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peter gotch  
#1 Posted : 25 October 2025 19:27:23(UTC)
Rank: Super forum user
peter gotch

Came across this purely by chance - I was actually looking into the truth or otherwise of a tale about red paint used in the Sistine Chapel possibly originating in the Forest of Dean!! - and rather doubt that HSE will be saying much about it.

Which quite possibly means that it won't feature in the H&S press.

Gardener drove quad bike 'competently', court hears - BBC News

...and then the acquittal...

Monmouthshire couple cleared over gardener's quad bike death - BBC News

Also covered by other news outlets but most, if not all, appear to be behind paywalls.

So we have a couple in their 70s who DO own a farming business so DO have duties by virtue of Section 3 and possibly Section 4 of HSWA towards those they take on to do work for them.

....and it appears that they DID provide their self-employed gardener with the ATV quad bike which he was using at the time of the accident.

But how the investigators, presumably HSE (whose expert witness was called for the prosecution) would think that it was likely that a jury would be convinced "beyond all reasonable doubt" that it was up to an elderly couple to train an experienced garden to use equipment that is widely used in the countryside is puzzling to me.

Longstanding policy is that prosecutions should not proceed unless the prosecution team are confident that there is an above 50% chance of securing a conviction with the assumption that a robust defence is mounted.

My instinct says that perhaps the prosecution team forgot about the bit about that "robust defence".

...or the accident has happened, SOMEONE (other than the victim) MUST be guilty?

Of course this is tragic for the victim and their family and friends but UK health and safety legal duties are mostly qualified by expressions such as "so far as reasonably practicable".

Possibly the problem is that the prosecution might have relied too much on the reverse burden of proof set out in Section 40 of HSWA and hence failed to set out what IT thought WOULD have been reasonably practicable in the circumstances. 

May be even relied too heavily on HSE's case law of choice on this subject, i.e. Edwards v NCB, with an astute defence legal team bringing in Marshall v Gotham to paint a different picture as to how disproportionate measures  have to be before a defendant has proved that aspect of their defence "on the balance of probabilities".

In terms of modern prosecutions we can often learn much more from the cases that HSE puts forward and where the verdict is NOT GUILTY than the usual narrative where the defendant pleads guilty even if they are not that sure they really are.

stevedm  
#2 Posted : 26 October 2025 12:20:46(UTC)
Rank: Super forum user
stevedm

Hi Peter...I think it does reflect an over confidence in this case...I have others involving multiple fatalities were they should have been more confident.

The HSE Agruments - what I can guess was dicsussed (I have a funnier version)

  1. Provision of Equipment and Duty of Care: The defendants provided the quad bike, arguably engaging their duty of care. In Edwards v NCB [1949] 1 All ER 743, employers were held liable for failing to take reasonable steps to prevent foreseeable harm, even when employees had some familiarity with their tasks. The HSE could reasonably argue that supplying machinery imposes an affirmative duty to ensure safe use, including assessing training needs.
  2. Reverse Burden under Section 40 HSWA: HSE might rely on the partial reverse burden to contend that the couple had to demonstrate what training or supervision would have been reasonably practicable. This legislative mechanism places emphasis on the defendant to justify compliance, shifting evidential weight and ostensibly easing prosecutorial hurdles.
  3. Public Interest Considerations: Fatal incidents involving supplied equipment raise societal concerns about accountability. The HSE may pursue prosecution to reinforce standards of diligence, deter negligence, and signal that even small-scale agricultural undertakings are subject to robust health and safety oversight.

Arguments Against Prosecution

  1. Competence of the Worker: Evidence indicated that the gardener was skilled in quad bike operation. In such circumstances, the proportionality principle under HSWA becomes decisive. The Court of Appeal in Marshall v Gotham Co Ltd [1954] 2 QB 402 established that an employer’s duty does not extend to measures that are disproportionate relative to the risk. A robust defence could convincingly argue that formal training for an experienced operator was unnecessary, particularly when the risk of misuse was low.
  2. Evidential Threshold – Beyond Reasonable Doubt: Criminal liability requires proof beyond reasonable doubt. The prosecution must demonstrate that failure to provide additional measures directly caused the fatality. In practice, HSE prosecutions of deaths involving competent self-employed individuals face high evidential barriers. R v Associated Octel Co Ltd [1996] 3 All ER 846 reinforces that liability must account for the likelihood and severity of harm relative to practicable mitigation.
  3. Proportionality and “Reasonably Practicable” Measures: The House of Lords in R v Associated Octel emphasised proportionality, noting that health and safety obligations are not absolute. For elderly defendants supplying common rural machinery to a capable operator, requiring extensive training could be seen as disproportionate. This aligns with modern prosecutorial guidance: the HSE should not pursue marginal cases where the burden of additional measures outweighs the risk reduction.

