Road Traffic Incident Management Seminar. Coroner Gordon Matenga 17-18 th March 2014. Contents. Case study Factors – short and long term Referral to Coroner Post mortem Purpose of Inquiry Outcome Recommendations. Case Study – Fatal MVC. Single motor vehicle crash
Coroner Gordon Matenga
17-18th March 2014
Key factors to be considered at early stage of the event:
The evidence that will assist the Coroner as a result of the crash investigation:
Did any of these factors contribute?
A fatal motor vehicle crash is reportable to the Coroner pursuant to section 13 (1) (a) of the Coroners Act 2006 :
13 Deaths that must be reported under section 14(2)
Without known cause, suicide, or unnatural or violent
(a) every death that appears to have been without known cause, or suicide, or unnatural or violent:
Section 32 criteria:
For this case study the Coroner will need to consider factors in relation to the MVC before making a final decision.
The following two slides outline these considerations-
What factors need to be considered by the Coroner? Will the post mortem assist with:
Causes and circumstances of death
Section 57 of the Coroners Act 2006 – Purpose of inquiries:
1. To establish:
2. To make specified recommendations or comments to reduce the chances of a similar death
3. To determine whether it would serve in the public interest for the death to be investigated by other authorities and if so, then referral to those agencies.
At the conclusion of an Inquiry, the Coroner will complete a written finding that outlines the circumstances of the death and highlights any contributing factors.
For this case study we will look at some of the possible recommendations that may have been applicable.
Driver factors: (Distracted driver)
Vehicle factors: (Vehicle fault)
Environment: (Lack of signage)
Safer Journeys is New Zealand’s road strategy to 2020. The strategy: