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Chavanette death inquest reported today

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Reported today in the press but well discussed here previously.

British skier died after ignoring signs ‘Swiss Wall’ was closed
Inquest hears that Grahame Carter suffered injuries ‘incompatible with survival’ after disregarding warning that feared black run was shut
Telegraph Reporters10 September 2024 • 4:17pm

Grahame Carter died on Pas De Chavanette piste, known as one of the most dangerous slopes in the world 
A British skier died after ignoring signs that a notorious black run dubbed the “Swiss Wall” was closed, an inquest heard.
Grahame Carter, 47, lost control skiing down the steep run in Portes du Soleil near Champery, Switzerland.
The father-of-two’s “violent” fall down the black run was witnessed by another skier, who said he saw Mr Carter falling “head over foot” down the 37 degree incline in February.
Mr Carter, who was wearing a helmet, lost his skis during the fall and suffered injuries “incompatible with survival”, according to a coroner.
The inquest at Horsham Coroner’s Court heard that the Pas De Chavanette piste, known as one of the most dangerous slopes in the world, was closed because of dangerous, icy conditions.
But the inquest heard Mr Carter, from Westhampnett, Chichester, “ignored” the warnings.
‘I have never seen that in my life’ 
In a statement read to court, the skier who witnessed the tragedy said: “At around 9.40am as I got on the chair lift I saw this person take a difficult slope. He took a big fall after about 20 metres from the start of the slope.
“The fall was violent and the skier did not stop. He was sliding in all directions then he started to go head over foot. I have never seen that in my life and it was very shocking.
“As the fall went on the skier picked up more and more speed. He stopped about 20 metres before the end of the field.”
The witness said they called emergency services, adding: “Once I reached the top of the chair lift, I saw the slope was closed and rescuers were on site.”
Mr Carter was pronounced dead on the slope around an hour later.

Grahame Carter suffered a 'shocking' fall on the dangerous black run
Dr Karen Henderson, the coroner, ruled the death was an accident and gave Mr Carter’s cause of death as traumatic head injury.
Mr Carter worked as chief sales officer at recruitment agency Gattaca in Whiteley, near Fareham, Hampshire. Roma Carter, his wife, read a statement to the inquest paying tribute to her husband’s “zest for life”. She said he was “fabulously competitive, both in general life, workplace and sports teams”.
Mrs Carter said: “He was never one to remain in his comfort zone, he was unashamedly himself. He was always present, he was always available and unerringly reliable to friends and family alike.
“He was ethical, fun, inspiring, determined, inclusive, selfless and compassionate. He laughed a lot and not at others’ expense.
“He was phenomenal, gregarious, warm-hearted and most importantly he was always kind. Everyone always felt a little better after a little dose of Grahame. He is irreplaceable and the world is a worse place without him.”
‘I admire his spirit’
Giving her conclusion, Dr Henderson said: “It was a black slope known to be very difficult and you need to have a good level of skiing to do it. The slope was closed. Unfortunately Mr Carter ignored these warnings. The findings are compatible with a violent fall.”
She added: “He loved being competitive. He didn’t do it to hurt other people, it was just part of his drive and personality.
“He was fully geared up with a helmet and suchlike in the hope that would give him protection but sadly it didn’t.
“At the point he was found, his injuries were such that they were incompatible with his survival.
“There is only one conclusion I can give which is an accident. This was an unintended consequence of a voluntary act. I admire his spirit and his wish to undertake such sports.”
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Not sure what an inquest adds to the bleedin obvious. Clearly no one to blame but the victim himself.
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I can't help wondering if the French ski patrol would have had to ski down to attempt a rescue, possibly in the knowledge the victim had just rag-dolled down the same slope.
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@Dave of the Marmottes, I’ve skied that run in good conditions but would never attempt it if closed. The coroners comment to say she admired his spirit rather than condemn his actions isn’t helpful.
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There's a bit of performative solace for the deceased's family but I agree it doesn't help in general for those scoffing at advice not to be called out for the consequences. No resort closes terrain just for giggles.
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So an over competitive bloke ignores warning signs, the clear closure of a ski run and falls to his death. I though inquests were there simply to establish the facts not to gloss over a bad decision or to overlay guesses as to motive.
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@ster, I haven’t seen any outcomes but the Swiss opened an investigation into the circumstances, which I imagine would be a bit more insightful.
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Dave of the Marmottes wrote:
No resort closes terrain just for giggles.


Closed piste signs do seem to be routinely ignored though. Maybe all those he witness pulling it off contributed?
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@andy from embsay, as @Dave of the Marmottes said, I think that is all there is to it, I suspect there is nothing much else to be gleaned?
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Charliegolf wrote:
Dave of the Marmottes wrote:
No resort closes terrain just for giggles.


Agreed, but closed piste signs do seem to be routinely ignored though. Maybe all those he witnessed pulling it off contributed to his bravado?
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Dave of the Marmottes wrote:
No resort closes terrain just for giggles.


