Investigation and inquest
On the 11th June 2014 I commenced an investigation into the death of Sgt Mark Colin Foley who was born on the 3rd August 1982. The investigation concluded at the end of the inquest on 1st May 2015. The conclusion of the inquest was that Mark died from
(1) Multiple injuries and his death was an accident
Circumstances of the death
On the 4th June 2014 at a local Army training area an RMWIK converted Land Rover was being driven by ████████. It went out of his control due to his inexperience in driving the vehicle. The deceased who was commander of the vehicle and a front seat passenger was ejected from the vehicle as it left the road he having not put on his safety harness. He landed in front of the vehicle which proceeded to roll over him causing the fatal multiple injuries. I concluded that the accident was caused by the inexperience of the driver and Sgt Foley’s death was caused by the failure to wear a safety harness. I concluded that Sgt Foley’s failure to wear a safety harness was as a result of a combination of a discretion to given to commanders of vehicles not to wear safety harness, a failure to enforce standing orders by senior officers requiring the wearing of safety harnesses.
Coroner’s concerns
1. Although the Army has taken action following a land accident prevention and investigation team report I was concerned although ████████ was qualified to drive the vehicle he had insufficient experience in encountering difficulties in controlling the vehicle.
2. Although standing orders had been in place following a previous similar accident there was a practice among commanders of vehicles not to wear safety harnesses and failure to enforce such standing orders by senior officers.