MAEZ insight

Your Duty Of Care

A three-year-old boy, who was under the duty of care of Goodstart Early Learning, was found dead inside a minibus that was parked outside the Hambledon State School in the southern Cairns suburb of Edmonton on Tuesday 25th Feb 2020. No reasonable person gets out of bed in the morning with a thought to bring harm to som

Transport operator reviewing fleet compliance records in an Australian control room
Operators

Daily fleet activity has to connect back to duties, controls, and review.

Executive team reviewing transport risk and Chain of Responsibility assurance data
Executives

Due diligence means knowing whether the safety system is actually working.

Australian consignor reviewing freight documents and Chain of Responsibility controls
Consignors

Proof that freight promises do not create unsafe transport pressure.

Loader in hi-vis PPE checking freight and load restraint in an Australian depot
Loaders

Loading controls need evidence, not assumptions.

Consignors

Role-based Chain of Responsibility controls, evidence, and SMS expectations.

Consignees

Role-based Chain of Responsibility controls, evidence, and SMS expectations.

Loaders

Role-based Chain of Responsibility controls, evidence, and SMS expectations.

Managers

Role-based Chain of Responsibility controls, evidence, and SMS expectations.

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Legacy visuals preserved for this page

MAEZ legacy graphic: duty of care 1
MAEZ legacy graphic: duty of care 1
MAEZ legacy graphic: duty of care 1
MAEZ legacy graphic: duty of care 1
MAEZ legacy graphic: duty of care 1
MAEZ legacy graphic: duty of care 1
MAEZ legacy graphic: duty of care 1
MAEZ legacy graphic: Michael Glen Lewis 1
MAEZ legacy graphic: Dionne Grills 1

Your Duty Of Care

CASE STUDY: Goodstart Early Learning A three-year-old boy, who was under the duty of care of Goodstart Early Learning, was found dead inside a minibus that was parked outside the Hambledon State School in the southern Cairns suburb of Edmonton on Tuesday 25th Feb 2020. The minibus was allegedly operated by Goodstart Early Learning. Background Those allegedly involved used small minibuses to pick up and drop off young children who attended the Goodstart Early Learning centre in Cairns, with the young children under their duty of care. The small bus was allegedly driven by a company employee and centre manager Michael Glen Lewis and escorted by casual employee Dionne Grills. After picking up the small three-year-old child, the duo returned to the Goodstart Early Learning centre but allegedly forgot to remove the child from the rear of the bus, sitting two rows back from the driver and front passenger seats. The minibus was then driven across town, allegedly by Michael Glen Lewis, to attend meetings until 3:16 pm that same afternoon, where the young boy was found unresponsive. Any parent would find the background notes very disturbing indeed. To ascertain, your beloved child was ‘forgotten’ by a group of people charged with their duty of care is quite clearly incomprehensible. It was a sad day for many, especially the boy’s parents and extended family. Michael Glen Lewis Dionne Grills Since that incident, the driver and supervising passenger have both been charged with Manslaughter, the CEO of Goodstart Early Learning; Julia Davidson has apologised to the victims family and attempted to make amends for the tragedy that unfolded on the 25th of February, as it was a clear lapse of judgement by the duo, while the child was under their duty of care. What is also clear, by comments made by the CEO, Julia Davidson, is that cursory checks have been put aside for a more robust approach to ensuring child safety to and from all of the Goodstart Early Learning centers. Through previous comments made by the organisation’s CEO. We know that the centre had policies and procedures around safeguarding children’s welfare in the care and control of Goodstart Early Learning. But it was enough to stop such a terrible incident from occurring. Since this incident, a manual check of the entire bus is required, and a photograph of the inside of the bus taken and uploaded to the organisation’s Health and Safety team. Along with a supervisor, also known as a ‘checker’, is required to sit at the rear of the bus at all times to ensure the children in view are safe at all times. As was noted in the court proceedings following on from the incident, there were rigorous policies and procedures around bus transport in place at the time of the incident to ensure the duty of care for all children who attended the Goodstart Early Learning centre. It did not, though, stop the incident from taking place. Nor did the rigorous training, allegedly undertaken by the manager in charge and minibus driver, Michael Glen Lewis. What Does This Mean? Quite simply, it may mean that the risk assessment formally in place did not require a person to, Sit at the rear of the vehicle to ‘monitor’ the passengers in the care of Goodstart, Take photographic evidence as an audit measure of each and every minibus trip that had been undertaken, and ‘Sweep’ the vehicle as it returns to ensure no one is left behind on the minibus. Or that the training and periodical assessment or audits of the processes in place were inadequate. As a result, the likelihood that further corporate charges will be laid is extremely high. After the incident, the language used by the CEO is that of ‘bewildering’ and ensuring the ‘strengthening’ of due process will remain. But the fact remains that gaps existed, a life was lost, and tasks have been employed to now “Ensure” this doesn’t happen again. Will it be proven that there was a weakness in the safety system provided? Then the question will always remain in how did the incident occur? Given the “rigorous policies and procedures around bus transport” that were in place at the time of the incident. In our view, this will ensure that the measures employed initially by Goodstart Early Learning will be placed under a microscope by the authorities. MAEZ has helped dozens of businesses identify and remove risks from their business, not yet exposed by senior practitioners within the organisations we have assisted. Risks can have adverse effects in many ways, and they can cause regulatory involvement or Police involvement, as in this case. They can bring on criminal charges, as with this incident discussed in this post. Significant incidents can also raise community awareness of malpractice and risky or unsavory behavior by the businesses involved, which ultimately can have a detrimental impact on those businesses trading moving forward. Waiting to see what may happen with a pending NHVR prosecution or shifting responsibility onto others in your organisation may, in fact, prove detrimental to you and your organisation if an incident occurs and someone loses their life. Risks are everywhere, and my biggest question to any Supply Chain professional is this; Do you honestly understand the gaps in your entire Supply Chain? If not, what is it worth to you? The corporate derivative liability is where an Executive knew or ought reasonably to have known of the conduct constituting an offence, or that there was a substantial risk that the offence would be committed. You can read more on Corporate Derivative Liability Here .