Agreed, but closed piste signs do seem to be routinely ignored. Maybe all those he witnessed pulling it off contributed to his bravado?
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@ster, not sure. There’s pistes that are closed because they have rocky/bare patches and others because they’re dangerous (avalanche, ice etc). From what I recall this was a big net right across the entry - maybe they’ll want to look into whether they can stop others doing the same. If I remember on several days they opened it later in the day when the sun had been on it.
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@andy from embsay, you’ll never stop people from getting around that, short of properly fencing off the entirely hillside or having guards posted every 20 metres. He made a decision with high risk involved and came off badly.
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If a piste is prone to being icy in the morning, 9.40am is still quite early, isn't it? (I don't know the slope at all.) Must have been utterly horrific to witness. Crying or Very sad
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@Hurtle, It’s a very steep and usually moguled slope. I skied it with my son when it had good snow cover, so not too difficult. If icy and moguled it’s a different proposition because of the steepness and if you started to slide then the moguls would launch you in the air, so very difficult to control and hence the horrific description of his decent. It’s a slope I did many years ago in good conditions but I wouldn’t attempt it now.
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I've seen people fall in the Alps climbing, and it's unpleasant to watch. Time slows down. The acceleration is what makes that look bad very fast. And you have to get ready to deal with it. I've not seen anything really bad at resorts.

Perhaps the people who admire Scott of the Antarctic are admiring his spirit more than his competence also? I think it would be poor form for a coroner to say anything more negative: They're not passing judgement on the choices made, which manifestly were very poor.
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Scott was exploring the unknown, there wasn’t a nice manual or signs to follow saying you need to put your food dumps closer together as you really only can travel less than you think each day or you will likely die. This guy ducks under a fence of a known very hard ski run.

From the comments the coroner when past their remit and was overly positive about his motivations and subsequent actions.
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ster wrote:
@andy from embsay, you’ll never stop people from getting around that, short of properly fencing off the entirely hillside or having guards posted every 20 metres. He made a decision with high risk involved and came off badly.


Which was the point one would hope the coroner would have made, rather than “tragic, unavoidable accident”. I agree that unless you go down the US route of confiscating lift passes the decision lies with the individual, but I would be interested to see what the Swiss inquiry concluded.

To be clear, I’d never want to take away individuals’ choice of where to go and when.
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andy from embsay wrote:
ster wrote:
@andy from embsay, you’ll never stop people from getting around that, short of properly fencing off the entirely hillside or having guards posted every 20 metres. He made a decision with high risk involved and came off badly.


Which was the point one would hope the coroner would have made, rather than “tragic, unavoidable accident”. I agree that unless you go down the US route of confiscating lift passes the decision lies with the individual, but I would be interested to see what the Swiss inquiry concluded.


The coroner didn't say that though. They said:

Quote:
There is only one conclusion I can give which is an accident. This was an unintended consequence of a voluntary act.


That reads to me like a reasonably compassionate way to say no one else is at fault other than the deceased for choosing to do what he did; and as he was a son, husband and father that compassion doesn't seem to be misplaced to me.
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@clarky999, well said. A terrible shock for the family.

The victim was unlucky not to survive such a fall.
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@davidof, I don’t often disagree with you but

1. Not a “victim”
2. Not “unlucky”
3. Back in the day when it was busy I would strongly discourage my groups (animateur/accompagnateur?) from the Wall as in good conditions the top slope was way too much for most and the rest wasn’t much fun either. I also didn’t enjoy the gravity ballistics round my ears either.

Sometimes, “closed” means “closed”.
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@under a new name, indeed. He would be lucky to have survived but not surviving was not unlucky. Sadly he was the sole architect of his demise, thats not being unkind, its just a fact.
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@under a new name, Yes, I agree, but c'mon, we've all been there, haven't we? Not necessarily literally, but who amongst us has not skied down a closed run at some point, and most likely a closed run that you've never skied before? I know I have, back when I was inexperienced and over-confident.

Yes, foolhardy, but there but for the grace of god...
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@Chaletbeauroc, for sure. I didn’t mean to come across as harsh. Been there.

Actually, been exactly there. To pisteurs in hut at top, “why closed?” “Cos’ it’s blud ice top to bottom” “Oh”
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Dave of the Marmottes wrote:
Not sure what an inquest adds to the bleedin obvious.

There may have been a possibility of bringing in a verdict of death by misadventure, which could potentially impact the family, both mentally and financially.

A verdict of misadventure might, for example, weaken any case the family might bring against the resort for negligence (not that I'm suggesting that they should). And it may be important in other circumstances when insurance companies decide how much of a claim is met by each party. That sort of thing anyway. Generally it's "better" for the family if it's ruled as accidental death.
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under a new name wrote:
... Sometimes, “closed” means “closed”.
But how do you personally determine which type of "closed" the closure sign is describing?
In North America at least guests' personal opinions aren't relevant.[1].

Do people who ignore closures take out insurance? That would seem inconsistent.

Chaletbeauroc wrote:
Yes, I agree, but c'mon, we've all been there, haven't we? Not necessarily literally, but who amongst us has not skied down a closed run at some point, and most likely a closed run that you've never skied before? I know I have, back when I was inexperienced and over-confident.
That argument says "people do these things", which I think no one has denied.
People also drive at 130mph on UK roads, but that doesn't mean that "70mph" means "130mph".


