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recurance

Thomas Hill

29 Jul 2025 · Coroner Jason Pegg · Hampshire, Portsmouth and Southampton

The coroner's concerns

  1. 1. flue-less liquified petroleum gas cabinet heater used in insufficiently sized room

    “The flue-less liquified petroleum gas cabinet heater was operated in a room which was too small dimension so to safely use the heater without causing a build-up of carbon monoxide”
  2. 2. absence of external warning label on heater

    “There was an absence of a visible warning label on the outside of the heater”
  3. 3. lack of clarity about safe usage dimensions

    “It was not obvious to all potential users of the heater that the heater could only be used safely in a room of sufficient dimension”
  4. 4. risk in rented cottages and similar premises

    “The risk applies particularly so in the case of rented cottages and similar premises such as [REDACTED]”

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.

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