Prevention of Future Deaths reports · 2018
Regulation 28 report to prevent future deaths, written 17 Sep 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 17 Sep 2018 |
|---|---|
| Deceased | Mark Nicols |
| Coroner | David Urpeth |
| Coroner area | South Yorkshire (West) |
| Category | Road (Highways 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.
REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: AMEY, 22A Atlas Way, Sheffield S4 7QQ CORONER 1 am David Urpeth, assistant coroner, for the coroner area of South Yorkshire West 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. INVESTIGATION and INQUEST On 1.11.17, | commenced an investigation into the death of Mark Anthony Nicols. The investigation concluded at the end of the inquest on 14.9.18. The conclusion of the inquest was a narrative conclusion, copy attached. CIRCUMSTANCES OF THE DEATH On 28.10.2017, Mr Nicols was struck by two cars on Ringinglow Road, Sheffield. ACTION SHOULD BE TAKEN 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. — During the inquest, evidence showed:- You had a site cabin near the accident scene. The path was still open. However, it was likely to be unclear to pedestrians as to whether the path could still be used. No signage or lighting had been installed to help pedestrians and | understand from evidence that if similar circumstance occurred again, you were unlikely to do anything differently. In my opinion action should be taken to prevent future deaths and | believe you [AND/OR your organisation] have the power to take such action. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by03.12.18, |, 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 to all Interested Persons :- The family of Mark Nicols, the deceased. | 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. 17/9/18 SIGNEDBY DAVID URPETH ASSISTANT CORONER
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