The wide-ranging inquest, which opened in June, has unveiled a “litany of problems” with some experts declaring the tragedy was an accident waiting to happen.
The malfunction was the third that day, and fifth in a week.
Police uncovered multiple incidents involving the ride in the past two rafts colliding in 2004, throwing a guest into the trough.
Despite recommendations for a single emergency stop, no single shutdown function was installed.
Queensland introduced new safety regulations for amusement rides including mandatory major inspections of rides by qualified engineers every 10 years and improved training for ride operators.
The state also tightened workplace health and safety prosecution laws.
‘The unspeakable happened on that day’
Queensland Premier Annastacia Palaszczuk said the findings would allow closure for those affected.
“Dreamworld was a place where everyone went and took their families and loved ones for a day of enjoyment and the unspeakable happened on that day,” Ms Palaszczuk told Today.
“I can still remember receiving the phone call from the police commissioner when he told me he believed four people tragically lost their lives.
“Not just that the paramedics, first responders, everyone on the scene, the witnesses, it has taken its toll on everybody and today the coroner will hand down its findings and hopefully everyone will have answers and hopefully everyone will have closure.”
Ms Palaszczuk said the government had already acted to improve safety on rides and in the workplace but would also follow the coroner’s recommendations.
“Unfortunately this is not a case unique to Queensland,” she said.
“It could have happened in any state or any country.
“Unfortunately it happened here, but we will look at those findings today and we will make sure that anything that also needs to be implemented will be implemented.”
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