
production is expected to begin in 2006; however about 10 per cent of the
extractable reserves of coal will by then have been produced through the
development process. That process involves sinking vertical shafts and driving a
number of more or less horizontal underground roadways around and between the
shafts. It involves preparation of the underground area for longwall mining. The
underground section of the mine was described by the trial judge in the following
terms:
“It presently comprises some five kilometres of underground
roadway which is connected to the surface by two vertical shafts.
One shaft, described as the intake shaft, delivers fresh air from the
surface to the mine. The other, described as the exhaust shaft, is
fitted with exhaust fans drawing air from the mine. In this way air is
drawn into the intake shaft, along the underground roadways and up
through the exhaust shaft. Persons enter and leave the roadways
usually through the intake shaft. But the exhaust shaft has a facility
for transporting persons in the event of an emergency. There is a
conveyance which can take up to ten people at a time and a round
trip for that facility takes no longer than five minutes. The intake
shaft is 6.1 metres in diameter and the exhaust shaft is 5.6 metres.
Both shafts are fully concrete-lined, the concrete being at least 150
millimetres thick. Each shaft is approximately 280 metres deep and
the distance between the two is approximately 200 metres via the
underground roadways.”
[3] In October 2003 the CFMEU began proceedings for a declaration that the two
entrances from the surface were not escapeways within the meaning of s 296(1) of
the Coal Mining Safety and Health Regulation 2001. After a three-day hearing,
McMurdo J made the declaration sought on 18 June 2004. This is an appeal against
that order.
The legislation
[4] Section 296 must be considered in its legislative context. That context was
summarised by McMurdo J and with one addition it is convenient to adopt his
Honour's summary:
“ [5] The objects of the Act include the protection, safety and health
of persons at coal mines and the maintenance of an acceptable level
of risk of injury to any person resulting from coal mining operations:
s 6. According to s 7, those objects are to be achieved by:
1 Although an associated company is the “coal mine operator” within the meaning of s 21 of the Coal
Mining Safety and Health Act 1999, no point has been raised regarding Anglo's standing as the
proper party to respond to the originating application.
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‘(a) imposing safety and health obligations on persons who
operate coal mines or who may affect the safety or
health of others at coal mines; and
(b) providing for safety and health management systems at
coal mines to manage risk effectively; and
(c) making regulations and recognised standards for the coal
mining industry to require and promote risk
management and control;
…’
[6] Safety and health obligations are imposed by sections 39 to 47.
Certain obligations are imposed upon the coal mine operator by s 41,
including that of ensuring that the risk to coal mine workers is at an
acceptable level.2 ”
[5] “Risk” is defined to mean the risk of injury or illness to a person arising out of a
hazard. The Act provides that risk is measured in terms not only of likelihood but
also of consequences.3 His Honour's summary continued:
“Section 42 imposes obligations on the site senior executive, the first
of which is to ensure that the risk to persons from coal mining
operations is at an acceptable level.4 Whether a risk is of an
acceptable level is affected by s 29 which is in these terms:
‘29 What is an acceptable level of risk
(1) For risk to a person from coal mining operations to be at
an “acceptable level”, the operations must be carried
out so that the level of risk from the operations is—
(a) within acceptable limits; and
(b) as low as reasonably achievable.
(2) To decide whether risk is within acceptable limits and as
low as reasonably achievable regard must be had to—
(a) the likelihood of injury or illness to a person rising out of
the risk; and
(b) the severity of the injury or illness.’
[7] Where a person owes an obligation to achieve that acceptable
level of risk, such as the obligations prescribed by s 41 and s 42, s 37
and s 38 provide for how that obligation can be discharged. Section
37(1) provides that if a regulation prescribes a way of achieving an
acceptable level of risk, a person may discharge the obligation in
relation to the risk only by following the prescribed way. Section 38
provides that if there is no regulation (or recognised standard)
prescribing a way to discharge a person’s obligation, then the person
must choose an appropriate way to do so, which must involve the
taking of reasonable precautions and the exercise of proper diligence.
So the evident intent is that in some circumstances, a duly made
regulation will itself define what constitutes an acceptable level of
risk, by defining what can and must be done to achieve it. In other
cases, the person obliged to achieve an acceptable level of risk is left
2 Section 41(1)(a).
3 Section 18.
4 Section 42(a).
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to choose what is appropriate, subject to requirements of
reasonableness and proper diligence and to the condition (from s
29(1)(b)) that the level of risk from the operations is as low as
reasonably achievable.
