Prevention of Future Deaths reports · 2015
Regulation 28 report to prevent future deaths, reference 2015-0433, written 11 Nov 2015. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 11 Nov 2015 |
|---|---|
| Reference | 2015-0433 |
| Deceased | Alexander Hadley |
| Coroner | D Pritchard Jones |
| Coroner area | North West Wales |
| Category | Other related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | 1 |
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.
D. Pritchard Jones Senior Coroner for North West Wales eee REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: CHIEF EXECUTIVE, GWYNEDD COUNCIL, SHIREHALL STREET, CAERNARFON, GWYNEDD, LL55 1SH 1 CORONER lam D. Pritchard Jones, Senior Coroner for North West Wales 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 218" October 2015 | conducted an Inquest into the death of Alexander Stuart Hadley (born 14/9/1993) of Tyn y Fawnog, Dinorwic, Gwynedd and Steffan Robert Vernon (born 20/10/1981) of which revealed matters that cause me concern. 4 CIRCUMSTANCES OF THE DEATH On 5" June 2015 Steffan Robert Vernon and Alexander Stuart Hadley went swimming in a pool below the waterfall at Llanberis where they drowned because of the downward current caused by the waterfall, the coldness of the water and other matters that are not relevant to this referral. 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. — (1) The two deceased men were unaware of the dangerous currents in the poo! directly below the waterfall and the evidence indicated that other people were also unaware of the dangers. As the waterfall is in close proximity to the village of Llanberis and is easily accessible other people could die in identical circumstances and | am therefore of the opinion that a sign should be erected to warn people of the dangerous characteristics of the waterfall pool. 37 Castle Square, Caernarfon, Gwynedd, LLS5 2NN Tel 01286 672804 | Fax 01286 675217 ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you 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 10" January 2016. |, 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 | 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. Dated 11 November 2015 Signature Senior Coroner for North West Wales 37 Castle Square, Caernarfon, Gwynedd, LLSS 2NN Tel 01286 672804 | Fax 01286 675217
1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.
Cefnogaeth Gorfforaethol Corporate Support CYNGOR Pennaeth Adran / Head of Department — Geraint Owen GWYNEDD Gofynnwch am/Ask for: COUNCIL @ (01286) 679335 Ein Cyf/ Our Ref. — GO/CL/GOG B (01286) 671072 Eich Cyf/ Your Ref. DPJ/AWH/17706/7 E-bost / E-mail: geraintowen@gwynedd.gov.uk Uwch Grwner ei Mawrhydi Gogledd Orllewin Cymru 37 Y Maes Caernarfon Gwynedd LL55 2NN 6.01.16 Annwy! Grwner, Par: Cwést Alexander Stuart Hadley a Steffan Robert Vernon Cyfeiriaf at eich Ilythyr dyddiedig 11° 0 Dachwedd, 2015 at y Prif Weithredwr, ac at adroddiad cwest ar gyfer yr uchod. Rwyf yn darparu ymateb ar ran Cyngor Gwynedd i adroddiad Rheol 28 i Atal Marwolaethau Pellach. Mae Cyngor Gwynedd yn dal rhyddfraint safle’r pwll ple ddigwyddodd y ddamwain, ond mae’r safle wedi ei brydlesu. Er hynny, mae’r Cyngor wedi gwneud trefniadau yn unol 4’r gorchymyn yn dilyn y cwest, i osod rhybuddion diogelwch na ddylid ymdrochi yn y pwll ger Rhaeadr Afon Arddu, Llanberis. Mae arwyddion wedi eu harchebu a’u derbyn a bwriedir eu gosod ar greigiau gerllaw pwll y rhaeadr er mwyn blaen-rybuddio ymwelwyr i’r safle o’r perygl o farwolaeth sy’n bodoli oherwydd cerrynt tanddwr. Bydd yr arwyddion yn cael eu gosod cyn gynted a phosibl. Mae’r tywydd gwlyb diweddar wedi oedi’r gwaith gan fod angen sicrhau Ilwybr diogel i weithwyr gyrraedd y safle. Byddant yn cael eu gosod unwaith bydd tywydd yn caniatau’r gwaith gael ei gynnal yn ddiogel a gobeithir y bydd wedi ei gwblhau erbyn diwedd mis Ionawr 2016. Yn gywir, Geraint Owen Pennaeth Cefnogaeth Gorfforaethol Copii: Dilwyn O Williams, Prif Weithredwr Swyddfa’r Cyngor Caernarfon Gwynedd LL55 1SH Parch e Gwasanaethu_e Positif » Gweithio fel tim » Gwerth am arian 01766 771000 Respect » Serving « Positive « Working asa team e Value for money www.gwynedd.gov.uk
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