---
[1] unless daddy owns the resort, but look at what happened to grand daddy
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Quote:

Do people who ignore closures take out insurance?

Winter sports insurance usually includes small print such as refusing cover to anyone skiing "against local advice". And generally any payout for accidents will be refused, or reduced, if the injured party was negligent. Skiing on a closed run is a pretty cut and dried case of negligence, I'd say. And skiing against local advice.
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Yup, I don’t think a finding of accidental death will help in this case.

Thats part if the reason I don’t ski closed pistes (can’t say I’ve always stuck with that but try to now but I wouldn’t go down a closed black!), apart from it potentially being very dangerous.
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When I first went skiing with the now Mrs SL I was somewhat taken aback when she skied under a rope with the Piste Ferme sign clearly on display. What I didn’t realise at the time was there was a subtext in very fine writing that said “except for Mrs SL’s party”. She had been skiing the area for 15 years and knew (99% of the time) why a piste was closed and how to mitigate it (usually poor cover, which required some walking). The point being that if you are going to ignore signs you really do need to know what you are doing and be able to manage the risks. You do see people playing Russian roulette in all sorts of places - clearly up to them. They of course usually get away with it. I just sometimes worry that it encourages other folk who have not considered the risk or the competence of the folk already doing it.
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The worst example I've seen in recent times is large numbers of people going round a piste closure sign to ski the easy blue loop road down to Orelle rather than take the hard and mogulled steeper red. Ignoring that it was a very warm spring day with plenty of evidence of big wet slides on the slope above them. "It's only a blue" mentality taken to stupid levels.
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Of course the off piste next to a closed piste is not closed: it is just "at your own risk" like all off-piste.
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@phil_w, I’ve skied “closed” a few times with the pisteurs who closed them …
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HilbertSpace wrote:
I can't help wondering if the French ski patrol would have had to ski down to attempt a rescue, possibly in the knowledge the victim had just rag-dolled down the same slope.


In short, yes - and they'd have had to do it dragging a blood wagon down with them too!

Saw the Swiss Wall a couple of times last season and don't think I once saw it 'open'. In fact I think every time it didn't just have a "Ferme" rows across but 3 rows of "Freme" fencing...that people were skiing around the end of. Going up the chair one week I think we saw 2 bodies on the left/1 on the right, a single ski on the right miles from anyone, and as we got hire saw someone lose it and ragdoll 30m-50m down the left side...while a pister snowplowed down comfortably down the middle withe a blood wagon behind him, probably wondering how many loops he was going to have to do before the day was over!
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@Mjit, Shocked Shocked
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Hurtle wrote:
If a piste is prone to being icy in the morning, 9.40am is still quite early, isn't it? (I don't know the slope at all.) Must have been utterly horrific to witness. Crying or Very sad


This is the Swiss wall on a nice day in February. The sign at the top indicates it's > 90% steep and a drop in vertical of 333m. The chap fell from the top and tumbled to 20m of the bottom. One cannot see the steepness of slope from the top and you have to enter it via the largest bumps, and you cannot bail once committed but it gradually gets easier. It may be the victim had no idea how bad it really was or keen to tick it off his bucket list. There is a chair lift at the top and allows downloading to access the Swiss side of the PDS. I doubt any of the PDS guys on snowheads would attempt it on an icey morning even if it was not closed.

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HilbertSpace wrote:
I can't help wondering if the French ski patrol would have had to ski down to attempt a rescue, possibly in the knowledge the victim had just rag-dolled down the same slope.


Point of order: this is in Switzerland, not France.
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Ozboy wrote:
I doubt any of the PDS guys on snowheads would attempt it on an icey morning even if it was not closed.


I've spent getting on for 20 weeks skiing the PdS and only once dropped in to the Swiss Wall - and that was following a guide when it had 30cm of fresh snow on it so skied like a pussy cat rather than a hungry Tiger. Always looked at it and thought I _could_ do it...but would be bored of mogals about 10% of the way down and just been having to, rather than enjoying doing the rest.
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Quote:
... patrol would have had to ski down to attempt a rescue
I'm not sure how they accessed the casualty, but if you're suggesting that anyone took risks to do that, I think that's not correct.

They'd just follow their protocols and formulate a plan for a rescue/ recovery which didn't put them at risk.
In this case they'd have had a lot of options, and a lot more resources/ skill/ knowledge/ competence than the casualty.
But most important they'd be managing their risks, which the casualty appears not to have bothered with.
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phil_w wrote:
[which didn't put them at risk.


There is always risk, nothing
is at no risk, undue risk surely.
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phil_w wrote:


Perhaps the people who admire Scott of the Antarctic are admiring his spirit more than his competence also? I think it would be poor form for a coroner to say anything more negative: They're not passing judgement on the choices made, which manifestly were very poor.


This. 100%.

The facts weren’t glossed over. A salutary warning. And a bit of compassion toward those who lost a loved one.
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