R. v. Tam Ping Cheong and Another
Read the full judgment text of CACC 355/1995 on BabelCite. This Court of Appeal judgment was delivered on 12 June 1996.
1. Tam Ping-cheong, the 1st applicant, and Kwong Tim-yau, the 2nd applicant, faced a trial along with three other defendants. They were charged that on 2nd June 1993 they had, at Inland Lot No.7739, Java Road, North Point, in Hong Kong, unlawfully killed Fung Ka-hong.
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CACC000355/1995 IN THE COURT OF APPEAL 1995, No.355
------------------------------- Coram: Hon. Power, V.-P., Mortimer and Mayo, JJ.A. Dates of Hearing: 5 March and 4 June 1996 Date of Delivery of Judgment: 12 June 1996 ---------------------- J U D G M E N T ---------------------- Power, V.-P.(giving the judgment of the Court): 1. Tam Ping-cheong, the 1st applicant, and Kwong Tim-yau, the 2nd applicant, faced a trial along with three other defendants. They were charged that on 2nd June 1993 they had, at Inland Lot No.7739, Java Road, North Point, in Hong Kong, unlawfully killed Fung Ka-hong. 2. Just after tea break on that afternoon the passenger hoist, which was a Wickham P310 rack and pinion type, operating on a site where Aoki's Corporation were erecting a building for the Hong Kong and China Gas Company, was ascending with workmen returning to their working areas on upper floors. When the hoist reached the vicinity of the 20th floor, one or two of the four bolts securing the back-up roller plate or the retaining roller bracket to the gearbox suddenly snapped. As a consequence the hoist's driving pinion became disengaged from the rack and the hoist fell downwards. The emergency brake system, which should have come into operation at this time, failed and the hoist fell to the podium on the third floor. Eleven workers and one operator who were in the hoist at that time were all killed. 3. It was the prosecution case that the worn driving pinion of the hoist, which was not then checked as it should have been, was the primary cause of the accident which assumed tragic proportions because of a consequential failure of the emergency brake. The Crown contended that each of the applicants had been so negligent in the way in which they dealt with the hoist that each was criminally responsible for the death that followed its fall. 4. There was evidence that there was considerable wear in the teeth of the pinion where they engaged with the rack and that this placed strain on the pad supporting the pinion resulting in the pinion disengaging itself from the rack. 5. The 1st applicant was the site structural engineer and the site safety supervisor. It is of some importance that while he held a higher certificate in civil engineering, there was no evidence that he had undertaken any mechanical engineering studies or had had any training in that discipline. 6. The 2nd applicant held a registered permit as an electrical technician and worked as an electrical engineer with D & N Co. Ltd. who were responsible for the installation and maintenance of the lift. He had considerable experience as regards the installation, maintenance and repair of passenger hoists. He had been responsible for assembling the hoist before it was taken to the Java Road site and it was he who had conducted a drop test to ensure that it was operating properly. He had also, on two later occasions, the most important of which was 12th May 1993, been called to the site to repair the hoist. 7. It was the Crown case that the 1st applicant had been grossly negligent in the performance of his duty as site safety supervisor and that the second applicant had been similarly negligent when installing and maintaining the hoist. It was the Crown case that if the 1st applicant had competently undertaken his duties as required by the Construction Sites (Safety) Regulations, particularly Reg. 5 and 35, and the Factories and Industrial Undertakings (Safety Officers and Safety Supervisors) Regulations, particular Reg.16 and 17, he would have detected the defects in the pinion at an early stage and would then have taken steps which would have avoided the accident. The Crown contended, in short, that, whatever his training in mechanical engineering, once he accepted the duties of site safety supervisor, he had to carry out those duties with proper care. 8. The judge, when summing up the case against the 1st applicant, reminded the jury that his responsibilities as site safety supervisor were set out in Reg.17 of the Factories and Industrial Undertakings (Safety Officers and Safety Supervisors) Regulations. He pointed out that these required him to assist the safety officer in carrying out his duties and to assist the safety officer and the proprietor or contractor in promoting the safety and health of the persons employed on the site. His duties included, among other things, preparing and submitting to the safety officer a weekly report in Form 3 as set out in the schedule to the regulations. This form is, in effect, as the judge pointed out, the general safety check on the site and it includes a report on machinery such as passenger hoists. He indicated that it was also the responsibility of the 1st applicant to complete a Form 1 each week setting out that the hoist had been inspected and was in safe working order. This form was the primary responsibility of the contractor but the contractor had appointed the 1st applicant as the person to undertake that responsibility. The judge reminded the jury that the crux of this matter was whether the 1st applicant was in breach of his duty of care by doing or, perhaps more importantly, by not doing anything in carrying out that duty which clearly he ought to have done. He told the jury that, when considering this matter, they should take into account - (1) that the 1st applicant continued to sign Forms 1 and 3 right up to the time of the accident signifying that the hoist was in safe working condition when, according to the evidence, the hoist was running on a pinion which was far too worn to be safe and which was already manifesting signs of stress; (2) that after the extension of the mast, he failed to see to it that the hoist was again examined by a surveyor and to see that the hoist was not again used until it had been re-examined. The judge reminded the jury that the breach of duty had to be gross telling them that this involved
