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recurance

Bernard Ovu

27 Nov 2017 · Coroner Nadia Persaud · London (East)

The coroner's concerns

  1. 1. emergency exit gate opened

    “It was clear from the evidence that the emergency exit gate into the non-public area had been opened”
  2. 2. lack of written procedures

    “there was no clear written procedures to lone working staff on what action should be taken in the event of a likely trespasser in the non-public area,”
  3. 3. dissemination of policies

    “The evidence during the course of the Inquest raised some concern in relation to dissemination of policies and procedures to staff”

Responses

No published response was found on judiciary.uk.

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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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error