Richard Hunt
8 Oct 2025 · Coroner Fiona Butler · Rutland and North Leicestershire
The coroner's concerns
1. fire detection system failure
“The triggering of that alarm should not only display a light but also sound a buzzer to alert staff of a fault.”
2. buzzer disabled
“the control panel in the Wing Office (and in which the buzzer was housed) had been deliberately tampered with, by the insertion of a rubber glove between the connectors thereby disabling the buzzer”
3. lack of central oversight
“the aspirating fire detection system fault panels on the Wings do not link with the main Control Room, meaning there is no central oversight of faults”