Source · Prevention of Future Deaths
Hans-Peter Schmidt
Ref: 2018-0145
Date: 14 May 2018
Coroner: Guy Davies
Area: Cornwall& the Isles of Scilly
Responses identified: 0 / 3
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Lack of barrier maintenance, absent permanent barriers, inadequate international warning signs, and insufficient staff training at cliff hot spots create significant safety hazards.
Date
14 May 2018
56-day deadline
26 Aug 2018 est.
Responses identified
0 of 3
Coroner's concerns
Lack of barrier maintenance, absent permanent barriers, inadequate international warning signs, and insufficient staff training at cliff hot spots create significant safety hazards.
View full coroner's concerns
(1) The apparent lack of maintenance of the temporary rope barriers located at two hot spot sites identified by RNLI and police witnesses, namely 1) that immediately below Greeb farm where a path from the farm meets the cliff face at a right angle and forms a junction with other paths above the sheer cliff face, this being the sight of two fatal accidents in 2017, namely those of Mr Jachec and Herr Schmidt. 2) that known as the arch viewing area, being the furthest southern location of the Lands End resort on the border with National Trust property.
(2) Regarding the lack of permanent barriers as recommended by the RNLI at the two hot spot sites discussed above.
(3) The lack of internationally recognisable warning signs in accordance with British Signage Institute (BSI) guidelines to warn non-English speakers of the dangers presented by the cliffs as recommended by the RNLI.
(4) The lack of uptake by the Lands End resort of the RNLI offer to provide training to staff.
(5) The lack of warning signs and pictograms at discrete public locations within Lands End resort to promote awareness of the dangers presented by the cliffs.
(2) Regarding the lack of permanent barriers as recommended by the RNLI at the two hot spot sites discussed above.
(3) The lack of internationally recognisable warning signs in accordance with British Signage Institute (BSI) guidelines to warn non-English speakers of the dangers presented by the cliffs as recommended by the RNLI.
(4) The lack of uptake by the Lands End resort of the RNLI offer to provide training to staff.
(5) The lack of warning signs and pictograms at discrete public locations within Lands End resort to promote awareness of the dangers presented by the cliffs.
Report sections
Investigation and inquest
On 7th July 2017 I commenced an investigation into the death of Hans-Peter SCHMIDT.
The investigation concluded at the end of the inquest on 3rd May 2018.
The four statutory questions - who, when, where and how – were answered as follows …
‘Hans-Peter SCHMIDT died on 17th June 2017 at Lands End, Cornwall from trauma consistent with an unwitnessed fall down a sheer cliff-face whilst cycling along the cliff edge in an area in which the footpaths are eroded and lead to the cliff edge.’
The legal conclusion of the inquest was that Hans-Peter Schmidt died an accidental death.
The medical cause of death was (1a) multiple injuries, (1b) from a fall from a cliff.
The investigation concluded at the end of the inquest on 3rd May 2018.
The four statutory questions - who, when, where and how – were answered as follows …
‘Hans-Peter SCHMIDT died on 17th June 2017 at Lands End, Cornwall from trauma consistent with an unwitnessed fall down a sheer cliff-face whilst cycling along the cliff edge in an area in which the footpaths are eroded and lead to the cliff edge.’
The legal conclusion of the inquest was that Hans-Peter Schmidt died an accidental death.
The medical cause of death was (1a) multiple injuries, (1b) from a fall from a cliff.
Circumstances of the death
53 year old German national Herr Schmidt, was on holiday in Cornwall with his wife, . They were staying at Mousehole in West Cornwall. Herr Schmidt was a semi-professional cyclist, a member of the Frankfurt cycling club. On the afternoon of their arrival in Cornwall, 17th June 2017, Herr Schmidt set off on a cycle ride from which he never returned. Frau Schmidt raised the alarm later that same day.
On the morning of Sunday 18th June 2017, search and rescue operations commenced which included a Coastguard helicopter. That morning Herr Schmidt’s body and bike was found at the foot of the cliffs at Lands End, south of the main Lands End holiday complex and near Greebs Farm.