He reminded the jury that while the regulations did not determine the matter, they must be borne firmly in mind :
He reminded the jury that the 1st applicant was not charged with breaches of the regulations but with manslaughter and that such a charge
9. It was the argument of Mr. Griffiths, Q.C., with him Mr. Mayne, that when the conviction of the 1st applicant was examined against the background of all of the facts, this court must be left with a lurking doubt as to whether that conviction was safe and satisfactory. No complaint was made as to the directions given by the judge in his summing up, the appeal being based squarely upon the contention that when this court looked at the evidence in the round it must be left with the lurking doubt. 10. It was firstly contended that the 1st applicant was only a site safety supervisor who was clearly subordinate to the site safety officer who was required to be a qualified person and who was the principal safety officer on the site. The evidence was that the site safety officer was working on a part-time basis to earn a little extra money and was only, from time to time, briefly in attendance at the site. 11. The second matter upon which reliance was placed was the fact that the 1st applicant had no mechanical background. This, it was argued, did not disqualify him from being a site safety officer but clearly required him to rely upon others when it came to mechanical matters such as the mechanism of the hoist. It was pointed out in this regard that even if he had attempted a visual inspection of the hoist it is highly unlikely that he would have been able to detect anything wrong with it. He had, as have many people in their daily affairs, to rely upon the expertise of others which it is submitted he did. 12. It is the third submission that the 1st applicant relied upon D & N, the company responsible for maintenance of the hoist (at least until 24th May when the evidence indicated the responsibility of D & N to maintain the hoist came to an end) and was entitled to rely upon the expertise of that company when signing Form 1 and Form 3. It is pointed out further that even if D & N's responsibility did cease on 24th May the fact of the matter was that they sent personnel to the site after that date. 13. The fourth submission relies upon the reporting by the 1st applicant of the malfunctioning of the hoist to D & N on 12th May, 25th May and 1st June, the day before the accident. It is submitted that the 1st applicant was clearly relying, as he had to, upon the expertise of D & N in relation to the hoist. 14. We do not need to refer to the other points argued by Mr. Griffiths which for the most part involved criticism of those who appointed the 1st applicant as the site safety officer and of their failure to ascertain that he was properly instructed as to his duties in that regard. 15. The 1st applicant clearly relied upon the expertise of D & N. As soon as a malfunction was reported he sent for them. There is considerable force in the argument that, D & N having sent a technician to deal with the malfunction and the lift having recommenced operation, the 1st applicant was entitled to take the view that the lift was in proper working order. Having considered the evidence and bearing in mind that gross negligence had to be proved to establish guilt, as opposed to mere carelessness or inadvertence, we cannot help but be left with a lurking doubt as to the propriety of the conviction of the 1st applicant. That being so we allow the application, treat the hearing of the application as the hearing of the appeal and allow the appeal. 16. We turn now to the application of the 2nd applicant. 17. The 2nd applicant was the employee of D & N who were responsible for the assembly of the hoist and for the checking of its component parts before it was delivered to the site. He was also responsible for the conduct of the drop test of the emergency brake in the presence of the surveyor, and, on two occasions for the repair of the hoist. The judge rightly indicated to the jury that they may well consider that he had a duty of care to the users of the hoist. When outlining the evidence upon which the Crown relied against the 2nd applicant, the judge pointed particularly to the evidence that he had selected all of the parts of the hoist that went to the site, such as the motor and gearbox, including the pinion, and that he was the one who was supposed to ensure that all parts, including the emergency brake, were in working order. He told the jury that it was for them to decide as to the condition of the pinion when the 2nd applicant fitted it into the gearbox and as to the setting of the spring-pack and the emergency brake. He told the jury when considering whether or not the 2nd applicant had failed in his duty of care, they had to ask themselves whether the pinion he fitted ought not to have been fitted because it was too worn, whether the emergency brake was wrongly set and whether the drop test that he conducted was worthless as a test of the emergency brake. He told them also to consider what the 2nd applicant had done in response to reports that the lift was mal-functioning. 18. It was the prosecution case that whatever the 2nd applicant may have done prior to the installation he should have been alerted by the reports which he received of the need to look closely at the pinion and its engagement with the rack. 19. The judge told the jury that they must consider upon the evidence whether the 2nd applicant was responsible