[8] Section 282 of the Act empowers the Governor-in-Council to
make regulations, including a regulation about any matter mentioned
in Schedule 2. The matters in Schedule 2 include “prohibiting
anything, or prescribing anything, to achieve an acceptable level of
risk”5 and the specific matter of “exits in underground mines from
workings to surface”.6 Pursuant to s 282, the Coal Mining Safety and
Health Regulation 2001 has been made, of which Chapter 4
prescribes ways of achieving an acceptable level of risk at an
underground mine in certain circumstances.7 Part 9 of Chapter 4
provides for mine design, and Division 4 of that Part, comprising s
296 through s 299 of the Regulation, provides for “Escapeways and
Refuges”. The relevant provision in this case, which is s 296 of the
Regulation, is thereby a regulation which prescribes a way of
achieving an acceptable level of risk, so as to engage s 37 of the Act
in relation to the site senior executive’s obligation to ensure that the
risk from coal mining operations is at an acceptable level. There is
no challenge to the validity of s 296. Accordingly the discharge of
the site senior executive’s obligation requires his compliance with s
296 of the Regulation, irrespective of the executive’s own judgment
as to whether there is another appropriate way to achieve the same
level of risk. Compliance with s 296, where it operates, is not
excused by the design of the mine in a different way although
another design might represent reasonable precaution and diligence.
In circumstances in which regulations such as s 296 operate, the
Governor-in-Council has exercised its power to decide what is an
acceptable level of risk, by prescribing the way of achieving it.
[9] Section 296(1) of the Regulation is in these terms:
‘Escapeways
296(1) The site senior executive must ensure the mine has at
least 2 trafficable entrances (“escapeways”) from the
surface that are separated in a way that prevents any
reasonably foreseeable event happening in 1 of the
escapeways affecting the ability of persons to escape
through the other escapeway.’”
The decision at first instance
[6] It was common ground between the parties that the two shafts were trafficable
entrances from the surface.8 McMurdo J held that a fire in the intake shaft would
contaminate the air throughout the mine (including the exhaust shaft) and thereby
require a person who was escaping to wear protective equipment at all times until he
5 Clause 2 of Schedule 2.
6 Clause 31 of Schedule 2.
7 See s 148 of the Regulation.
8 Although the site senior executive was not a party to the proceedings the parties accepted that his
absence was immaterial.
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or she reached the surface; and that such a fire was a reasonably foreseeable event.
He further held that the happening of such an event would substantially affect the
ability of persons to escape through the exhaust shaft, because they would be
required to wear protective goggles and breathing apparatus in the approaches to
and in the exhaust shaft. That equipment, he held, could impair visibility with
associated risks of disorientation and an inability to locate people, designated
escapeways or emergency equipment; and would cause those wearing it to lose their
ability to talk to each other or to those on the surface. He found (implicitly) that a
system which provided atmospheric separation between the shafts was a way which
would prevent that ability to escape from being so affected, allowing escape through
that shaft unimpeded by the equipment. It was not suggested that the mine had such
a system at the relevant time. One could be created by constructing a second intake
shaft. Such a shaft was planned, but not scheduled for construction until August
2005.
The arguments on appeal
[7] The appellant advanced three principal contentions:
“(a) The trial judge erred in fact in holding that the respondent
had proved that either of the hypothetical “worst case scenarios”
(both of which assumed that the whole contents of the fuel pod when
in the intake shaft spilled, were ignited, and the fire wad not
immediately extinguished) was a “reasonably foreseeable event”
within the meaning of that phrase adopted by his Honour, set out in
paragraph 5(a)(i) above.
(b) The trial judge erred in that construction of ‘reasonably
foreseeable event’.
(c) The trial judge erred in fact, and in the construction of the
Regulation … in holding that either hypothetical worst case scenario
was an event ‘affecting the ability of persons to escape through the
other escapeway’.”
The construction point
[8] For the appellant Mr H Fraser QC submitted that the meaning of the expression
“reasonably foreseeable” depended upon the context of the expression. He
submitted that s 296 telescoped and modified the elements of duty, breach,
causation and remoteness. The words were necessarily used in a different way from
the common law. They required the reasonable foreseeability, in advance, of a
particular event and inextricably from that question prescribed a response. In that
respect they conveyed something different from the concept of reasonable
foreseeability at common law. They required consideration of the effect of that
predetermined response upon ability to escape. It was not possible to restate the
meaning of the expression in other words; in this respect the expression resembled
“beyond reasonable doubt”9 . The requirement of reasonableness needed to be
applied in a commonsense way.
9 Dawson v The Queen (1961) 106 CLR 1.
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[9] For the respondent Mr Hinson SC submitted that the expression bore its common
law meaning. That meaning was expressed in the decision of the High Court in
Wyong Shire Council v Shirt10 . He submitted that s 296 did not telescope and
modify the elements of common law negligence. Rather, it prescribed a standard of
care to be achieved (separation of escapeways) by reference to a risk (a reasonably
foreseeable event). It was wrong to apply the expression by asking whether the
result of a particular construction was to require more than was necessary to reduce
risk to an acceptable level. Compliance with the section was deemed to produce an
acceptable level of risk (s 148). In the context of health and safety legislation it was
not surprising to find an expression used in its common law sense.
