Bronson Rhodes' death was a "perfect storm" of events and a reminder of just how quickly a person can drown.
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The 14-year-old Wauchope High School student went missing while swimming with two friends at Port Macquarie's Flynns Beach on December 16, 2017.
Magistrate Price made eight recommendations in handing down the results of the inquest in the Port Macquarie Coroner's Court on Friday, September 13, that will have far-reaching impacts on surf life saving practices across the state.
Surf Life Saving NSW and Port Macquarie Surf Life Saving Club have already addressed some of those recommendations, the magistrate noted.
Magistrate Price's four recommendations to the state body included:
- That a policy be developed and implemented that appropriately qualified and experienced persons be designated as an observer in an observation tower,
- Additional ongoing surveillance training be provided for members in the observation tower,
- Research be undertaken into the viability and reliability into the use of drones to deliver flotation devices, and
- Using the findings of this inquest to brief patrol members across NSW prior to the start of the 2019/20 patrolling season.
The four recommendations specific to the Port Macquarie Surf Life Saving Club were:
- That board cradles be used to hold boards, radios, tubes and other relevant rescue gear and be readily available at the water's edge,
- That IRB drivers and crew ensure that appropriately sized life jackets be located near the IRB at the start of the patrol,
- Members be reminded of the need for vigilance and for the avoidance of distractions while on patrol, and
- Members be reminded about the importance of ongoing and appropriate communications.
Bronson's mum Rachel was broadly supportive of the recommendations but said the impact (of the recommendations) could have gone a little further.
"I would have liked to have seen a little bit more instruction around specific training, the age and experience of surf club members (placed in the observation tower)," she said.
"But apart from that, I am happy most of the recommendations were handed down. I am also happy that the Port Macquarie surf club is placing a memorial board for Bronson at the beach. And thank you to everyone involved in the search effort and the entire community for their support," she added.
Magistrate Price said it was clear that it is not one single factor that resulted in the death of Bronson.
"Rather it appears to be a combination of factors that created a perfect storm of conditions where Bronson was unable to be saved and his body unable to be recovered," the magistrate said.
"What is clear from the evidence is how quickly a person can drown.It is a reminder to those involved in surf life saving services that vigilance and communication are paramount."
Surf Life Saving NSW CEO Steve Pearce said the findings were not just relevant to Port Macquarie Surf Club.
"We intend to push these recommendations out right across the state," he said.