Prevention of Future Deaths reports · 2016
Regulation 28 report to prevent future deaths, written 4 Jan 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 4 Jan 2016 |
|---|---|
| Deceased | Gary Peel |
| Coroner | Martin Fleming |
| Coroner area | West Yorkshire (West) |
| Category | Other related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | none published |
Text extracted from the PDF text layer. 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 Gary Alan Peel A Regulation Report – Action to Prevent Future Deaths __________________________________________________________ THIS REPORT IS BEING SENT TO: , Regional Manager SUSTRANS, First Floor, Leeds Bridge House, Hunslet Road, Leeds LS10 1JN 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 29 of the Coroners (Investigations) Regulations 2013 3 INVESTIGATION and INQUEST On 2 July 2015 I opened an inquest into the death of Gary Alan Peel who, at the date of his death, was 38 years old. The inquest was resumed and concluded on 19 December 2015 I found that the cause of death to be: ‐ 1a. Multiple injuries I concluded with a narrative as follows: On 29 June 2015 Gary Alan Peel took his own life whilst suffering from depression and anxiety. 4 CIRCUMSTANCES OF THE DEATH At approximately 4.54 pm on 29 June 2015, Gary Alan Peel was found collapsed and unresponsive at the foot of Hewenden Viaduct, Doll Lane, Cullingworth, West Yorkshire. Upon the arrival of paramedics he was found to have died. Upon the arrival of the police it was found that he had fallen from the upper Viaduct. The pathologist gave the cause of death as multiple injuries consistent with a fall from height. He had been suffering anxiety and depression. At the inquest I heard evidence that he had deliberately scaled the 5 foot wall running along the viaduct and jumped to his death. 5 CORONER’S CONCERNS During the course of the inquest I heard that he deliberately scaled the 5 foot wall running along the viaduct and jumped to his death. The MATTER OF CONCERN is as follows. – To review and consider the appropriateness of implementing deterrent measures to the walls of the viaduct. 6 ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe that Mr Mike Babbitt of SUSTRANS has the power to take such action. 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. 8 COPIES I have sent a copy of this report to: ‐ wife Mother and Father Chief Coroner 9 DATED this 4th January 2016
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