How this connects to MAEZ now

MAEZ helps Australian businesses turn Chain of Responsibility, HVNL, WHS, transport safety, and chartered risk obligations into practical training, advisory, audit, and implementation pathways. Where software is the right next step, CoRGuard at chainresponsibility.au supports the evidence workflow.

Operational message set

Find the gaps. Fix the system. Prove the controls.

MAEZ helps transport operators deal with the compliance risk they already know is there. We help get the Safety Management System in order, protect NHVAS accreditation, reduce fine exposure, and connect training, evidence, and CoRGuard workflows where software is needed.

Find

Identify what is exposed before an auditor or regulator does.

Fix

Build the SMS controls around how the transport business actually runs.

Prove

Use CoRGuard where records, reminders, diaries, audits, and evidence need structure.

Evidence path

From MAEZ advice to a working Safety Management System

Advisory work should leave a practical implementation trail. These examples show how CoRGuard supports records, fatigue and driver diary checks, maintenance, audits, document control, inductions, corrective actions, and evidence review after MAEZ identifies the gaps.

CoRGuard induction completion records for Safety Management System evidence

Training records

Connect training completion from cortraining.com.au to evidence and follow-up.

CoRGuard driver work diary trips register for fatigue review

Driver diary checks

Connect fatigue and driver diary review back to manager visibility.

CoRGuard corrective action monitoring dashboard

Corrective actions

Turn audit findings, hazards and incidents into tracked actions.

Frequently asked questions

Questions people ask about this topic

What is the purpose of Your Duty Of Care?

A three-year-old boy, who was under the duty of care of Goodstart Early Learning, was found dead inside a minibus that was parked outside the Hambledon State School in the southern Cairns suburb of Edmonton on Tuesday 25th Feb 2020. No reasonable person gets out of bed in the morning with a thought to bring harm to som

Who should read this page?

This page is useful for owner-operators, transport managers, executives, consignors, consignees, loaders, schedulers, contractors, and anyone who influences a heavy vehicle transport task.

What does MAEZ help transport businesses fix?

MAEZ helps Australian transport and supply-chain businesses identify Chain of Responsibility, HVNL, WHS, NHVAS, training, audit, document-control, and Safety Management System gaps, then turn those gaps into practical controls and evidence.

Is Chain of Responsibility training handled on this website?

MAEZ provides the advisory and risk pathway, but Chain of Responsibility training is delivered through cortraining.com.au. Where software is needed, CoRGuard supports the Safety Management System evidence workflow.

How does CoRGuard fit with MAEZ consulting?

MAEZ helps define the risk, obligations, controls, and implementation pathway. CoRGuard is the SaaS Safety Management System platform used when the business needs structured records, reminders, audits, maintenance, driver diary checks, inductions, corrective actions, and evidence reporting.