Skip to content
recurance

Richard Hunt

8 Oct 2025 · Coroner Fiona Butler · Rutland and North Leicestershire

The coroner's concerns

  1. 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. 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. 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”

Responses

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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

Richard Hunt · Recurance