[10] To start the process of construction by asking whether the legislative intention was
to catch up a meaning of “reasonably foreseeable” derived in the context of the law
of negligence would in my judgment be to invite the risk of error. There are a
number of reasons for this. First, there is nothing in the Regulation itself which
suggests the existence of any such intention. Second, the contexts are different.
The (common) law of negligence is primarily concerned with the allocation of the
cost of losses that have already occurred. It may also be said to be concerned to
deter careless conduct and encourage the taking of precautions in human activities,
albeit that its strictures are expressed at a high level of generality. On the other
hand the purpose of s 296 is to prescribe a way, indeed the only way, by which the
site senior executive may discharge his safety and health obligation in the
circumstances stated in the section. In other words its purpose is different from that
of the common law and it operates before the happening of the event with which it
is concerned, not after it. Third, the common law is concerned to provide general
rules for the whole of society; it is addressed to ordinary people (the passenger on
the Clapham omnibus or the Bondi tram11 ). The Regulation is addressed primarily
to mining companies and their senior officers and to lawyers and courts. Fourth it
seems that in any event, there is no one meaning for the expression in the law of
negligence. It may have different connotations depending upon whether it is
relevant to the existence and scope of a duty of care, breach of duty or remoteness
of damage.12
[11] That is not to say that cases on the meaning of the expression at common law are to
be disregarded. The words are common English words and the problems to which
they give rise may exist in more than one context. Cases on negligence may
demonstrate reasoning which happens to be equally applicable in the context of the
Regulation. In considering the cases, however, it must be borne in mind that the
object is to determine the correct interpretation of the section.
[12] As described above, s 296 is contained in Division 4 (“Escapeways and refuges”) of
Part 9 (“Mine design”) of Chapter 4 (“Underground mines”) of the Regulation.
Division 4 contains three other sections, dealing with headings for intake air, the
maintenance and designation of a primary escapeway and provision in the safety
and health management system for the safety of persons when only one escapeway
from the mine is available for use. Other divisions of Part 9 deal with mine plans,
establishing and identifying explosion risk zones and precautions against inrushes.
10 (1980) 146 CLR 40.
11 Fleming, The Law of Torts, 9 th ed (1998), p 118; and see the other formulations there cited.
12 Wyong Shire Council v Shirt (1980) 146 CLR 40 at p 47 per Mason J; Tame v New South Wales
(2002) 211 CLR 317 at p 331 per Gleeson CJ.
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Other parts of Chapter 4 deal with rescue and communication, electrical equipment
and installations, explosives and explosive powered tools, gas monitoring system,
mechanical, mining operations, ventilation and working and environment. As
already noted the chapter prescribes mandatory ways of achieving an acceptable
level of risk in an underground mine. The objects of the Act include to protect the
safety and health of persons at coal mines and to require that the risk of injury or
illness from coal mining operations be at an acceptable level.13
[13] The environment in which Chapter 4 of the Regulation operates, underground coal
mines, was described in evidence. That evidence disclosed, if evidence were
needed, that underground coal mining is an extremely dangerous undertaking. One
of the greatest dangers is a fire. A fire in an underground coal mine affects not only
persons in its immediate vicinity but all persons who are underground at the time.
For this reason ventilation and escapeways are extremely important aspects of mine
safety. Compared to other countries mine safety accidents in Queensland coal
mines are relatively infrequent. Deaths have been relatively few, although, of
course, any death is too many. It is reasonable to assume that in part this is the
result of the provisions in the Act and Regulation and, perhaps, their predecessors.
No doubt it is also due to the precautions adopted by mine owners and operators and
the scrutiny of unions such as the applicant. If one were to ask, what are the
probabilities, based on recent statistical history, of a serious accident occurring in a
Queensland coal mine tomorrow, the answer may well be, very low. One would
hope that this would be the answer. If it were not the Act would be failing to
achieve its stated objects.
[14] “Reasonably foreseeable event” in s 296 must be construed against that background.
The section is to be applied before the relevant event has happened; it operates
prospectively. It demands the postulation of a hypothetical event. That event must
be able to be envisaged in advance of its happening. The person carrying out the
exercise, typically the site senior executive, must make a judgment on the basis of
known information. That information will include data about previous events of a
type similar to that hypothesised. In my judgment the exercise must necessarily
involve an assessment of the probability of the event. “Foreseeable” is a qualitative
description of a level of probability.
