Saffra Winn
27 Mar 2024 · Coroner Alexandra Poutney · South Yorkshire West
The coroner's concerns
1. falling from high-rise window
“there have been two fatalities by tenants falling from this type of window in high-rise buildings in a short period of time between July 2022 and December 2023”
2. lack of risk assessment of windows and safety latches
“Sheffield City Council has not yet completed any risk assessment of the windows or the safety latches on the windows”
3. risk of future death
“I am concerned that this poses a risk of future death”
4. absence of formal procedure or policy for incident investigation and risk assessment
“failure to properly investigate and risk assess any incident of this nature, together with the absence of any formal procedure or policy for this process, poses a risk of future death”
5. lack of awareness of fatal incidents by Head of Housing Investment and Maintenance
“the Head of Housing Investment and Maintenance for the council was not aware of the fatal incidents above until his attendance was required at this inquest”