Steven Key
25 Feb 2019 · Coroner Robert Chapman · Cumbria
This report repeats 6 earlier warnings, and was raised again 1 time later. See the linked reports.
The coroner's concerns
1. unauthorised access to railway line
“You have a duty under the Railway Safety (Miscellaneous Provisions) Regulations 1997 to prevent access to the railway line so far as is reasonably practicable”
Linked reports
Closely relatedConfidence 0.92 · high
Earlier report
“Recommendations in The BTP Post Fatality Report to create a safer environment at the bridge and restrict public access to the railway had not been effected by the time of the inquest.”
This report
“(1) You have a duty under the Railway Safety (Miscellaneous Provisions) Regulations 1997 to prevent access to the railway line so far as is reasonably practicable. (2) The fencing at the scene of Mr [name redacted] death was a low wooden fence which was easy to climb over.”
Closely relatedConfidence 0.90 · high
Earlier report
“The gate is of wooden construction and | provides little deterrence or hindrance to someone wanting to gain access to the railway”
This report
“The fencing at the scene of Mr [name redacted] death was a low wooden fence which was easy to climb over.”
Identical hazardConfidence 0.95 · high
Earlier report
“Both the gate and | fence provide little deterrence or hindrance to someone wanting to gain | access to the railway”
This report
“The fencing at the scene of Mr [name redacted] death was a low wooden fence which was easy to climb over.”
Closely relatedConfidence 0.90 · high
Earlier report
“Photographs of the location where the death occurred, provided by British Transport Police show that various sections of fencing and walls separating the public footpath from the railway line were broken, missing or in disrepair.”
This report
“The fencing at the scene of Mr [name redacted] death was a low wooden fence which was easy to climb over.”
Closely relatedConfidence 0.90 · high
Earlier report
“fencing beside the railway track was inadequate especially at the rear of a scrap metal dealer located off St Albans Road and Bedford Street”
This report
“The fencing at the scene of Mr [name redacted] death was a low wooden fence which was easy to climb over.”
Closely relatedConfidence 0.90 · high
Earlier report
“I am concerned that the railway track is easily accessible to members of the public from this bridge.”
This report
“The fencing at the scene of Mr [name redacted] death was a low wooden fence which was easy to climb over.”
Identical hazardConfidence 0.90 · high
This report
“(2) The fencing at the scene of Mr [name redacted] death was a low wooden fence which was easy to climb over.”
Later report
“(3) I am concerned that your investigation into, and consideration of, [name redacted]' death did not keep a sufficiently open mind that she may have climbed the boundary fence to access the railway line.”
Responses
2019-0102-Response-by-Network-Rail.pdf ↗· Network Rail
Stated action
“seriously and has taken additional measures beyond those required by its standards, to install additional meshing and netting at this location to act as an increased deterrent to climbing”