 Modern HSE Prosecution Policy

  • Conservative Assessment of Conviction Probability: HSE policy advises that prosecutions proceed only where there is a strong likelihood of success. The Monmouthshire case may reflect overconfidence in Section 40 reverse burdens without adequately accounting for the robustness of a defence grounded in proportionality and worker competence.
  • Learning from Not-Guilty Verdicts: Acquittals provide critical jurisprudential lessons, demonstrating that reliance on select case law such as Edwards v NCB must be balanced against countervailing authority emphasising practical limits (Marshall v Gotham, Associated Octel).
  • Risk of Overreach: HSE prosecutions may be vulnerable where they imply absolute duties, potentially leading to public perceptions of unfair enforcement and judicial pushback. A nuanced appreciation of “reasonably practicable” and evidential sufficiency is essential.

Prosecution Strengths: Edwards and Sections 3/4 HSWA provide a basis to argue that supplying equipment can engage duty.

Defence Strengths: Using Marshall, Associated Octel, and Section 40 reverse burden demonstrate proportionality, competence, and evidential limits.

Practical Outcome: Where the operator is competent and the risk is typical for rural equipment, HSE prosecutions are less likely to succeed, aligning with the Monmouthshire acquittal. 

There is a foot note to this and it is the experience and tencity or lack of when it comes to investigation and legal review in the HSE.  Some larger high profile case get very experienced inspectors and legal advisors, some do not. Not sure who said this but 'experience is simply the name we give our mistakes'

Sistine Chapel Paint - I believe the untramarine he used was sourced from Afganistan, the rest from around Italy and Spain...wasn't the Forest of Dean more akin to timber and iron production in the day?

peter gotch  
#3 Posted : 26 October 2025 15:43:54(UTC)
Rank: Super forum user
peter gotch

Hi Steve

Completely off topic so, perhaps should be in the "Social Forum" only available to IOSH Members but since you have commented on my reference to the paint used in the Sistine Chapel....

It appears, that a so called Urban Myth (sorry Rural Myth) was promulgated by BBC Countryfile circa 2010 and immediately debunked by a retired local art teacher from the Forest of Dean area.

The real facts | theforestreview.co.uk

Which suggests that your idea that some of the paint might have come from Afghanistan is correct.

As for the prosecution I think you have summed up fairly neatly what might have happened in the decision to proceed and what defence arguments might not have been properly considered. 

If HSE are to learn, my messages would be:

1. Ditch reliance on Edwards v NCB.

2. Recognise that Section 40 imposes a reverse burden of proof on the defendant to prove on the balance of probabilities that they had done all that was reasonably practicable, but stop relying on that and include in the proscution case examples of what the prosecution might think WERE reasonably practicable measures. AND if the prosecution (even with the benefit of hindsight!) can't put forward practical (that word used deliberately) ideas of what the defendant might have done, then perhaps time to say stop.

HSE never used to work on the assumption that just because there is e.g. a dead body then inevitably it is in the public interest that either the victim themself should be held to blame OR somebody MUST be prosecuted. 

In the worst week of my time with HSE, on the Monday I completed what I thought necessary for the investigaiton of the previous week's fatality, on the Tuesday I dealt with the fatal accident the day before and on the Wednesday afternoon I started investigating a NON-fatal accident investigation, continuing (but far from finishing) the following day. Friday morning some other investigation and in the afternoon it was looking into why a tripod had fallen off a roof. 

Only one of these continued through to prosecution - the one with the scaffolder falling through a roof light. Prosecution of Client, Main Contractor and Scaffolding subbie. Very time consuming to collect all the evidence needed to make a case that would withstand a robust defence (particularly in terms of the Client). [Years before "CDM"].

I could have made a case to proceed with a prosecution in relation the the fatality the previous week, but we concluded that, on balance, it would not be helpful. For multiple reasons the Monday incident was never going anywhere other than a Fatal Accident Inquiry. 

Perhaps you are right that HSE is more diligent with some cases than others, perhaps if better attuned to the prospect that a big Corporation is more likely to hire the right people to mount a sound defence than those in a family run micro business, but I really don't think that it is appropriate for a regulator to pick and choose when to do the job properly and when to take short cuts!

