Prevention of Future Deaths reports · 2015

Steven Bottomley

Regulation 28 report to prevent future deaths, reference 2015-0186, written 14 May 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report14 May 2015
Reference2015-0186
DeceasedSteven Bottomley
CoronerMartin Fleming
Coroner areaWest Yorkshire (West)
CategoryProduct related deaths
Sourcejudiciary.uk record · original PDF
Responses publishednone published

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

IN THE WEST YORKSHIRE WESTERN CORONER’S COURT
IN THE MATTER OF:
__________________________________________________________
The Inquests Touching the Death of Steven Bottomley
A RegulationReport – Action to Prevent Future Deaths
__________________________________________________________
THIS REPORT IS BEING SENT TO:
1 CORONER
Martin Fleming HM Senior Coroner for West Yorkshire Western
2 CORONER’S LEGAL POWERS
I make this report under paragraph 7, Schedule 5, of the coroners and
Justice Act 2009 and regulations 28 and 20 of the Coroners
(Investigations) Regulations 2013
3 INVESTIGATION and INQUEST
On 6/11/14I opened an inquest into the death of Steven Bottomleywho, at
the date of his death was aged 44 years old. The inquest was resumed
and concluded on 28/4/15
I found that the cause of death to be: ‐
1a. Chest and abdominal injuries
I concluded with a finding of accidental death.
4 CIRCUMSTANCES OF THE DEATH
At approximately 6.12 am on 1/11/14 Steven Bottomley was found
collapsed and unresponsive on the cobbled courtyard at the rear of 60
Keighley Road. Upon the arrival of paramedics he was found to have
died. Upon the arrival of the police it was found that he had fallen from
the open window of his flat 7, 60 Keighley Road. The window was
approximately 3‐4ft in height and approximately 2‐3ft wide and opened
outwards being hinged at the top. The window ledge was positioned
approximately two feet from the flat floor, and was not fitted with any
safety measures. It was found that he had an unwitnessed fall out of the
window whilst under the influence of drugs and alcohol.
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5 CORONER’S CONCERNS
During the course of the inquest I heard that the window was not fitted
with a safety device
The MATTER OF CONCERNisas follows. –
 To review the safety of the window
 To take necessary remedial action to safeguard the window along
with all like windows in the properties in accord with authorised
building regulations in order to prevent a recurrence.
6 ACTION SHOULD BE TAKEN
In my opinion action should be taken to prevent future deaths and I
believe that the power to take such action.
7 YOUR RESPONSE
You are under a duty to respond to this report within 56 days of its date; I
may extend that period on request.
Your response must contain details of action taken or proposed to be
taken, setting out the timetable for such action. Otherwise you must
explain why no action is proposed.
8 COPIES
I have sent a copy of this report to:


 Chief Coroner
9 DATED this 14/5/15
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