[15] That view has not found much favour in the context of the law of negligence. In
Tame v New South Wales Hayne J said:
“As Dixon CJ pointed out in argument in Chapman v Hearse, the
difficulty in using reasonable foresight of harm as the criterion for
ascertaining duty is that ‘reasonably foreseeable’ carries with it no
idea of likelihood. If an event has happened, it is very hard indeed to
say that its happening was not foreseeable ‘by a person of sufficient
imagination and intelligence’.”14
Assuming that his Honour used likelihood as a synonym for probability, that
proposition, if applied to the interpretation of s 296, might be thought to be at odds
with what I have said in my previous paragraph. I do not think that is so. I
understand Hayne J (and Sir Owen Dixon) to have been making the point that
“foreseeable” is not a quantitative expression of probability. With that I agree. I
13 Section 6.
14 (2002) 211 CLR 317 at p 401.
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also agree that it is difficult to say of an event after it has happened that its
happening was not foreseeable by a person of sufficient imagination and
intelligence. That simply illustrates the extremely wide ambit of the words.
[16] Before the event the position is somewhat different. The event and the sequence of
happenings which caused it have not occurred. There is no single set of facts for the
mind to focus on. Scenarios may be imagined at various levels of abstraction and
ranked in accordance with the probability and consequences of their occurrence.
Professor Joy, the principal of a consultancy company specialising in risk
assessment, spent two days as facilitator with a team of managerial and technical
staff from the Grasstree mine carrying out such an exercise in relation to
hypothetical single basic events at the mine in December 2002. There is, however,
a limit to the amount of time and effort which can in practical human affairs be
devoted to the exercise. No doubt consideration of the multitude of permutations
and combinations of causes that can lead to a particular event is assisted by
computer analysis; but even that has its limits. That is particularly true of events
with multiple concurrent causes. By definition if no one can imagine an event it is
not foreseeable. But an event is not unforeseeable simply because no one has taken
the time or trouble, or had the patience, to think about the way in which it might be
caused for long enough or in sufficient detail.
[17] This quality of “foreseeable” colours the meaning to be ascribed to “event” where it
occurs in s 296. The section requires the site senior executive to ensure the
existence of escapeways which have a certain quality or property. That property is
described by use of the words presently being construed. To perform his or her duty
the executive must be able to measure that property. Unless the section is construed
in such a way that he is able to perform his duty it is deprived of utility. If the event
referred to in the section is to be foreseeable it must be described at a level of
generality capable of comprehension and analysis by the executive. That means that
it must necessarily be an event which is (or may be) a consequence of a multiplicity
of causes operating either in succession or concurrently. The need for the event to
be described at a level of some generality is of significance in the present appeal.
[18] Foreseeability bounded only by the limits of human imagination would indeed be an
impractical instrument by which to regulate human affairs, particularly mine safety.
Imagination is sometimes an uncontrolled instrument. It is capable of rational
analysis; but it is also capable of fancy and superstition. It is not every foreseeable
event which the site senior executive must consider under s 296; it is only those
events which are “reasonably” foreseeable.
[19] In the context of s 296 “reasonably” has at least two functions. First, it implies
compliance with the laws of science. It operates to exclude supernatural
intervention from the range of things foreseeable by the exercise of the imagination.
As scientific knowledge progresses the ambit of what is thereby excluded may
change. From time to time problems may arise in relation to events which the
imagination can foresee but which science can neither prove nor disprove. Those
problems may be dealt with if and when they arise. In the context of coal mine
safety a cautious approach would be understandable. Second, “reasonably”
moderates the level of probability (or perhaps more accurately, improbability)
comprehended by “foreseeable”. It is a word which suggests moderation. It may be
that this sense has been transferred to “foreseeable” in the area of negligence. In
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that area “foreseeable” is often understood to mean “reasonably foreseeable”. In the
present context it operates to exclude the far-fetched and the fanciful.15
[20] In the first instance the section must be applied by the site senior executive. It may
be assumed that such persons will possess or have access to expertise in relation to
the questions of fact which may give rise to the event referred to in the section.
Expert opinion may enlarge the range of foreseeable events to include some which
might seem fanciful to an untrained mind.
[21] The section (like most, although not all, of the provisions in the Act and the
Regulation) must also be applied in relation to a particular mine. That follows not
only from the use of the definite article (“the mine”) but also from the nature of the
obligation imposed. This means that reasonable foreseeability must be considered
in relation to the particular mine. It is not to be assessed by reference to other mines
in Queensland or Australia or other parts of the world. Experience elsewhere may
be relevant in assessing what is a reasonably foreseeable event, but only if that
experience is relevant to the particular mine.
[22] In assessing in a particular case whether a hypothetical event is reasonably
foreseeable for the purposes of s 296, context is important. Relevant factors may
include the physical properties of the mine, the nature of the activities carried on,
the nature of things used in or about the mine and the qualities of people involved at
the mine. In assessing these factors it must be remembered that things change over
time. For example, mines expand and workings are abandoned; procedures are
modified; machines and other things wear and deteriorate; and personnel leave and
their individual characteristics may change.
