Prevention of Future Deaths reports · 2016
Regulation 28 report to prevent future deaths, reference 2016-0486, written 18 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 | 18 Oct 2016 |
|---|---|
| Reference | 2016-0486 |
| Deceased | Isaac Brocklehurst |
| Coroner | Martin Fleming |
| Coroner area | West Yorkshire (West) |
| 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.
ANNEX A REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1) The Inquest Touching the Death of Isaac John Walter Brocklehurst REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. Incommunities CORONER | am Martin Fleming, HM Senior Coroner, for the Coroner Area of West Yorkshire (Western) 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 1* April 2016, | opened an Inquest into the death of Isaac John Walter Brocklehurst who, at the date of his death was age 2 years old. The inquest was resumed and concluded on the 10" October 2016. | found that the cause of death to be:- ta ~- Multiple injuries Conclusion of the Inquest was:- Accident ta CIRCUMSTANCES OF THE DEATH At approximately 12.30pm Isaac was sat playing on his ride along 4 wheeled plastic Bike on pathways_within j ted at the rear of his grandmother's residence at Isaac was playing on a pathway which runs from the back door of the flat, passed the bins, to a gap in a low brick wall which enables pedestrian access to the pavement and lay-by used by residents to park their cars. Isaac suddenly and unexpectedly wheeled through the pedestrian gap in the wall, along the pavement, before then emerging between two parked cars into the path of a Scania tipper lorry which was being driven along Valley Road at approximately 13.05pm, causing Isaac to instantaneously sustain fatal injuries in circumstances such that both grandmother and driver were unable to take evasive action. CORONER’S CONCERNS The Inquest heard evi hildren play within the communal grassed area at the rear of The Integrity of the low parimeter wall or it's maintenance was not brought into question. The MATTERS OF CONCERN is as follows. — e Toreview the existing pedestrian gaps in the parimeter wall in order to assess the safety aspects for children. ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths, | believe you the Local Authority have the power to take such action. YOUR RESPONSE You are under a duty to respond to this report within 56 days of it’s date, | 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. COPIES and PUBLICATION | have sent a copy of my report to RS othe: — Uncle Grandfather — Collision Investigator Chief Coroner 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 of 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. [DATE] (Sol [SIGNED BY CORONER] Wi 5 Feues*>
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.
Her Majesty's Coroner County of West Yorkshire (Western District) City Courts The Tyrls Bradford BD11LA our ref: your ref: HK/603-6 18" January 2016 Dear Sir/Madam Thank you for your letter of 20 October 2016, concerning the inquest into the death of Issac John Walter Brocklehurst. ‘Firstly, on behalf of Incommunities, may we take this opportunity to express our. sincere condolences to Issac’s family.. As a responsible landlord we take the safety of our residents .and their visitors extremely seriously and as such we have considered carefully your matters of concern and offer the following ‘in response to the issues you have raised. Incommunities is a social landlord with homes across the Bradford District and some of these are adjacent to arterial roads, but as a Housing Association we have no responsibility for public pathways belonging to the local authority.. in addition there are over 500 parcels of land that are adjacent to Incommunities homes. As part of an investment in our neighbourhoods, Incommunities commenced a Decent Neighbourhoods programme in 2015 which focuses on environmental improvements including fencing to communal areas. When reviewing works to be undertaken; and their prioritisation, .we will continue to assess. the type of accommodation i.e. family accommodation and proximity to risk. However, some of our communal areas are ‘open plan’ and have been so since their build date and may remain so. With specific relation to Valley Road and the perimeter wall, gates have been fitted within the low perimeter wall. Our residents’ safety is of paramount importance and we will commit the necessary time and resource to ensure the above actions are completed to a satisfactorily high standard. + if you need a transiator or this letter in another language or format please tel: 01274 254321 tel: 01274 254287 fax: 01274 254024 contact: Jez Asset Management email: The Quays, Victoria Street website: www.incommunities.co.uk Shipley, West Yorkshire, BD17 7BN service of documents/notices by email is not accepted er Sa, g q INVESTORS Incommunities Group Limited is registered in England with Companies House No. 04221767. we IN PEOPLE Registered address: The Quays, Victoria Street, Shipley, West Yorkshire, BD17 7BN ts 2GYe Dea ® business for neighbourhoods
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