Fatality Prevention, Learning from the Past

Fatality Prevention, Learning from the Past

Preventing fatalities in the outdoors requires more than good intentions, it demands a deliberate, informed, and organisation-wide mindset. By learning from past incidents and applying proven principles, we can create safer experiences for all participants. This page provides insights into fatality prevention, to help educators build a Fatality Prevention Mindset.

Explore the resources below to deepen your understanding, identify key risk factors, and contribute to a proactive safety culture in your school.

Coroner Reports

EONZ has made the following Coroner’s reports available to assist participants of the Fatality Prevention Workshops expand their knowledge base. The workshops discuss the principles of Fatality Prevention and the benefits of becoming familiar with past cases so that educators can learn from them and avoid repeating mistakes. The cases made available here supplement the workshops and should not be seen as the sole source of developing a Fatality Prevention Mindset.

Please note that these Coroner’s reports mention specific people and circumstances which have an ongoing impact on families and communities. Please be mindful that these cases contain material that some may find disturbing. If you choose to access these cases, please do so with an attitude of understanding and compassion for all involved and use them to build your understanding so that you can look to the future with vigilance.

New Zealand school-related outdoor fatalities Coroner’s reports 2000 - present

Date

Location

Activity

School/Provider

Fatalities

Coroner's Report

 

2000

 

Kauaeranga River

Swimming

Howick Intermediate

2 male students, aged 11

Download

 

2000

 

Waihao River

Swimming

Waimate HS

2 male students, aged 13 & 15

Download

 

2001

 

Clarence River

Canoe trip

Hanmer Springs School (Contracted provider)

2 female students, aged 12

Download

 

2001

 

Turoa Skifield

Skiing

John Paul College

1 male student, aged 13

Download

 

2004

 

Mt Somers

Rock climbing

Logan Park HS

1 male teacher

Letter only

 

2008

 

Mangatepopo Stream

Stream/Gorge Walking

Elim School, Sir Edmund Hillary Outdoor Pursuits Centre

7 total: 3 male students, 3 female students, 1 male teacher

Download

 

2010

 

Muriwai Beach

Geography Field Trip (knee-deep water)

Tangaroa College

1 male student, aged 18

Download

 

2012

 

Paritutu Rock

Traversing/Coastal Walk

Spotswood College, Taranaki Outdoor Pursuits and Education Centre

3 total: 2 male students (aged 17), 1 male instructor

Letter only

 

2020

 

Waihi Beach

Geography Field Trip (supervised swimming)

Melville High School

1 male student

Download

 

2020

 

Lake Rotoma

Snorkeling

Tarawera HS

1 male student, aged 16

Download

 

2023

 

Abbey Caves

Caving

Whangarei HS

1 male student, aged 15

Not available yet

Provider and School Shared Responsibilities

In the video Kate Malcolm, owner and director of Dive!Tutukaka, shares the lessons learned from a serious incident involving an event with a school. Kate talks about the importance of agreeing on the shared roles and responsibilites involved when external providers and schools run EOTC events together.