[23] The passage of time is relevant to the assessment of reasonable foreseeability in
another respect. It is not possible to assess foreseeability in this context in precise
mathematical terms, but it is possible to make statements about relative
probabilities. For example if the probability of an event occurring tomorrow is x,
then (assuming no material change in the circumstances) the probability that it will
occur at some time during a mine life of (say) 30 years is much greater than x.
[24] The subject matter of s 296 also affects the meaning which should be ascribed to
“reasonably foreseeable”. The section is concerned with the ability of persons to
escape the mine. It may be assumed that an event affecting the ability of people to
escape will be a highly unusual occurrence. Whether this is due to compliance with
the other sections of the Regulation or to proper precautionary measures adopted by
the mine operator or to something else, or to a combination of these things, does not
matter. In terms of probability such an event may always be expected to be most
improbable. The reasonable foreseeability postulated by the section will therefore
ordinarily be referable to improbable events. That suggests that the mere fact of the
improbability of an event, even a statistically high level of improbability, does not
exclude its description as reasonably foreseeable.
[25] An event which affects the ability of persons to escape from an underground mine
will often be an event which itself gives rise to the need to escape. A fire in an
intake shaft is a case in point. It may be expected that ordinarily there will be a
15 Compare Wyong Shire Council v Shirt, loc cit. With the utmost respect to Callinan J I would reject
the proposition that such an approach requires everyone to be a Jeremiah: see Koehler v Cerebos
Australia) Ltd [2005] HCA 15 at para [54].
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number of measures in place to prevent the occurrence of such an event. A number
of other sections in the Regulation are calculated to have that effect. Even apart
from the Regulation, the mine operator may be expected to attempt to prevent such
occurrences, if only for commercial reasons. Section 296 was enacted against this
background. Consequently it should not be construed in such a way that the
existence of other measures tending to reduce (but not eliminate) the likelihood of
the occurrence of a relevant event derogates from the obligation which it imposes.
The section assumes that there may be a reasonably foreseeable event happening in
one escapeway despite the existence of such measures. It is intended to ensure the
existence of an escapeway in case those measures fail. It constitutes a belt and
braces approach to safety. That approach should not be nullified by a narrow
construction of “reasonably foreseeable”.
[26] It has not been demonstrated that this interpretation should be rejected on the basis
that it imposes an unreasonable burden. I respectfully adopt what was written by
McMurdo J in relation to such an argument:
“The first stated object of the Act is to protect the safety and health
of persons at coal mines or who may be affected by coal mining
operations. In the context of this legislative scheme, s 296(1), as the
applicant would have it interpreted, would not produce some
disproportionately burdensome obligation for the design of an
underground mine. It does not seem inappropriate for this scheme to
require the escapeways to be separated so that a fire in one
escapeway, of which there was some real prospect (although it was
very unlikely to occur), would not detrimentally affect the work of
the other escapeway. On the other hand, if a reasonably foreseeable
event in this context must be something which is more probable than
an event having some real chance of occurrence, then those
concerned with the compliance with this regulation would have to
assess the relative probabilities of a real possibility, and the
respondent’s submissions do not reveal where the line would be
drawn. In addition, once such an event must be more than a real, as
distinct from fanciful, possibility, the operation of this regulation in a
particular case could be less demanding than the common law duty
of care or that which might be required to yield an acceptable level of
risk as that term is explained by s 29 of the Act. Further, the
respondent’s case did not attempt to show that, upon the applicant’s
interpretation of “reasonably foreseeable event”, the regulation could
not be complied with in this case or in any other case, or that
compliance would involve some disproportionate cost. Indeed, from
the evidence in the applicant’s case, I find that there is no other
underground coal mine in Queensland which has but two escapeways
constituted by the air intake and air exhaust shafts.”
[27] In summary, a reasonably foreseeable event for the purposes of s 296 is one which
can be envisaged by a person of imagination and intelligence, but which is not far-
fetched or fanciful.
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The finding of a reasonably foreseeable event
[28] McMurdo J held that a fire in the intake shaft which could contaminate the exhaust
shaft was a reasonably foreseeable event. More specifically, his Honour identified
two scenarios involving such a fire and held that each was such an event. On the
appeal the CFMEU was content to adopt this approach. The two were selected from
the 17 most likely of a group of 65 events identified by Professor Joy in his risk
assessment report written after the exercise described above16 . His Honour wrote:
“One of those 17 events was a fire in a load of fuel, as it was lowered
down the intake shaft in a container called a fuel pod. Another was a
fire at the bottom of the shaft caused by the ignition of a dropped
load of fuel. … Professor Joy wrote of these events and of the
‘acceptability of (their) residual risk’ that ‘the impact of a fuel pod
fire in or near a shaft may necessitate a careful risk assessment of the
design and use of the pod to derive final design specifications and
operational guidelines.’”
