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recurance

Richard Whale

21 Dec 2018 · Coroner Alison Mutch · Manchester (South)

The coroner's concerns

  1. 1. lack of mechanism to discuss recommendations

    “The Local Authority had issued a list of recommendations to the club after the death of Mr [name redacted]. There was no mechanism in place for discussion of those recommendations or to ensure that they had been followed or if not followed discussion for reasons.”
  2. 2. narrow vomiteries

    “The widths of the staircases ("vomiteries") is set in the Green Guide. Those widths take into account the handrails but not the inevitable reduction in width that takes place when stewards are deployed into them. In effect, the vomiteries are significantly narrower at points than the suggested widths.”
  3. 3. stewards blocking handrails

    “The green guide does not give guidance as to placement of stewards or suggest best practice to avoid stewards blocking access to the handrails. It was accepted during the course of the inquest that the role and placement of stewards was vital to ensuring the safety of the public at football matches.”
  4. 4. stewards non‑compliance with code of conduct

    “twas accepted by MUFC that the club stewards were not complying with the code of conduct relating to stewards although one was trained and one was undergoing training. A supervisor was also supervising them. There was no evidence of regular audits of stewards and their compliance with the Code of Conduct.”

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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