Source · Prevention of Future Deaths

Iain Farrell

Ref: 2023-0407 Date: 13 Oct 2023 Coroner: Brendan Allen Area: Dorset Responses identified: 2 / 1 View PDF

Concerns arise from risks associated with lone guiding in coasteering, including guide incapacitation, delayed alarm raising due to inaccessible communication, and inadequate assessment of participant swimming ability or fitness.

Date 13 Oct 2023
56-day deadline 27 Dec 2023 est.
Responses identified 2 of 1
Other related deaths

Coroner's concerns

AI summary
Concerns arise from risks associated with lone guiding in coasteering, including guide incapacitation, delayed alarm raising due to inaccessible communication, and inadequate assessment of participant swimming ability or fitness.
View full coroner's concerns
1. During the inquest evidence was heard that: i. There are risks associated with lone guiding when coasteering, including the risks of the guide becoming incapacitated and/or a participant becoming incapacitated and requiring the attention of the sole guide, leaving the remainder of the group without support.
ii. A second guide on this coasteering experience may have been able to assist with the following: raising the alarm sooner; assisting and supporting the remaining coasteering participants, which included four children, who were in the water in increasingly challenging conditions for nearly two hours before being rescued by the RNLI All Weather Lifeboat.
iii. The VHF radio, the sole means of communication and raising the alarm, was in rescue bag on the shore, in a central location. A VHF radio carried by the guide or within immediate reach would have enabled the raising of the alarm with no delay.
iv. There was no assessment of swimming ability or water confidence during the booking process for coasteering, which may have given an indication to Mr Farrell about the full nature of the experience, nor was he asked about his physical fitness.

2. I have concerns with regard to the following: i. There are specific risks associated with “lone guiding” in coasteering, as detailed above. Highlighting these risks in NCC guidance will assist coasteering providers and guides in formulating effective and practical risk assessments to mitigate those risks;
ii. Given the risks associated with lone guiding, consideration should be given to the NCC guidance promoting that two guides should be the minimum allocated to any coasteering group. Where a provider departs from the guidance and allocates a single guide, they should be directed to ensure they can demonstrate additional safety measures they have adopted to mitigate the risks associated with lone guiding, including but not limited to how the safety needs of the participants are met if the guide becomes incapacitated, or if a participant becomes incapacitated requiring the full attention of the guide.
iii. Consideration should be given to the NCC guidance making it clear that a lead guide should have with them, or within immediate reach, access to a means of communication with which to summon the emergency services, for example a mobile phone, or where there is known to be no mobile phone reception, a VHF radio.
iv. At the time of booking a coasteering experience, the nature and potential physical demands of the experience at the coasteering location proposed should be made clear and a prospective participant should be asked about their swimming ability and physical fitness.

Responses

2 respondents
NCC
1 Dec 2023 PDF
Action Planned

The NCC will update its 'Safety Advice for Coasteering Providers 2015 Version 3' to address the coroner's concerns. They will consult with members starting January 2024, produce an updated version by March 1st 2024, provide updates to members ahead of the 2024 season, and add key learning points to the NCC Guide Award. (AI summary)

View full response
Dear Mr Allen,

In response to the Prevention of Future Deaths report, dated 13th October 2023, please find below our considered response, action plan and timeline.

The current NCC document, ‘Safety Advice for Coasteering Providers 2015 Version 3’ will be updated to address the 4 points raised as concerns by the Coroner in Section 5.2 i-iv in the Prevention of Future Deaths report. The rewrite will also update the 2015 version with other practices and advice that may have changed since the writing of the original advice with an aim of continuing to promote safe coasteering.

Action Item How When Provided NCC members with the information in the report This will be shared with members at our AGM 16th November 2023, (completed) Consultation with our membership regarding the Updates to the document ‘Safety Advice for Coasteering Providers’ Via email and a working group led by the committee. Consultation to start January 2024 Produce an updated final version of the document ‘Safety Advice for Coasteering Providers’ Committee working group taking on responses and consultation advice from members 1st March 2024 Provide updates to members ahead of the 2024 season on the changes made Via regional representative meetings March - April 2024 (Start of season) Add key learning points to our NCC Guide Award Via updates to our Guide Award Providers March - April 2024 (Start of season)

If you have any questions or queries please do not hesitate to contact myself at any time.
National Coasteering Charter Other
1 Dec 2023 PDF
Action Planned

The NCC will update its 'Safety Advice for Coasteering Providers 2015 Version 3' to address the coroner's concerns. They will consult with members starting January 2024, produce an updated version by March 1st 2024, provide updates to members ahead of the 2024 season, and add key learning points to the NCC Guide Award. (AI summary)

View full response
Dear Mr Allen,

In response to the Prevention of Future Deaths report, dated 13th October 2023, please find below our considered response, action plan and timeline.

