THE MOON AND THE TORONTO TRANSIT COMMISSION
CASA LOMA/RUSSELL HILL SUBWAY ACCIDENT AUGUST 11th 1995
INQUEST DAY
TWENTYFIVE - Thursday 29th February 1996
THE END IS IN SIGHT
This morning there was a very formal
lectern installed in front of the jury box so that counsel could stand and
address the jury during their summations. The courtroom was certainly emptier
than it has been. Huddled in a small group were some dark skinned and Asian
people, members of the families of the deceased. Ms. Szabo's brother was there
as was Mr. Robert Jeffrey. The rest of the court - public, media, jury,
counsel, coroner are all Anglo-Saxon/European and, with a couple of exceptions,
all male. It has been one of the stark contrasts of this Inquest.
There have been 25 days of testimony,
35 witnesses and over 100 exhibits.
The summations were started by Mr.
Birenbaum, the lawyer for the family of Christina Munar Reyes. He told the jury
the course of the Inquest changed during the last two months concentrating
latterly on the finances of the TTC. He wanted to stress safety during his
summation.
In Mr. Birenbaum's opinion, the
subway was not safe on August 11th, 1995 and he urged the jury to examine the
question of safety. He described the TTC as complacent and smug. They have been
used to back slapping peers and a lot of self back slapping which has caused
this complacency and smuggness.
He recommended that a simulator be
used in training and that the training testing should be tightened up. He said
that new drivers should not be let out alone until they felt comfortable with
the system.
Mr. Birenbaum said the signal system
is anti intuitive and that red means stop. He suggested the jury not be
concerned with costs when considering safety problems. There is plenty of money
available (where???).
Mr. Gomberg (Kinga Klara Szabo)
thanked everyone he could think of and he said the system wasn't safe on August
11th as well. He urged the jury not to make a lot of recommendations as the
good ones would get lost in the crowd. He criticized Mr. Leach's political
non-commitment stance and accused the politicians of intruding into life and
death. He argued for the trip arm behind the train being up. He asked the jury
to recommend that the current 68% funding from the fare box not be allowed to
climb up into the 70's as had been suggested by some of the provincial
witnesses. This, he said, would have a disastrous effect on safety.
He recommended that the jury support
a new Transit Control Centre, a collision avoidance system, overhaul of
training by the academics in the city, all trip cocks be activated on the
trains, elimination of the lunar white, better communications and an outside
monitoring agency with clout. He thanked the jury for their civic duty.
Mr. Kemp (Xian Hui Lin) also thanked
lots of people. He reviewed Mrs. Lin's death due to loss of blood and
recommended that when extrication of injured people is complicated, a doctor
should be called and a chart should be kept of the vital signs of trapped
people.
Mr. Falzone (Robert Jeffrey and Local
113 of the Amalgamated Transit Union) suggested this whole process has
humanized the TTC and the public has been well served by it. In his opinion a
rigorous public review of this sort when required is much better than any
standing review. (I agree.)
Mr. Falzone suggested that there was
an over reliance on the fail safe properties of the system and this caused the
accident (complacency??). Any recommendations the jury makes should be on the
basis that nothing has happened since the accident despite any evidence to the
contrary (like a few train stop modifications). He suggested that the track
should be fixed so that signal violations are signal violations and not due to
track circuit problems. He suggested the creation of a safety auditing
function. He described himself and his fellow lawyers as seven litigious
lawyers who have changed and improved enormously during this process.
Mr. Baldwin (Department of Ambulance
Services) reminded the jury of Dr. McCallum's evidence about the death of Mrs.
Lin from loss of blood. He then shot down in flames both of Mr. Kemp's
recommendations. He had much praise for the heroes of the Ambulance, Fire and Police
departments.
Ms. Mendelssohn (Fire Department)
wants the communication system improved so that the external agencies (to the
TTC) can have direct communication with their agencies without going through
Transit Control.
Mr. Leck was most profuse with his
thanks, especially to the police for their involvement in the investigation
afterwards. He said that to characterize the signal system equipment as junk
was not appropriate and not true. With consultants reports still streaming in,
some dated as late as last week, he advised the jury to take all of the
consultants' reports with a grain of salt. After all, they are only after more
consultative work - how true !! Mr. Leck also advised the jury that there were
over two hundred recommendations of various sorts in the documentation they
have and he echoed Mr. Gomberg in advising the jury to keep the list short. He
handed them a list of four basic recommendations - get the funding fixed, an
outside auditor (such as APTA, NTSB(US) and Transport Canada), Signal System
review and more disaster simulations with the other Metro Agencies.
Mr. Punter thanked everyone
especially The Punter Youth who he named by their Christian names. He described
the process we have experienced over the last two months and even mentioned
"unexploded ammunition" to guffaws in the court!! He believes this
forum has produced a more rounded analysis than any other forum. Even to
letting members of the public have their say.
In compliance with the Coroners Act
he described in detail for the jury's benefit, using Dr. Deck's pathological
evidence, the actual causes of the three ladies deaths. He ascribed the
accident to human error on many levels over a long period of time. He suggested
that the jury's recommendations be very carefully crafted and unambiguous. He
reiterated some of the recommendations already made and added one we had not
heard before. He advised the jury to recommend that the Chief Coroner call a
public conference a year from now to report on the accomplishments made by then
in improving the TTC.
Dr. Huxter looked at his watch (it
was about 3:30 p.m.) and then said he had never given a jury charge on a Leap
Day and he wasn't about to start now (more guffaws) and he adjourned till 9:30
a.m. tomorrow.
No comments today - time for
reflection!!
Dave Irwin -
29th February 1996
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