Skip to content
recurance

Samuel Clarke

22 Jun 2018 · Coroner ME Hassell · London Inner (North)

The coroner's concerns

  1. 1. unauthorised personnel accessing site via turnstile

    “I was told by the senior construction manager of Canary Wharf Contractors Limited that the gap under the turnstile where [the deceased] accessed the site has been reduced by 5cms since his death, from 30cms to 25cms, by adding a strip of plywood to the bottom. I am concerned that the turnstile is still accessible to unauthorised personnel - including to children. I heard at inquest that there are 800 tradespeople on site and I wonder whether one of them has the skills to make the turnstile secure?”
  2. 2. lack of contingency plan for intruder search

    “I heard evidence that, since [the deceased]'s death, site security officers have been given instructions to call the police if they are aware of an intruder on site who has not been located. However, no consideration has been given to a company contingency plan, for example to draft in staff who are familiar with the site to help with a search. Would this be possible?”
  3. 3. inadequate lighting equipment for security officers

    “The site security officers explained to me that they were equipped with battery operated regular sized torches, rather than large flashlights. No consideration has been given to improving their equipment in this regard. Could it be?”

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

Samuel Clarke · Recurance