Those two scenarios were described by another expert witness, Dr Cliff, as “the
worst case scenarios”. Dr Cliff (who was called on behalf of Anglo) was an
Associate Professor at the Minerals Industry Safety and Health Centre at the
University of Queensland and had over 14 years experience in researching and
providing consultation relating to the management of hazards in underground coal
mines, particularly spontaneous combustion, mine fires and explosions.
[29] His Honour made the following findings in relation to the first scenario:
“All bulk fuel is transported to the underground of this mine by fuel
pods lowered through the intake shaft. From the evidence of the mine
manager, Mr Ryan, it appears that in the further development of this
mine, these fuel pods will not be used but the diesel will be
transported down a designated bore-hole. … Still it is plain that the
respondent considers that it is unnecessary to change the system for
transporting fuel to ensure an appropriate separation of the
escapeways. Fuel is transported via these pods approximately twice
per week. The transportation of them within the shaft takes less than
two minutes. Preparation at the surface involves one person placing
the fuel pod into the conveyance on a rail mounted flat topped trailer.
The conveyance with the trailer and fuel pod is then lowered to the
seam level where it is met and removed by another person who
withdraws the trailer and pod. According to Mr Ryan, the pod is
closely monitored throughout its journey “and hence a response to an
emergency no matter how remote a possibility would be virtually
instantaneous”. The pods have two distinct walls so that in the event
of damage to the outer wall, the inner wall will remain intact. In the
event that the inner wall is damaged, the void between the walls is
capable of containing the contents of the pod. There is a fire
suppression system which is automatically activated by the fuel
reaching a certain temperature in the pod. The capacity of a pod is
2000 litres. The fuel pods are stored underground, no closer than 25
metres from the bottom of the intake shaft.”
16 Paragraph [16].
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He accepted Dr Cliff's evidence that if the fire suppression systems were activated
the fire in the fuel pod would be extinguished in a matter of seconds.
[30] His Honour also found:
“The second of his worst case scenarios was that the contents of a
fuel pod would spill and would fall into the sump at the bottom of the
intake shaft and would burn there. The greater surface area of 2000
litres of fuel within the sump, compared with that fuel within the
pod, would result in the fuel completely combusting in 21 minutes,
according to Dr Cliff. However, there is a pump in the sump which
if it operates, would remove some of the fuel resulting in a fire in the
sump taking no longer than 10 minutes. Even then, this assumes that
action is not taken to suppress the fire as well as that there is some
source of ignition in close proximity to the sump. He says, and I
accept, that such a fire in the sump could create a plume of smoke
sufficient to restrict visibility to less than his 10 metre threshold.”
[31] He held that in either case the events could occur only through a combination of
several human and/or mechanical failures. Such a coincidence of faults or failures
was described by Dr Cliff as the “Swiss cheese model”, used for catastrophic
events, in which
“We do allow for individual slices to line up, but I think in the case
of the fuel pod, a significant number of slices would have to fail, so
that’s why we regard the probability as being low.”
His Honour accepted that instructions were in place which were designed to
eliminate any ignition sources from the intake shaft during the time a fuel pod was
being transported. He continued:
“Mr Ryan’s evidence as to the instructions given to personnel in
relation to welding and contraband items indicates the perception of
the mine’s management that at least, absent appropriate procedures
and directions, there is a real risk that events such as these could
occur. The respondent has itself identified the real possibility of, for
example, an accidental fire from the burning of the fuel being
conveyed through the intake shaft, and accordingly it has put in place
apparently extensive mechanisms and procedures in order to avoid
such an occurrence. The event remains a real possibility unless those
mechanisms and procedures could be regarded as incapable of failure
through human error. Those various mechanisms and procedures
might represent a response to a foreseeable risk which the common
law would regard as sufficient to discharge a duty of care. But the
present factual question is whether they are such as to put paid to any
real chance of the event occurring. In my view they do not, and
whilst the prospects of the occurrence of either of these “worst case”
scenarios might be extremely small, it remains the case that through
a combination of human errors, there is some real chance of their
occurrence.”
That conclusion is challenged in this appeal; there is no challenge to his Honour’s
findings of primary fact.
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13
[32] At the core of that challenge was Mr Fraser's submission that no particular
mechanical or human error or mechanism capable of leading to rupture of either
skin of the fuel pods was put to Anglo’s witnesses or adduced in evidence.
