Prevention of Future Deaths reports · 2018
Regulation 28 report to prevent future deaths, written 15 Nov 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 15 Nov 2018 |
|---|---|
| Deceased | Richard Hill |
| Coroner | Stephanie Haskey |
| Coroner area | Nottinghamshire |
| Category | Railway 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 (1) NOTE: This form is to be used after an inquest. REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: Network Rail 1 7 | CORONER | am Miss Stephanie Haskey, Assistant Coroner for the Coroner area of Nottinghamshire 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 An Inquest into the death of Richard John Hill was held on 14" November 2018. 4 | CIRCUMSTANCES OF THE DEATH Mr Hill died on 17'* August 2018 when he was struck by a London North Eastern train near to the Cromwell Lane level crossing, also known as the Norwell Lane level crossing, near Newark, Nottinghamshire NG23 6JQ. 5 | 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. That'the British Transport Police post incident site report, by Paul Hardy, a copy of which has been sent to you, states the following: 1.1 There are no telephones at the crossing. 1.2 No contact telephone for Network Rail is displayed at the crossing. 1.3 There is a possibility of a repeat incident at or near to this location in the future and that Network Rail staff should be made aware of this. 6 | ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe your organisation has the power to take such action. 7 | YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 2/4 jel , 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: Members of Mr Hill’s family British Transport Police | 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. LA CAE ssophasie Haskey, Assitant Coroner for Nottinghamshire, 15" November 2018.
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