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Recurance · prevention of future deaths reports

Pre-inquest brief

Lack of oversight for unregulated water activities

Organisation: Health and Safety Executive · Generated: 26 Oct 2026

Recurance · recurance.com/chains/736f59c44d5863df

The earlier warning

Kellie Poole · 4 Oct 2023 · Peter Nieto, Derby and Derbyshire

“There seems to be very little oversight of these businesses in their provision of cold water immersion covering matters such as pre-session health advice or warnings, public liability insurance, training and experience”

judiciary.uk/…/kellie-poole-prevention-of-future-deaths-report

What was promised

Stated action 1 · response to Kellie Poole (4 Oct 2023) · stated timescale: none stated

“I have asked that this matter is raised at the national Local Authority Health and Safety Practitioner Forum”

judiciary.uk/…/2023-0364-Response-from-Health-and-Safety-Execut…

What recurred

  • 10 Apr 2025 · Joel Ineson · David Place · Closely related · confidence 0.90 (high)

The clearest link, quoted from both reports:

Earlier · Kellie Poole · 4 Oct 2023

“There seems to be very little oversight of these businesses in their provision of cold water immersion covering matters such as pre-session health advice or warnings, public liability insurance, training and experience”

Later · Joel Ineson · 10 Apr 2025

“It became clear in evidence that the activity does not require a licence from the Adventure Activities Licensing Authority and can be undertaken and/or organised by anyone without regulation.”

What happened next

No web check of the stated actions has been published for this chain.

Every quote is verified word for word against the original report on judiciary.uk. A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person.

Source: Courts and Tribunals Judiciary, Open Government Licence v3.0.