From the coroner's report (with my editing and selective emboldening):
· The failure of the fork was caused by
a fatigue fracture occurring in the aluminium alloy steering tube inside the bonded fork assembly;
· The fatigue crack occurred in a location
where it was not visible to persons following the manufacturer-prescribed owner pre-ride inspection and technician service inspection methods; and
· The fork has a finite structural life and, upon reaching that finite structural life, can fail catastrophically without warning.
- Expert opinion: the fracture appearance at the fatigue origin was typical for a fatigue crack caused by a cyclic stress of sufficient magnitude and number of cycles.
- Coroner: any recommendation I make should be appropriate and capable of implementation.
- Trek: there is no cost effective or practical method to identify internal fatigue cracks of this type in routine maintenance checks in the consumer setting, as specialist expensive equipment is required.
Recommendations
a. Noting Trek’s owner manuals already warn owners that bicycles are not indestructible and every part of a bicycle has a limited useful life, I recommend that Trek update its owner’s manuals and consumer information to expand upon this warning and to
note the risk of catastrophic failure without warning in some circumstances.
b. That Standards Australia and other relevant international standards
bodies investigate fixing an upper “safe life” limit (safe life) for the bicycle front steering fork, depending on the manufacturing process and material construction of the part,
after which the owner is encouraged to
replace the part irrespective of whether damage is visible.
HTH