CORONERS COURT OF QUEENSLAND .au
CORONERS COURT OF QUEENSLAND
Inquest into the deaths of Kate Goodchild, Luke Dorsett, Cindy Low & Roozbeh Araghi at Dreamworld, October 2016
Findings and Recommendations February 2020
CORONERS COURT OF QUEENSLAND
INQUEST INTO THE DEATHS OF KATE LOUISE GOODCHILD, LUKE JONATHAN DORSETT, CINDY TONI LOW, & ROOZBEH ARAGHI
Coroner, Southern Region
Credit for the above photograph is given to Mr. Richard Gosling, Newspix
CORONERS COURT OF QUEENSLAND
FINDINGS OF INQUEST
CITATION:
Inquest into the deaths of Kate Louise GOODCHILD, Luke Jonathan DORSETT, Cindy Toni LOW, & Roozbeh ARAGHI
TITLE OF COURT:
Coroners Court
JURISDICTION:
SOUTHPORT
FILE NO(s):
2016/4486, 2016/4485, 2016/4480, 2016/4482
DELIVERED ON:
24 February 2020
DELIVERED AT:
BRISBANE
HEARING DATE(s):
18 June 2018 to 29 June 2018 8 October to 19 October 2018 12 November to 22 November 2018 6 & 7 December 2018
FINDINGS OF:
James McDougall, Coroner
CATCHWORDS:
Coroners: inquest, Dreamworld, amusement device, Theme Park, safety management systems, ride maintenance, training, amusement device regulation, amusement device designer, amusement device modification, external safety audits.
REPRESENTATION:
Counsel Assisting
Mr Ken Fleming, QC Ms Rhiannon Helsen, CCoQ
Family of Cindy Low
Mr Matthew Hickey, Counsel instructed by Clayton Utz
Findings of the inquest into the death of Kate Louise Goodchild
Luke Jonathan Dorsett, Cindy Toni Low & Roozbeh Araghi
i
Families of Kate Goodchild & Luke Dorsett
Mr Steven Wybrow, Counsel instructed by Aulich Civil Law
Family of Roozbeh Araghi
Mr Toby Nielsen, Counsel instructed by Gordon & Barry Law
Mrs Kim Dorsett (mother, Kate & Luke)
Mr Robert Davis, Counsel instructed by Sneddon, Hall & Gallop Lawyers
Office of Industrial Relations (Workplace Health & Safety Queensland) Mr Stephen Gray, Counsel instructed by Crown Law
Ms Courtney Williams
Mr Peter Callaghan SC, instructed by Gilshennan & Luton
Ms Chloe Brix, Ms Sarah Cotter, Mr Wayne Cox, Ms Amy Crisp, Mr Generic Cruz, Mr Francoire De Villiers, Mr Christopher Deaves, Mr Quentin Dennis, Mr Andrew Fyfe, Mr Peter Gardner, Mr Mark Gordon, Ms Nichola Horton, Mr Jason Johns, Ms Jennie Knight, Mr John Lossie, Mr Troy Margetts, Mr Steven Murphy, Mr Grant Naumann, Mr Peter Nemeth, Mr Kamlesh Prasad, Mr Scott Ritchie, Mr Matthew Robertson, Mr Michael Stead, Mr Mark Watkins, Mr Timothy Williams, Mr Jacob Wilson
Mr Ralph Devlin QC & Mr Liam Dollar, Counsel instructed by K & L Gates LLP
Ardent Leisure Ltd trading as Dreamworld
Mr Bruce Hodkinson QC & Mr James Bell QC, instructed by Baker McKenzie Lawyers & DWF (Australia)
CEO, Dreamworld, Craig Davidson
Mr Gavin Handran, Counsel instructed by Quinn, Emanuel, Urquhardt & Sullivan LLP
Findings of the inquest into the death of Kate Louise Goodchild
Luke Jonathan Dorsett, Cindy Toni Low & Roozbeh Araghi
ii
Queensland Police Service
Mr Adrian Braithwaite, Counsel instructed by QPU Legal Group
DANFOSS Australia (Mr Eduardo Gie) Mr Sean Farrell, Counsel instructed by Mills Oakley
Mr John Clark, Mr Shane Green, Mr Benjamin Hicks, Mr Nigel Irwin, Ms Rebecca Ramsay, Mr Mark Thompson
Mr Anthony Harding, Counsel instructed by Rankin & Co Lawyers
Mr Angus Hutchings
Mr Craig Eberhardt, Counsel instructed by Robertson O'Gorman Solicitors
Mr Tom Polley (Danski Pty Ltd)
Ms Polina Kinchina, Counsel instructed by Colin, Biggers, Paisley Lawyers
Mr Bob Tan
Mr John Bremhorst, Counsel instructed by Australian Business Lawyers & Advisors
Findings of the inquest into the death of Kate Louise Goodchild
Luke Jonathan Dorsett, Cindy Toni Low & Roozbeh Araghi
iii
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