Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of staff alert system for odd behaviour
The earlier warning
Alfonso Sinclair · 29 Apr 2019 · Fiona Wilcox, London Inner (West)
“That there is no apparent system for staff to alert odd behaviour and then track an individual of concern on CCTV”
judiciary.uk/prevention-of-future-death-reports/alfonso-sinclair
What was promised
Stated action 1 · response to Alfonso Sinclair (29 Apr 2019) · stated timescale: immediate effect
“LU station staff receive initial training and ongoing refresher training through our competency management system (CMS) to assist in identifying 'unusual' customer behaviour.”
judiciary.uk/…/2019-0141-Response-by-Transport-for-London.pdf
What recurred
- 29 Dec 2025 · Brian Mitchell · Graeme Irvine · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Alfonso Sinclair · 29 Apr 2019
“That there is no apparent system for staff to alert odd behaviour and then track an individual of concern on CCTV”
Later · Brian Mitchell · 29 Dec 2025
“Recommended technological measures to detect and alert staff to the presence of persons on the tracks have not been implemented at Stratford station.”
What happened next
No web check of the stated actions has been published for this chain.