Prevention of Future Deaths reports · 2018
Regulation 28 report to prevent future deaths, reference 2018-0167, written 20 May 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 20 May 2018 |
|---|---|
| Reference | 2018-0167 |
| Deceased | Mwitumwa Ngenda |
| Coroner | Martin Fleming |
| Coroner area | West Yorkshire (West) |
| Category | Suicide (from 2015) |
| 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 Mwitumwa Ngenda A Regulation Report - Action to Prevent Future Deaths THIS REPORT IS BEING SENT TO: Highway Asset Manager — Calderdale Council 1 | CORONER ; Martin Fleming HM Senior Coroner for West Yorkshire Western 2 | CORONER’S LEGAL POWERS 7] 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 30/8/17 I opened an inquest into the death of Mwitumwa Ngenda who, at the date of his death was aged 30 years old. The inquest was resumed and concluded on 17/5/18 I found that the cause of death to be: - la Multiple injuries l arrived at a conclusion of Suicide. 4 | CIRCUMSTANCES OF THE DEATH On the early morning of 28/8/17 Mwitumwa Ngenda left his parents’ home address in his sisters Peugeot motor vehicle and drove to Scammonden Bridge which passes over the M62 between junction 22 and junction 23. He had sent several worrying texts to his friends indicating that he intended to jump from the bridge. At approximately 6.37am he was seen by a police officer to climb over the railings of the bridge and stand on the ledge directly overlooking the motorway. Notwithstanding the police officer’s extensive pleas for him to return to the correct side of the railings, it was found that Mwitumwa intentionally jumped causing him to instantaneously sustain fatal injuries. RT3589 1 [= T CORONER'S CONCERNS The MATTER OF CONCERN is as follows: - ¢ To consider the appropriateness of taking urgent preventative measures on the bridge in order to prevent recurrence. [| ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe that Calderdale Council has the power to take such action. In the circumstances it is my statutory duty to report to you. 7 | YOUR RESPONSE You are under a duty to respond to this report within 56 days of its date; I 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. E COPIES | Thave sent a copy of this report to: ° re. (2c: ° BEE former pariner and mother of his children WYP ee wy e e Chief Coroner 9 | DATED this 20/5/18 Signature Lj LL RT3589 2
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