He gave the same directions with regard to the regulations that he had given when dealing with the 1st applicant. 20. The evidence at trial was voluminous. Every aspect of the installation of the hoist and of its mechanical failure was examined in minute detail in evidence which came both from laymen and from experts. The judge directed the jury's mind to the pertinent facts of this evidence and reminded them in the clearest terms of the standard and onus of proof and of the type of negligence that had to be proved for a verdict of guilty manslaughter to be returned. It is almost always possible for counsel for an applicant to point to matters of evidence to which the judge did not refer. The test, however, is not whether the judge referred to every possible matter that might have told in a defendant's favour but whether he gave proper directions as to the law, and there is no suggestion that he did not, and whether his canvassing of the evidence was fair and even handed and was sufficient to bring to the mind of the jury the principal matters with which they had to concern themselves. 21. The case against the 2nd applicant set out to prove gross negligence either in his failure to conduct a proper drop test and consequentially to ensure that the emergency brake was properly adjusted and/or in his failure at one time or another to inspect the rack and pinion and to ensure that it was in proper working order. One of the principle grounds for urging that there had been a failure properly to inspect the rack and pinion arose out of an alleged failure properly to inspect it after a complaint made on 12th May. This complaint was reported in a diary kept by D & N.:
It appears, however, that the translation of the diary was not correct and this was corrected in a somewhat unusual way as can be seen from the following passage in the transcript of the examination in chief of PW16, Miss Tam Yuk-fung:
That this diary entry assumed considerable importance can be seen from the following passage which appears towards the beginning of the summing-up
The matter is referred to again at p.34 of the summing up where the judge said:
22. The judge referred to this again at p.138 when he said:
The judge returned at p.164 to the diary entry saying:
23. The judge said, when referring to the evidence of the second expert, that Mr. Eastop had agreed that the slipping of the hoist reported in mid May was consistent with the process of the separation of the pinion teeth from the rack having begun, and he also agreed that the D & N diary message of 12th May could be consistent with that also although he had more to say about that message. The judge went on to detail what more Mr. Eastop had said as follows:
24. It is plain from the above that the jury might well have come to the conclusion that anyone who ignored a message which said that the teeth of the rack were not reaching with the pinion might well be regarded, if he didn't inspect the rack and pinion, as being grossly negligent. Miss Toh, who appears for the 2nd applicant, complains, in Ground 2(d) that, when referring to the crucial phone message received by D & N staff on May 12th 1993, the learned trial judge said that it suggested that "there was a problem with the engagement of the rack and pinion" which did not accurately reflect the evidence. Whatever the validity of this criticism it seems to us clear that before the contents of the message could be used against the 2nd applicant, there would have to be evidence that the message had been passed on to him. Initially Miss Toh concentrated her attack upon the way in which the judge dealt with the contents of the diary entry submitting that his "interpretation of the May 12th call was crucial" and that he did not fairly deal with the words of the entry when saying it "suggested a problem". She submits that the judge's use of the word "problem" worked unfairly against the 2nd applicant as the words actually recorded were much more ambiguous. There may, however, as we have indicated, be a more fundamental objection to that evidence. In the passage to which we have already referred at p.682 the witness had said:
Mr. Plowman later in his examination returned to that answer and the following passage occurred:
She was, quite clearly, not able to say that she had passed on the message to the 2nd applicant. She was doing no more than saying what she would have told him if she had passed the message on. The summing up, however, proceeded upon the basis that the message either as recorded in the diary as originally translated or in the form of the translation eventually agreed upon in court was passed on to the 2nd applicant 25. As this court was concerned by this aspect of the matter the parties were recalled and allowed to make further submissions. Miss Toh sought to add a further ground of appeal as follows:
There being no objection from Mr. Reading the amendment was allowed. 26. Mr. Reading then submitted that the jury could properly have inferred from the entry read in its entirety that the message had been passed on to A2. He placed particular reliance upon the words:
27. We cannot agree. We do not consider that those words would allow any clear inference to be drawn that the words of the message had, as recorded, been passed on to A2. 28. Mr. Reading also relies upon the following answers in Ex.69 the cautioned statement of A2:
He submits that the answer to Question 5 establishes that A2 was fully aware of the nature of the complaint made on 12th May 1993 regarding the lift hoist. We cannot agree. It seems to us likely that A2 was making the statement after having been shown the diary. That this is a real likelihood is indicated by his use of the words "according to the record kept by the company". 29. However even if it might have been open to the jury to infer knowledge from the answers this was never left to them. The basis upon which the matter proceeded was that the message itself had been passed on to A2. If it had been left to the jury that they might infer knowledge a very careful direction would have been necessary. 30. It was not open to leave the matter to the jury on the basis upon which it was left, i.e. that there was direct evidence from Miss Tam that she passed on the message to A2. On the contrary the jury should have been told that there was no evidence from Miss Tam to establish that the message was passed on to the 2nd applicant. This was a serious misdirection of fact upon which, as we have shown above, considerable reliance was placed. The application must be allowed and the conviction must be quashed. 31. The appeal for the 2nd applicant must also be allowed.
Representation: Mr. John Reading and Ms. Crabtree (Crown Prosecutor) for the Respondent. Mr. John Griffdiths, Q.C. & Mr. Mayne instructed by Messrs. Pang, Tang, Wan and Choi for the 1st Applicant. Ms. Esther Toh assigned by D.L.A. for the 2nd Applicant. |