Prevention of Future Deaths reports · 2016
Regulation 28 report to prevent future deaths, reference 2016 – 0284, written 10 Aug 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 10 Aug 2016 |
|---|---|
| Reference | 2016 – 0284 |
| Deceased | Kevin Ritson |
| Coroner | David Roberts |
| Coroner area | Cumbria |
| Category | Road (Highways Safety) 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.
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 RE: Kevin David Ritson THIS REPORT IS BEING SENT 70: 1. in - Corporate Director, Highways Department, Cumbria County Council, The Courts, Carlisle, Cumbria CA3 8NA CORONER lam Mr David Llewelyn Roberts Senior Coroner for County of Cumbria CORONER’S LEGAL POWERS I 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. http://www. legislation. gov.uk/ukpga/2009/25/schedule/5/paragraph/7 http://www legislation. gov.uk/uksi/2013/1629/part/7/made INVESTIGATION and INQUEST On 10" August 2015 | commenced | commenced an investigation into the death of Kevin David RITSON, aged 35 years. The investigation concluded at the end of the inquest 27th June 2016. The conclusion of the inquest was: 1a) Multiple injuries Conclusion: Accident CIRCUMSTANCES OF THE DEATH On the 4" August 2015 the deceased and a companion went for a motorcycle ride around Cumbria via Penrith and Barrow. Whilst heading homewards north on the A595, on a left hand bend at Stangrah Farm, the deceased lost control of his machine, crossing the central white line and came off and entered the verge on the offside of the road. He was airlifted to Preston Hospital where he died of unsurvivable injuries. 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 deceased was riding his motor bike through Stangrah Farm near Whitbeck. This had been the scene of an earlier accident damage from which had removed a chevron warning sign. It was clear from photographs that the road surface was not in good condition and holes had been patched. Evidence also showed the road surface adhesion to be below standard. 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. Whilst it is appreciated that many roads in the county require treatment the A595 is the main road to Barrow and the south, the Coroner requests you consider taking action at this particular location to upgrade the road surface and warning signs. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report. |, 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 I have sent a copy of my report to the Chief Coroner and to the following Interested Persons, | and her Solicitors Messrs. Hutcheon Law. | have also sent it to Chief Coroner who may find it useful or of interest. lam 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. 10.08.2016 Mr David Llewelyn Roberts Senior Coroner for County of Cumbria
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