Police evidence ruled out any defects on the bicycle. Herr Schmidt was riding a high spec mountain bike, of several thousand pounds in value, which was well maintained.
Police and RNLI evidence indicated that at the site of the accident the ground near cliff edge sloped at 45 degrees to sheer cliff face, made up of loose grit and dirt with areas of grass – it was a finding that this loose ground could have been a contributing factor. The footpaths appear eroded, unofficial pathways have formed, some slope towards and lead over the cliff edge.
The finding of fact was that Herr Schmidt either rode straight off the cliff edge or that he had lost control of his cycle and then fell off the cliff.
At the time of the accident there were no barriers at the edge of the cliff.
The court heard evidence that on 30th April 2017 another fatality had occurred at almost exactly the same spot, involving a Mr Grzegorz Jachec. The conclusion of the inquest into the death of Mr Jachec found that he and his family had been walking the coastal path and that he had been ‘joking around’ at the fatal location and that he then disappeared. His body was found at the foot of the cliffs in almost the same spot that Herr Schmidt was later found. Slip marks were found on the sloped grass area on the cliff edge where Mr Jachec had been standing.
On the morning of Sunday 18th June 2017, search and rescue operations commenced which included a Coastguard helicopter. That morning Herr Schmidt’s body and bike was found at the foot of the cliffs at Lands End, south of the main Lands End holiday complex and near Greebs Farm.
Police evidence ruled out any defects on the bicycle. Herr Schmidt was riding a high spec mountain bike, of several thousand pounds in value, which was well maintained.
Police and RNLI evidence indicated that at the site of the accident the ground near cliff edge sloped at 45 degrees to sheer cliff face, made up of loose grit and dirt with areas of grass – it was a finding that this loose ground could have been a contributing factor. The footpaths appear eroded, unofficial pathways have formed, some slope towards and lead over the cliff edge.
The finding of fact was that Herr Schmidt either rode straight off the cliff edge or that he had lost control of his cycle and then fell off the cliff.
At the time of the accident there were no barriers at the edge of the cliff.
The court heard evidence that on 30th April 2017 another fatality had occurred at almost exactly the same spot, involving a Mr Grzegorz Jachec. The conclusion of the inquest into the death of Mr Jachec found that he and his family had been walking the coastal path and that he had been ‘joking around’ at the fatal location and that he then disappeared. His body was found at the foot of the cliffs in almost the same spot that Herr Schmidt was later found. Slip marks were found on the sloped grass area on the cliff edge where Mr Jachec had been standing.
Action should be taken
(1) Review the need for maintenance and inspection of the temporary and fragile nature of the rope barriers located at two hot spot sites identified by RNLI and police witnesses, namely 1) that immediately below Greeb farm where a path from the farm meets the cliff face at a right angle and forms a junction with other paths above the sheer cliff face, this being the sight of two fatal accidents in 2017 including that of Herr Schmidt. 2) that known as the arch viewing area, being the furthest southern location of the Lands End resort on the border with National Trust property. (2) Consider installing permanent barriers such as a wooden fence as recommended by the RNLI at the two hot spot sites discussed above. (3) Consider appropriate placement of internationally recognisable warning signs in accordance with British Signage Institute (BSI) guidelines to warn non-English speakers of the dangers presented by the cliffs as recommended by the RNLI. (4) Consideration to be given by the Lands End resort to accepting the RNLI offer to provide training to staff. (5) Consider appropriate placement of warning signs and pictograms at discrete public locations within Lands End resort to promote awareness of the dangers presented by the cliffs. (6) Cornwall Council to consider exercising its statutory powers to ensure the necessary safety measures are implemented at the Lands End resort and in the coastline and cliffs below Greeb Farm.
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Report details
- Reference
- 2018-0145
- Date of report
- 14 May 2018
- Coroner
- Guy Davies
- Coroner area
- Cornwall& the Isles of Scilly
Responses identified
Responses identified
0 of 3
3 responses not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 26 Aug 2018 (estimated).
Sent to
- Cornwall Council
- Heritage Attractions Ltd
- Lands End Resort