Prevention of Future Deaths reports · 2016
Regulation 28 report to prevent future deaths, reference 2016-0104, written 10 Mar 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 Mar 2016 |
|---|---|
| Reference | 2016-0104 |
| Deceased | Charles Newby |
| Coroner | Martin Fleming |
| Coroner area | West Yorkshire Western |
| 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.
IN THE WEST YORKSHIRE WESTERN CORONER'S COURT IN THE MATTER OF: The Inquests Touching the Death of Charles Alan Newby A Regulation Report - Action to Prevent Future Deaths THIS REPORT IS BEING SENT TO: Canal River Trust 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 22 October 2015 I opened an inquest into the death of Charles Alan Newby who, at the date of his death, was aged 60. The inquest was resumed and concluded on 26 February 2016. I found that the cause of death to be: - la. Drowning II Alcohol consumption The conclusion of the inquest was Accident 4 | CIRCUMSTANCES OF THE DEATH On 18 October 2015 Charles Alan Newby inadvertently fell from the rear of a boat on the Calder River/Canal in Dewsbury whilst he was he was | intoxicated with alcohol and not wearing a life jacket. Although several RT3589 1 |_| attempts were made to retrieve him from the water, he succumbed and drowned. CORONER’S CONCERNS —| During the course of the inquest the evidence revealed matters giving rise to concem, given that there are no life rings at Lock 19 location on the Calder Canal. In my opinion there is a risk that future deaths could occur unless action is taken. In the circumstances it is my statutory duty to report to you. The MATTER OF CONCERN is as follows. — e Iwould ask the trust to carefully re-assess the appropriateness of the installation of life rings at the Lock 19 location. ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe you have the power to take such action. 7 L | YOUR RESPONSE | You are under a duty to respond to this report within 56 days of its date; I the Coroner, 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 Ihave sent a copy of this report to: _ —_ I 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 RT3589 2 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. 9 | DATED this 10 day of March 2016 li D¥Ce_, M. D. Fleming Senior Coroner RT3589 3
See every Prevention of Future Deaths report matching Martin Fleming, 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.