Consequently the CFMEU failed to prove that either of the worst case scenarios was
reasonably foreseeable. Mere assertion that unspecified mechanical and human
errors might coincide and combine to produce the worst case scenarios in some
unspecified way was, he submitted, speculation, not evidence capable of fulfilling
the CFMEU's onus of proving breach of the Regulation. In a careful review of the
evidence Mr Fraser demonstrated the absence of evidence showing precisely how a
pod was likely to rupture. There was in fact very little evidence about the
construction of the pods. They had been built in accordance with guidelines of the
New South Wales Mines Department and were fitted with an automatic fire
suppression system. Their strength, brittleness and flexibility were not addressed;
the specification for their construction was not put in evidence; and the evidence did
not disclose what they were made of. In those circumstances the CFMEU did not, it
was submitted, satisfy the onus upon it.
[33] If the CFMEU was required to prove a precise mechanism by which it was
reasonably foreseeable that a fuel pod might rupture, this appeal must succeed. No
precise mechanism was proved. However on the interpretation of s 296 advanced
above, the CFMEU was not required to undertake that task. It sought to prove only
that the two scenarios were reasonably foreseeable. They were the events which it
proposed would affect the ability of persons to escape. A variety of mechanisms of
greater or lesser probability could lead to fuel becoming available for a fire. The
CFMEU was not required to prove that each one was reasonably foreseeable. The
probability that there will be some fuel available is the sum of the probabilities of
each of the possible mechanisms by which it might become available. The section
does not require an examination of the foreseeability of each individual mechanism.
[34] There was evidence that in the absence of appropriate precautions the two scenarios
were possible. Professor Joy and his team (which included Mr Ryan) identified 12
“intermediate events” as they described them, which could result in the two
scenarios, absent precautions. He recommended, “The impact of a fuel pod fire in
or near a shaft may necessitate a careful risk assessment of the design and use of the
pod to derive final design specifications and operational guidelines.” Mr Ryan's
response to that recommendation was, “The fuel pod will only continue to be in use
in the shaft until approximately June 2004. It has been designed to Department
Guidelines (Number MDG36) and is fitted with an automatic fire suppression
system. In June 2004, all diesel fuel will be transported via a dedicated borehole,
not in the shaft. This will eliminate the risk of a fuel pod fire in the shaft.” It may
be inferred that no risk assessment of the design of the pod was undertaken.
[35] A Safety Health and Management System Procedure was developed and embodied
in a document which formed part of the Safety Health and Management System of
the mine. So far as is relevant, it provided:
“4.2 The mobile fuel pod will be transported in the materials cage
during period of stores transfer from surface to seam. At no
time will bulk fuel be transported during shift changes. Man
riding will be restricted when Bulk Fuel is being transported
in the conveyance. (Pod to be delivered Underground during
maintenance window as per risk assessment).
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14
The bulk fuel pod will be loaded into the conveyance using
the surface forklift for despatch to seam level. The bulk fuel
pod will be unloaded at seam level using a LHD. The fuel
pod will be stored in a designated area and clearly sign posted
for traffic areas i.e. Fuel Pod.
No person shall operate any machinery in vicinity of the
conveyance for the purpose of loading or unloading other than
a person appointed by the Underground Mine Manager, in
writing, to do so, or a person learning to drive the machine
under instruction from an appointed trainer, or tester. The
minimum standard for training and assessing must meet the
requirements of the Black Coal Competencies.
…
5.1 Underground Mine Manager shall ensure that all of the
provisions of this SOP are implemented and that compliance
is achieved.
…
5.3 [All Employees] will make themselves, fully conversant with
this Procedure and adhere to the rules stated.”17
The potential for failure due to human error or mechanical failure is self evident.
[36] It is I think significant that Anglo did not ask Professor Joy to carry out a risk
assessment of the mine with what it asserted were appropriate precautions in place.
Had he done so he might have taken into account a Mine Record Entry dated 31
January 2003 written by a Queensland Government Inspector of Mines. That
related to “the high potential incident” that occurred on 24 January. While a bobcat
was “mucking out” material at the pit bottom of the number two shaft, sparks were
noticed coming from under the scrubber tank at the rear of the vehicle. Two
possible causes were identified: previously undetected collapsed bearings in the fan
belt tension device (human error plus mechanical failure) and the water line to the
scrubber tank being turned off (human error). On that occasion there was no fire;
the material being mucked out did not catch and no methane was detected in the
area. On another day the result might have been different. As Mr Ryan conceded in
cross-examination, human error had happened in the past and he did not doubt it
would happen again in the future. McMurdo J’s conclusion that there was a real as
distinct from a fanciful chance of each scenario occurring was correct.
[37] On the construction of the section which I have advanced above, the proper
conclusion on that evidence is that the two scenarios referred to by his Honour were
reasonably foreseeable. That was the conclusion which his Honour reached, albeit
upon a slightly different construction of the section.
