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recurance

Adam Brunskill

3 Aug 2021 · Coroner Joanne Lees · Black Country

The coroner's concerns

  1. 1. lack of training and experience

    “The Coroner heard at inquest that [the deceased] had been employed by [name redacted] and Cladding to work on a roof with no prior experience of working on a roof and no CSCS card nor had he completed a mandatory one-day Health & Safety course”
  2. 2. absence of designated supervisor

    “On day 13/7/20 and 14/7/20 there was no evidence of a designated supervisor responsible for [the deceased] on site and/or responsible for [the deceased]'s practical on the job training”
  3. 3. lack of structured training programme

    “The Coroner did hear in evidence that one of the Principal Contractors who provided regular work to [name redacted] and Cladding would undertake to train any future unqualified employees of [name redacted] and provide access to an accredited training qualification and training matrix”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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