Prevention of Future Deaths reports · 2015
Regulation 28 report to prevent future deaths, reference 2015-0188, written 13 May 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 13 May 2015 |
|---|---|
| Reference | 2015-0188 |
| Deceased | Fred Hudson |
| Coroner | Melanie Williamson |
| Coroner area | West Yorkshire (East) |
| Category | Other 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.
ANNEX A 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: 2. Historical Railways Estate, Highways England, Hudson louse, Toft Green, York, YO1 GHP 1 | CORONER !am Melanie Jane Williamson assistant coroner, for the coroner area of West Yorkshire (eastern) 2 | 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. 3 | INVESTIGATION and INQUEST On the 30" January 2014 | commenced an investigation into the death of Fred Hudson, aged 87 years. The investigation concluded at the end of the inquest on 22™ April 2015. The conclusion of the inquest was Accidental Death and the medical cause of death Was:- 1(a) Multiple injuries 4 | CIRCUMSTANCES OF THE DEATH During the early hours of the 28" January 2014 Mr Fred Hudson was walking along a path to a disused railway bridge, bridge number ABO8, which is of a height from the ground of approximately 25 metres and is located at Barwick Road in Leeds. Mr Hudson fell from the said bridge, thereby sustaining multiple injuries. His death was certified at the scene at 4.44am the same day. 5 | 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. — Railway bridge number ABO8 has been disused for many years. It is accessible by a number of routes. No steps have been taken to Prevent access to the said bridge. It is located next to a main road and is visited frequently by members of the public including children. ACTION SHOULD BE TAKEN In my opinion action should be taken to Prevent future deaths and | believe you [AND/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 8" July 2015. 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. COPIES and PUBLICATION | have sent a copy of my report to the Chief Coroner and to the following Interested Persons [NAMES] [and to the LOCAL SAFEGUARDING BOARD (where the deceased was under 18)]. | have also sent it to [NAMED PERSON] who may find it useful or of interest. ! 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. 13” May 2015 MELANIE J WILLIAMSON, Assistant Coroner, West Yorkshire (eastern)
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