Prevention of Future Deaths reports · 2016
Regulation 28 report to prevent future deaths, reference 2016-0406, written 24 Oct 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 24 Oct 2016 |
|---|---|
| Reference | 2016-0406 |
| Deceased | Jeff Miles |
| Coroner | Tony Williams |
| Coroner area | Somerset |
| Category | Accident at Work and Health and 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.
Tony Williams Senior Coroner for Somerset REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: Amphenol Thermometrics (UK) Ltd CORONER lam Tony Williams, Senior Coroner for Somerset 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. http://www. legislation.gov.uk/ukpga/2009/25/schedule/5/paragraph/7 htto://www.legislation.gov.uk/uksi/2013/1629/part/7/made INVESTIGATION and INQUEST On 08/10/2015 | commenced an investigation into the death of Jeff Miles, 57 . The investigation concluded at the end of the inquest on 15/09/2016. The conclusion of the inquest was to record that Mr Miles’s death came about as a result of Industrial Disease. For a period of 13 years Mr Miles was employed by you in fashioning wire for insertion into thermometric devices. During the course of his employment Mr Miles would have digits almost permanently coated in white spirit and was exposed to white spirit vapour. Mr Miles occupational exposure to white spirit resulted in his developing a fatal Scleroderma. CIRCUMSTANCES OF THE DEATH The deceased had a history of pulmonary fibrosis and systemic sclerosis, pulmonary hypertension and small airways obstruction. He was exposed to white spirit during previous occupation. 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)Mr Miles’s exposure to white spirit for 13 years whilst in your employment, to include both direct skin contact with white spirit and exposure to white spirit vapour. This exposure resulted in your former employee's death. Old Municipal Building, Corporation Street, Taunton, Somerset, TA1 4AQ Tel | Fax 01823 355060 ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you Amphenol Thermometrics (UK) Ltd have the power to take such action. | believe you should review any continuing use of white spirit. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 19.12.2016. 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 || ( Mr Miles’s widow) and the Health and Safety Executive. | 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 24 October 2016 Signature Senior Coroner for Somerset Old Municipal Building, Corporation Street, Taunton, Somerset, TA1 4AQ Tel | Fax 01823 355060
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