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recurance

Richard Osman

5 Jun 2025 · Coroner Mark Layton · Carmarthenshire & Pembrokeshire

The coroner's concerns

  1. 1. cockpit fire or smoke

    “review of cockpit fire/smoke procedures be undertaken to include, but not limited to: - the recognition of an oxygen fire (identifiable by a characteristic noise comparable to that of a blowtorch) and the immediate cutting off this oxygen supply. - the installation or carrying of protective equipment to deal with any cockpit fires. - a review of the effectiveness of Halon fire extinguishers to deal with onboard fires. - a review of regulations (if required) to prevent the use of cigarettes in the”
  2. 2. lack of access to evidence and delayed investigation follow-up

    “drafting committee be convened to consider amending Annex 13 of the Convention on International Civil Aviation signed at Chicago on 7 December 1944 to provide: (a) a right for states entitled to participate in an investigation to have access to evidence to enable those participating states to release a statement in accordance with Chapter 6.6.1 in circumstances where they have been excluded from an investigation by the State of Occurrence; (b) a right of states entitled to participate”

Responses

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  • Tavily follow-up web search
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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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