cononeR's count OF BAisH COLUM cone s1- 164-0023 ts, fa talons te = VERDICT OF CORONER’S INQUEST Su 65 10 Te Dente Of Seca) ELITE LEE ‘dines 1624 Oakland Avenue, Vietorta, Brittsh Columbia V8T 2.2 1WE, THE JURY, having bers sore and svg 2 teagneato he thf the shove sare oeibe Oth 14243 and BRE hprivmay 191 pant er ae ae 20 se wD ri Native O Devstts: Decemer 6th 1979 fx puetDa: February 20, 1991 reel on: Sevan of the Pacific terete eben 1580 and 2546 hrs. renee SRE, BS METS ose an february 20 161 tee ryreotprenee: —Oceanariun (40° the whale’ poo!) baaal rol Eee ‘Sdeatifcarion Method. iowa I Other: eauied ys Coworkers and by Sealand Manager Al Bolz [MEDICAL CAUSE OF DEATH. cote () tet Cause of Deaths f@ Drowning DURTO et wa coseqence of Anectent Cuse, i aay, gee ©) Forced subnersion by ores (killer) wheTos fi totke mate cca ashore ‘DUE TO or a emseene of Sing the noi ce ac, @ Falling into the whate poo ©) Otter Siesta Matt Cases ‘Combing to Deh: AY WRAT MEANS: See Page Two ‘Classification: ‘Necural QO Homicide Qa “HE sKORS David Dut tus. —Hichael doyle ore 2. Pakenham —____ “WUSVERDICT ascevaltyme, Dianne Messier Cerone fou bs Cumbia tot Ney 6th 3 iss 26 AL Dianne Messier ORIGINAL TO REGIONAL CORONER 6thcme, 25 av 0023 ‘CORONER'S COUAT OF BRITISH COLUME =’ FINDINGS and RECOMMENDATIONS a a RESULT of the INOUEST Ina he Den Ot KATIE LEE 2BXMHAT MEANS: Keltie Lee Byrne died as the result ef an decident on February 20th, 1981. After conducting @ whale show at 1205 hes., = "play" session vas initiated by the trainers at the vhale pool. After, Me Byrne picked up her coolers, used for carrying fish, and proceeded along the east side of the inner walkway of the whale pool. Por reasons undetermined, she fell into the whale pool at approximately 1320 hrs. and while attempting to get out tho wnaies intervened moving her avay from the pool's edge. Rescue attempts with safety equipment by fellow statt nenbers were thyarted by the whales. over the course of the next ten minutes (approxinat peatedly for ly Me Byzne vas submerged varying Intervals. After this perio#, Ms Byrne appeared to be enconsclous, Attempts by trainers to bring the whales under control ware unsuccessti although for brief periods one oz more whales appeared to respond to etationing cues, used to still the whales. Perthermore, distraction attempts were alo bnsucceseful, Concurrent rescue attempts, including the ose of a large net to separate the whales from the victim and the use of @ reaching pole and liteboey failed. Following chat, the net was then weignted and used to drag the pool te recover the hogy of Me Byrne. Ms Byrne was renoved from the vater 1535 ars. using the aforementionea net - no Life signs were evident. to resuscitation attempts vere mide and the body vas removed from the scene at approximately 1630 hes age 2et Ih ORIGINAL TO REGIONAL CORONERcurs 91164-0023 CORONER'S COURT OF BRITISH COLUM: FINDINGS and RECOMMENDATIONS as 9 RESULT of the INQUEST ve The Dest oF ANE ) Cremer — RECOMMENDATIONS OF THE JURY: 70: Workers‘ Compensation Board of British Columbia (WCB) 6951 Westmineter Highway Richmond, British Columbia | vie 106 1) The Workexe! Compensation Board (WCD) create a specific category for the type of activity conducted at Sealand ana | other similar businesses and develop safety standards accordingly. 2) The Workers’ compensation Hoar (WCE) develop 2 | comprehensive and regular inspection program to cover all aspects of workplace and activities at sealané. > complete record of the inspection will be filed by the inspector 2) the Workers’ Conpensation Rosra (WCB) shall éizect the | Application for Compensation ané Report of Industry or Industrial Disease (Form 6) and the Eeployer's Report of Injury of Industrial Disease (Form 7} and the Physician's Report Form to the Occupational Wealth and Safety Officer for ascesenent { race ot th ORIGINAL TO REGIONAL CORONERcarne YAeabs-0028 ‘CORONER'S COURT OF BRITISH COLUT near oe FINDINGS and RECOMMENDATIONS as a RESULT af the INQUEST noe Dein (oe KELTIE Lie SF fo: Sendand of the Pacific Lta 1327 Beach Drive Victoria, Britisn columbia vas ous 4) At least one statt person be actively nonttering safety in and around the pool azeas while the general public is in the area. This person shat not have other duties which could Interfere with an immediate response te a breacn of sate practice by the general public or Sacland state 5) Sealand shall develop 2 system to quickly and securely Ssolate one or more whales in the main pool. 6) Sealand comnentaries shall include safety messages for the public regarding ation of platform and security around safety barriers. 7) Public safety signe shouté warn of sudden deck movement. 8) Sealand should consider translating safety signs inte the Languages of their major clientele 9) Sealend shall install additional svitches, in strategic locations, to trigger the emergency alarm syst 20) Geedend shall install two 1ife-ines around the inner periphery of the whale pool. It should be fixed at regular intervals, and placed at the poolside upper edse of the inner wall and at the lower edge of the inner wall, at, oz Jast below, the water level, This is to provide hand and foot holds in order to ease the exit from the Pood. 4 Page Br Ml ORIGINAL TO REGIONAL CORONEReave 9u-104-0023, (CORONER'S COURT OF BRITISH COLE FINDINGS and RECOMMENDATIONS as » RESULT of the INQUEST BYRNE eltie Lee a a3) 4a) 16 an Seaiend shall consider the use of soft, throwing devices with floating, tangle-free line. Sealand stazt shall wear a personal flotation device (P.¥.0.) in the impediate pool azea (on stage or inside the guaré rail). Consideration should be given to a type of device with a combination, inherent buoyancy (i.e. foam) and inflatable buoyancy. ALI aninal division stafé shall receive Life-saving training tos winimam of Royal Life Saving Society of Canada (RLSSC), Bronze Medallion avard or higher ALI animal division staft shall take part, in all aspects, of realistic rescue simulations in the whale pool. ALI animal division staff shall have safety orientation teataing, distinct from on-the-sob training. All safety and training information will be in writing and Aistribatea to ali stats. Containment ef vhales in the ‘module’ should be limites to veterinazy and huskandry functions only. separation of the whales for behavioural reasons chovld be accomplished using partition(s) in the main pool. pase Hott! ORIGINAL TO REGIONAL CORONER