Coroner James McDougall will hand down his findings on Monday into the Dreamworld tragedy.
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THE VICTIMS
- Cindy Low, Kate Goodchild, her brother Luke Dorsett and his partner Roozi Araghi were killed when Dreamworld's Thunder River Rapids ride malfunctioned on October 25, 2016
WHAT HAPPENED
- Two rafts collided on a conveyor when a water pump failed and caused water levels to drop dramatically
- The malfunction was the third that day, and fifth in a week
- The victims' raft was pushed into a vertical position and the victims plunged into the ride machinery causing fatal injuries
RIDE HISTORY
- Police uncovered multiple previous incidents with the ride, including a guest being thrown into the trough in 2004 when rafts collided
- Despite recommendations for a single emergency stop, no single shutdown function was installed
STAFF TESTIMONY
- Dreamworld electricians described the control panel wiring as a "rat's nest"
- Staff insisted the ride was one of the most complex to operate
- The operator in charge on the day was given only 90 minutes of training
- A supervisor said pump failures were frequent in the week preceding the tragedy
- Staff were unaware of the theme park's policy to shut down an attraction after two failures in 24 hours, believing a third was needed for a supervisor to be notified
- Engineering general manager admitted the ride "should never have opened" after the malfunctions
OTHER EVIDENCE
- Government registration of Thunder River Rapids and other rides at the park were more than nine months overdue
- Dreamworld executives announced cutbacks to maintenance and repair spending in 2016 due to falling profits
- Workplace Health and Safety inspectors identified a "litany of concerns' on the ride's maintenance including missing slats on the conveyor belt, excessive corrosion, crumbling concrete and unidentified controls
- Modifications made to the attraction had never been approved by WPHS
WHAT THE VICTIMS' FAMILIES HAVE SAID
- Relatives of two victims said in a statement they held Dreamworld "totally responsible" for the deaths
Australian Associated Press