....and, in practice, that micro business, if it has the right insurance cover in place, SHOULD be able to get the right legal advice, expert witnesses etc as the big Corporation, or at least nearly as "right" with the main difference being that the big Corporation can afford for any case to drag on for much longer as the wheels of justice grind ever slower.

Edited by user 26 October 2025 15:47:08(UTC)  | Reason: Forum gremlin!

thanks 1 user thanked peter gotch for this useful post.
stevedm on 27/10/2025(UTC)
Acorns  
#4 Posted : 27 October 2025 08:54:36(UTC)
Rank: Super forum user
Acorns

Perhaps it only applies to the published HSE prosecution outcomes, but Peter's final comment

" the usual narrative where the defendant pleads guilty even if they are not that sure they really are."  Struck a chord. They seem to take a disproportionate amount of time to close a case that typically ends with a guilty plea, often where the case and issues are fairly basic, and I often wonder if the defendants only pleaded in exasperation.   how their cases are managed bot in terms of pursuing a case and its duration really is due for some close scrutiny, otherwise the threat of being prosecuted is only a deterrent due to its unending time it takes rather than the court outcome. 

thanks 2 users thanked Acorns for this useful post.
peter gotch on 27/10/2025(UTC), stevedm on 27/10/2025(UTC)
A Kurdziel  
#5 Posted : 27 October 2025 10:23:44(UTC)
Rank: Super forum user
A Kurdziel

You can also mention Roles v Nathan [1963] 1 WLR 1117. That is the case where a chimney sweep decided to fix a flue while the boiler was still running. Not surprisingly he died of carbon monoxide poisoning. The owner of the premises warned the chimney sweep that the boiler was still running but the sweep said it was ok. The occupier of the premises was sued under Occupiers Liability and  was initially found liable, so he appealed and the Court of Appeal, led by Lord Denning rules that  there was no liability. In the words of the Master of the Rolls: “An occupier can reasonably expect a skilled labourer to guard against risks associated with his profession” ie the occupier cannot be expected to be an expert in all aspects of their undertaking and can expect competent contractors  to know what they are doing.

More recently ( that was in 1960) and floor collapsed at the Liverpool John More University, burying several workers in wet concrete. The contractors were prosecuted by the HSE but there was no question  of prosecuting the client, the University because what did they know about laying a concrete floor?

Was this prosecution by the HSE or was it by some local council?

   

thanks 2 users thanked A Kurdziel for this useful post.
peter gotch on 27/10/2025(UTC), stevedm on 27/10/2025(UTC)
peter gotch  
#6 Posted : 27 October 2025 13:09:57(UTC)
Rank: Super forum user
peter gotch

Hi Acorns

To be fair the entirety of the wheels of justice has been grinding to a halt.

However, even before the overall Courts system started to creak with an acceleration during Covid, HSE (and the Crown Office acting on their behalf) seemed to be taking ever longer to bring a case to Court.

I've been a defence witness in one so called Newton Hearing whose purpose is to work out "HOW guilty" where the civil legal action had been completed years before the criminal prosecution reached Court.

Hi AK

You ask a question that I had considered.

The BBC coverage doesn't answer the question but if the "main activity" is farming or similar then the enforcing authority should have been HSE.

Could be that there was a farm shop which had, in effect, overtaken the farm as the "main activity" - in that case the local Council should have been the enforcing authority - in which case, still no surprise that they would rely on HSE for an expert witness.  Rather doubt that this person was as "expert" in relation to the subject matter of the case as the prosecution would present them as. 

When I joined HSE, its constituent parts included what had been HM Agricultural Inspectorate, but AgI hadn't been fully integrated into the organisation so, as example we had in our Area, eight "Industry Groups" mostly staffed by those previously employed by HM Factory Inspectorate and ONE "Industry Group" dealing with Agriculture, Fishing and Forestry. At that time ALL the staff were ex HM Agriculture Inspectorate and mostly invariably from farming etc backgrounds so perhaps less likely to challenge "custom and practice" than someone going in without the same preconceptions.

Times have changed and as I understand it HSE now treats Agriculture etc just like any other sector, so HSE Inspectors from any background can find themselves looking at what happens on farms etc. There are advantages and disadvantages in sending in someone who is ignorant of a sector and I suspect on this case the disadvantages were more to the fore.

If you try to treat a farming business with two bosses the same way as you do a huge corporation running a factory with 1000 workers, it probably won't work out well. However that applies equally to dealing with a family run engineering factory with five staff.

There were good reasons why Parliament decided that the Minister could make exceptions for small businesses!!

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