X Miscellaneous Matters
(a) The solicitor for the Cook family submitted
that I should find it reasonable for inquiry to be made into assessing
whether it would be both cost-effective and viable to have a ground
proximity warning radar system fitted in RAF Chinook helicopters.
I can see that there could be advantages in such a system being
fitted. But there was so little evidence upon this particular
subject that I do not think that it would be appropriate for me
to comment further upon the matter.
(b) Counsel for the Tapper family in his
submissions drew attention to the fact (which was touched upon
briefly during the procedural hearing on 18 December 1995) that
two senior RAF officers had expressed the opinion in commenting
upon the findings of the Board of Inquiry that there had been
gross negligence on the part of both Flt Lt Tapper and Flt Lt
Cook notwithstanding that that had not been the conclusion of
the Board of Inquiry. He submitted that I should reject any suggestion
that either Flt Lt Tapper or Flt Lt Cook had been negligent as
being unsupported by the available evidence. The solicitor for
the Cook family similarly invited me to find that Flt Lt Cook
in particular had not contributed to the accident either by act
or omission. In response to these submissions counsel for the
Ministry of Defence argued, rightly in my opinion, that it was
no part of this court's function under the Act to make findings
of negligence or the absence of negligence. Furthermore, he made
it clear that it was no part of his submission as to the cause
of the accident to apportion responsibility among individual members
of the crew and that, in referring to the crew, he did so without
imputing personal responsibility to any one or more individuals.
In the event it has not been established to my satisfaction that
the cause of the accident was that found by the Board of Inquiry
and it would not be appropriate for me to comment further upon
what others may or may not have said on the matter.
(c) It may be of assistance if I were to
say a word about the appointment of an assessor in a case of this
kind. The assessor's function has been rightly stated in Carmichael:
Sudden Deaths and Fatal Accident Inquiries (2nd Edn) at paragraph
3.45 as follows: "The assessor's role, therefore, will be
to explain and interpret to the sheriff matters of technical difficulty
and complexity in relation to, for example, any manufacturing
or other industrial process; or the intricacies of medical, surgical,
physiological, biochemical, pathological or other scientific matters
of complexity which it is anticipated may arise in the course
of an inquiry under the Act. He should not express opinions on
the subject-matter of the inquiry in respect of which it is for
the sheriff to make up his mind and eventually to issue a determination
in terms of section 6(1) of the Act". Nor is it any part
of the assessor's duty to give evidence to the sheriff in private
about basic factual matters upon which the sheriff's determination
is to be based and which ought to be brought out in evidence in
open court. In the present case a motion was made at the procedural
hearing for the appointment of an assessor by the solicitor for
the Cook family supported by counsel for the Tapper family. The
advocate depute indicated that the Crown's position was that it
was not perceived that the material which would be placed before
the court would be so incomprehensible that an assessor would
be necessary. Since neither the solicitor for the Cook family
nor counsel for the Tapper family were able to state at that stage
that there was any particular area of evidence which it was thought
would be so complicated that the appointment of an assessor would
be necessary or that there were any particular areas of dispute
on technical matters, I decided to refuse the motion for the appointment
of an assessor.
With the benefit of hindsight, and knowing what
I do now about the design, construction and operation of Chinook
helicopters, I am in no doubt that the appointment of an assessor
was unnecessary in this case. But I have to say that my task in
acquiring this knowledge was not made any easier by the manner
in which the evidence was presented by the Crown to the inquiry.
For example, it may be thought rather odd to have expected the
court to understand two and half days of very detailed technical
evidence from Mr Cable in examination in chief about his investigation
of the wreckage of ZD576 before any evidence had been led to demonstrate
clearly what a Chinook MkII helicopter was meant to look like,
and how it was meant to work, when it was entire. Indeed, it was
only just before lunch on the ninth day of the inquiry that questions
were for the first time asked of Mr Cable in cross-examination
about how it is that a Chinook MkII helicopter can actually be
made to fly forwards, upwards, downwards and to the side through
the air. Likewise, while there were among the productions for
the Crown in excess of sixty photographs of the wreckage of ZD576,
there were only six photographs of a complete Chinook MkII helicopter.
Of these, two were of the exterior of the aircraft taken from
about 30 yards diagonally from the front and rear, two were of
the cabin looking fore and aft respectively, one showed a general
view of the cockpit looking forward and taken from just in front
of the jump seat and the sixth showed a section of the canted
console between the two pilots' seats including the SuperTANS
and ADF and IFF units. In the general photograph of the cockpit
the cyclic sticks could be seen in broad outline and with a practised
eye the top of the right hand collective lever could just be discerned.
The AAIB Report contained a few diagrams, mainly of particular
components, which were of very little assistance in understanding
the basic design and construction of the aircraft (and this is
not intended as a criticism of Mr Cable), but otherwise there
were no diagrams at all to illustrate these matters notwithstanding
that I later discovered during my inspection of a Chinook helicopter
that the Aircrew Manual contained some easily understood diagrams
of, for example, the aircraft's engine transmission and flight
control systems. It is not to be expected that a sheriff coming
to an inquiry such as this will have even a rudimentary understanding
of the dynamics, control and operation of a helicopter in flight,
and it certainly would have been helpful to me, and I dare say
also to others present in court who knew as little as I did at
the outset about Chinook helicopters, to have spent perhaps an
hour or two, or even a morning, at an early stage in the inquiry
hearing evidence, supplemented by suitable visual aids, about
these matters. In this context I would heartily endorse the words
of Mr Carmichael where he writes at paragraph 5.63 of his book:
"The duty laid on the procurator fiscal of investigating
the circumstances of sudden, suspicious or unexplained deaths
in general, as well as deaths coming under s.1(1)(a) or the 1976
Act, is one of great importance. On him lies also the duty of
presenting the fruits of his investigations to the court in such
a manner that their import is as plain and clear as possible.
Anything less would be a denial of what is conceived to be the
intention of impartial public inquiry. To that end, the procurator
fiscal, and any other party leading evidence, should not scorn
the use of visual aids. Models, if obtainable, can be most helpful.
Diagrams, photographs, slides projected on a screen, and video
recordings, can be used with good effect. In some cases an overhead
projector with a supply of acetate sheets and the correct drawing
equipment may help a witness to illustrate his oral evidence.
The procurator fiscal is, by statute, the investigator and it
is for him primarily to probe the facts and present them, in the
public interest, to the court".
(d) I will not disguise the fact that I
learnt a great deal of what I know now of Chinook helicopters
during my inspection of one such helicopter which was brought
through the good offices of the RAF to Glasgow Airport at the
end of the third week of the inquiry. At the outset of the inquiry
I had hoped that it would not be necessary for me to inspect such
a helicopter, let alone go for a flight in one. But it became
increasingly apparent as time passed that I would have to do so
if I was to gain the understanding that I thought necessary to
a proper consideration of the issues in this case. I had hoped
during the flight to fly around the scene of the crash, or at
least over the sea and adjacent to high ground similar to that
found at the Mull of Kintyre. In the event the weather prevented
that and only a very short flight was possible in the immediate
vicinity of Glasgow Airport. But the flight, and my inspection
of the aircraft on the ground, were both very helpful and I should
like to place on record my gratitude to the captain and crew who
received me and answered all my questions with courtesy and patience.
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