[38] I have approached the issue on the basis that the two scenarios constitute relevant
events for the purpose of s 296 because that was the approach adopted by the
parties. I should not be taken as endorsing that approach. It may well be that in the
17 Grasstree Safety Health and Management System document GSHMS 010, “Safe Transport
Underground of Fuel Containers”.
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15
context of the present case the relevant event should have been identified simply as
a fire in the intake shaft. That is what is said to affect the ability of persons to
escape. Having regard to my conclusions above it is unnecessary to carry this
analysis any further.
The ability to escape point
[39] McMurdo J’s findings are summarised above. 18 His Honour drew attention to the
difficulty which use of the escape equipment would cause not only in the exhaust
shaft but also within all or much of the roadway leading to it. It was true, as his
Honour pointed out, that the CFMEU relied upon the difficulty in both areas. It was
however enough for it to demonstrate a direct effect on the ability of persons to
escape through the shaft. Mr Fraser submitted that the CFMEU's evidence referred
only to the effect on persons travelling through roadways whilst wearing protective
equipment (as opposed to through the escapeway constituted by the exhaust shaft).
That submission is not correct. Mr Vaccaneo, an Industry Safety and Health
Representative appointed under the Act and having 22 years experience in the
industry, gave evidence which demonstrated that with only one air intake, a fire in
that intake would contaminate “every drive and roadway in the mine. This is
inclusive of the escapeways. That is, a mine worker’s ability to use all escapeways
is affected.” He specifically deposed that a fire in the intake shaft would
contaminate all the intake roadways “and the return”. His Honour summarised Mr
Vaccaneo's evidence this way:
“He said, and I accept, that underground mine workers are instructed
to use their self-rescuers ‘at the first sign of smoke or by being
instructed by their statutory officials in case they are picking up
elevated levels of carbon monoxide rather than just smoke’. So the
use of this equipment does not depend upon the existence of a
dangerous level of smoke or risk from oxygen deprivation or carbon
monoxide. The equipment is used whilst there is any risk through the
prospect of contamination of the air. He also says, and I accept, that
if and when the person reaches air which he knows, or can be told, is
uncontaminated air, the person is able to then safely remove the
protective goggles and breathing equipment.
[17] According to Mr Vaccaneo then, at least in some circumstances
the ability to escape from an underground mine such as this one
could be affected by whether the air is contaminated throughout the
mine and the escapeway, so that the protective equipment must be
worn throughout the escape, compared with the protective equipment
not having to be used at all, or only for some of the escape.”
Mr Fraser did not challenge any of these findings. In addition, Mr Ryan exhibited
to his affidavit a copy of Anglo’s document entitled “Emergency Egress for
Production Winder (Mode 2B)”.19 The Production Winder was the lift in the
exhaust shaft. The impact which impaired visibility and an inability to
communicate would have on using that lift in an emergency is obvious from the
document. There was therefore abundant evidence to support the finding that the
18 Paragraph [6].
19 Grasstree Standard Work Procedure GSWP 072.
-- 15 of 16 --
16
hypothetical fire would directly affect the ability of persons to escape through the
exhaust shaft. That finding was correct.
[40] Even if the evidence had disclosed that only the adjacent roadways would be
contaminated by a fire in the intake shaft, the requirements of this part of s 296
would have been satisfied. There is no semantic difficulty in the notion that a
person's ability to escape through the exhaust shaft is affected if his or her ability to
use the roadways adjacent to the shaft is affected. Unfortunately this aspect of the
case became a little confused at first instance. Anglo there argued that if
contamination of roadways were taken into account, compliance with the section
would be impossible, because even with a second intake shaft some roadways
(those abutting the shaft with the fire) would always be contaminated. Consequently
there was no step which the site senior executive could take to avoid a breach of the
section. Therefore, it was submitted, roadways could not be taken into account.
McMurdo J dealt with this argument by interpreting “the ability of persons to
escape through the other escapeway” to mean the utility of the other escapeway. On
appeal that interpretation was challenged. It is unnecessary to resolve that
challenge. The problem of the impossibility of compliance does not arise. While it
is true that a fire in the intake shaft would lead to contamination of the roadways
adjacent to that shaft, it would not lead to contamination of the roadways adjacent to
a second intake shaft. That was clearly demonstrated by Mr Vaccaneo's analysis of
the differences in air flows according to which of the two designs was employed,
the correctness of which was unchallenged. Atmospheric separation would be
achieved. The ability of persons to escape through a second intake shaft would be
unaffected by contamination of the roadways adjacent to it. The problem postulated
on behalf of Anglo does not arise.
[41] The CFMEU proved its case. The appeal should be dismissed with costs.
[42] MULLINS J: I agree that the appeal should be dismissed with costs for the reasons
given by Fryberg J.
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Official source: https://www.sclqld.org.au/caselaw/QCA/2005/127