The current NCC document, ‘Safety Advice for Coasteering Providers 2015 Version 3’ will be updated to address the 4 points raised as concerns by the Coroner in Section 5.2 i-iv in the Prevention of Future Deaths report. The rewrite will also update the 2015 version with other practices and advice that may have changed since the writing of the original advice with an aim of continuing to promote safe coasteering.

Action Item How When Provided NCC members with the information in the report This will be shared with members at our AGM 16th November 2023, (completed) Consultation with our membership regarding the Updates to the document ‘Safety Advice for Coasteering Providers’ Via email and a working group led by the committee. Consultation to start January 2024 Produce an updated final version of the document ‘Safety Advice for Coasteering Providers’ Committee working group taking on responses and consultation advice from members 1st March 2024 Provide updates to members ahead of the 2024 season on the changes made Via regional representative meetings March - April 2024 (Start of season) Add key learning points to our NCC Guide Award Via updates to our Guide Award Providers March - April 2024 (Start of season)

If you have any questions or queries please do not hesitate to contact myself at any time.

Report sections

Investigation and inquest
On the 30th May 2019, an investigation was commenced into the death of Iain Richard Farrell, born on the 20th April 1970.

The investigation concluded at the end of the Inquest on the 29th September 2023.

The Medical Cause of Death was:

1a Drowning

1b

1c The conclusion of the Inquest recorded that Iain Richard Farrell died as a consequence of misadventure in circumstances where he inhaled sea water after he had become breathless during a swim. After having been extracted from the sea onto a ledge by the instructor, a large wave swept him back into the water. This occurred in a challenging sea state during a led coasteering experience. Prior to starting the activity, Mr Farrell had expressed that he was not a confident swimmer.
Circumstances of the death
On 26th May 2019 Mr Farrell took part in a led coasteering activity at Hedbury Quarry with his two sons, , and 6 other participants, two of which were also children. None of the group had previous experience of coasteering. Mr Farrell was not a confident swimmer. The group was led by a single experienced freelance coasteering guide, , working for Land and Wave, a local outdoor activities provider.

Hedbury Quarry is a remote location off the South West Coast Path. It is approximately a 20 minute walk from the nearest carpark. It is known that there is no phone signal along this particular stretch of the coastline.

The guide was equipped with safety items, including a floating rope. In a “safety bag”, which was left in a central location on the coasteering route, was further safety equipment, including a VHF radio.

The sea state on 26th May 2019 was challenging at the start of the session and this became worse as the session progressed.

At the start of the session the coasteering group were asked to jump into the water from a sea ledge, assisted by the coasteering guide. They were instructed to swim away from the rocks and form a safety raft, before swimming in a westerly direction. During the swim, Mr Farrell became breathless and exhausted. The guide stayed with Mr Farrell to encourage and support him and subsequently made the decision to lead Mr Farrell to the shore with a view to getting him out of the water and cancelling the session. The rest of the group were instructed to form a safety raft and remain in the sea.

The guide used a length of “floating rope” to tow Mr Farrell to a sea ledge from which they would both be able to leave the coastline. However, once Mr Farrell had managed to climb onto the ledge with the guide, both were swept back into the sea by a large wave. It is likely that, at this point, Mr Farrell inhaled sufficient sea water to begin the process of drowning. Minutes later he became unresponsive in the sea. The guide recovered Mr Farrell to a sea ledge and began CPR. He was unable to make his way to the rescue bag. The remaining coasteering group, who were now drifting further out to sea and westwards, were able to attract the attention of climbers at Hedbury Quarry, who were, in turn, able to access the rescue bag and raise the alarm using the VHF radio. HM Coastguard were contacted approximately 15 minutes after Mr Farrell became unresponsive in the water. The emergency services, including the RNLI, HM Coastguard, South Western Ambulance Service and the Police attended the scene. Despite resuscitation efforts, Mr Farrell was confirmed deceased.

There is no regulatory body for coasteering, but written guidance is provided by the National Coasteering Charter (“NCC”). The current guidance was issued in 2015. Coasteering providers and guides are not obliged to follow the guidance, though a significant number of providers and guides are NCC members.
Copies sent to
DAC Beachcroft Solicitors (representing , the coasteering guide)HCR Solicitors (representing Land and Wave, the coasteering providerDorset CouncilRoyal National Lifeboat InstituteRoyal Society for the Prevention of AccidentsMaritime and Coastguard AgencyRoyal Life Saving Society UKSurf Life Saving GBAdventure Activities Licencing AuthorityAdventure Activities Licencing ServiceAdventure Activity Industry Advisory CommitteeHealth and Safety Executive

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Report details

Reference
2023-0407
Date of report
13 October 2023
Coroner
Brendan Allen
Coroner area
Dorset

Responses identified

Responses identified 2 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 27 Dec 2023 (estimated).

Sent to

National Coasteering Charter

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