The inquest heard the driver failed a test for his P-plates a week before the fatal crash.
“I was so scared when she was driving that I had to raise my voice to her to get her to listen,” the driver’s tester said.
“She has no awareness of her surroundings, whether it’s people or cars. She is a very erratic driver.”
The tester also said the driver could not recognize road markings or signs.
Department of Transport director of registration and licensing Jacqui Sampson told the inquest she did not believe anyone had taken the driver’s test, but said the woman’s family had questions to answer.
“If the family members testify about the challenges the mother has in navigating everyday life, then I question their role and responsibility from a road safety perspective … as to why they would encourage their mother to get a driver’s license in the first place. ,” she said.
The transport chief acknowledged there were instances where individuals could defraud VicRoads. “I’m not going to say it’s not happening,” she told the court.
Sampson could not say whether an interpreter was used in the eye test, but the records did not indicate that was the case. But she said it was “impossible” for anyone to change seats for the driving test.
In his findings, Gebert said a report noted the driver was “below the level of intellectual development required for entry into Australian primary schools”.
L-plate was ordered in 2019 to serve a non-custodial supervision order for dangerous driving causing death after a jury found the woman unfit to stand trial as her cognitive impairment meant she could not understand the case.
The judge overseeing the criminal case said: “One of the very worrying aspects of this case is that you ever held a learner’s permit.
“Given your lack of English and low IQ, in my opinion, someone must have helped you get this learner’s permit. They never should have. You should never have had a learner’s permit.”
Serbec’s family said they were devastated by Thursday’s findings and criticized the coroner for not coming down harder on the department.
“All the evidence in all the hearings we’ve been to for the past six long years suggests that it was impossible for her to get her learner’s permit without the help of someone else,” the family told the coroner in a statement.
“It’s been a very long six years, and not a day goes by that we don’t think about [Georgina] and the traumatic way she died.
“We have always felt that there is a public interest in her death and that with robust processes in place, it was preventable.”
A spokesman for the Victorian Department of Transport said it had received the coroner’s findings and would “consider any relevant recommendations”.
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