Prevention of Future Deaths reports · 2014
Regulation 28 report to prevent future deaths, reference 2014-0183, written 4 Feb 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 4 Feb 2014 |
|---|---|
| Reference | 2014-0183 |
| Deceased | Neil Blood |
| Coroner | Ian Smith |
| Coroner area | Stoke-on-Trent & North Staffordshire |
| Category | Other related deaths · Product related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | none published |
Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.
ANNEXA REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1) NOTE: This form is to be used after an inquest. REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. President Shimano Inc 3-77 Oimatsu-cho Sakai-ku Sakai City Osaka 590-8577 Japan 2. Rt Hon Patrick McLoughlin MP Secretary State for Transport Department of Transport Great Minster House 33 Horseferry Road London SW1P 4DR CORONER lam lan Smith, senior coroner/area coroner/assistant coroner, for the coroner area of Stoke-on-Trent & North Staffordshire. CORONER'S LEGAL POWERS | make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013. [HYPERLINKS] INVESTIGATION and INQUEST On 12 August 2013 | commenced an investigation into the death of Neil Andrew Blood, aged 42. The investigation concluded at the end of the inquest on 4 February 2014. The conclusion of the inquest was Accidental Death. The cause of death was given as 1a Chest injuries. CIRCUMSTANCES OF THE DEATH In July 2013 the deceased and various members of his family went to Jersey on holiday. He had purchased a new pedal cycle shortly before the holiday and took it with him. He had done some cycling on the island. On 31* July 2013 he went for a ride on his bicycle accompanied by a family member. Shortly before 1.15pm they were cycling along the pavement adjacent to a road known as Commercial Building near to South Pier Shipyard, St Helier when the deceased appeared to look behind him briefly and then almost immediately afterwards his bicycle wobbled as he seemed to lose control, his feet becoming stuck in the cleats of the bicycle’s pedals. The deceased was then observed to fall to its offside, off the pavement and under the side of a passing van and under the nearside rear wheel of the van. The deceased was treated promptly by local first aiders and paramedics but died of his injuries shortly afterwards at the General Hospital, St Helier, Jersey. CORONER’S CONCERNS During the course of the inquest the evidence revealed matters giving rise to concern. In my opinion there is a risk that future deaths will occur unless action is taken. In the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows. — 1. To Shimano Inc: | can do no better than to repeat the comments of my colleague, the Deputy Viscount of the Royal Court of Jersey, made in his letter of 30 January 2014 (copy attached). 2. To Department of Transport (UK): What oversight, control or legislation governs the supply of pedal cycle cleats and shoes, and what consideration has been given to the potential risks and dangers involved and what warnings should be supplied at the time of purchase? ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you or your organisation have the power to take such action. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 30 June 2014. I, the coroner, may extend the period. Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed. 8 | COPIES and PUBLICATION | have sent a copy of my report to the following recipients:- 1. Chief Coroner, Regulation 28 Reports, Chief Coroner's Office, 11° Floor Thomas More Building, Royal Courts of Justice, The Strand, London, WC2A 2LL 2. EEE Vico. of the deceased). | am also under a duty to send the Chief Coroner a copy of your response. The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest. You may make representations to me, the coroner, at the time of your response, about the release or the publication of your response by the Chief Coroner. oo 4 dienes Majer URZoA , 2
See every Prevention of Future Deaths report matching Product related deaths, and how often a new one appears.
What would an alert for this have sent me? Search the full text
Free to try — the preview shows the real matches and how many arrived in the last 12 months. Your first email alert is free.
These reports are published by the Chief Coroner's office at judiciary.uk and are © Crown copyright. The text here is reproduced from the published PDF so it can be searched. If something on this page is wrong, or you are a person named in it and want it reviewed, email drcjar@gmail.com and we will act promptly.