Bernard Ovu

Floor gate. 22nd falling

During the course of the Inquest; matters were revealed giving rise to the concerns_ It was clear from the evidence that the emergency exit gate into the non-public area had been opened. It was clear from the evidence that the emergency exit to Silvertown had not been opened. It would appear that there was an incorrect assumption by the member of staff that the trespasser entering the gate may have come back through There was no confirmatory check to ensure that this was the case. The evidence at the Inquest Hearing established that there was no clear written procedures to lone working staff on what action should be taken in the event of a likely trespasser in the non-public area, beyond the emergency Practice differed from witness to witness as to what should be done in these circumstances_ A clear written procedure may assist staff in dealing with these circumstances in the future_ There was inconsistency amongst witnesses as to whether the recorded CCTV should be accessed by staff. Indications were given that access to the recorded CCTV can be practically difficult (the recorded CCTV being BTP equipment and not LU): Recourse to the CCTV would have provided a confirmatory check in these circumstances_ It would be helpful for staff to be clear about the use of the recorded CCTV and for ease of access to it. The evidence during the course of the Inquest raised some concern in relation to dissemination of policies and procedures to staff. If a written procedure is to be prepared, should be grateful for confirmation as to how this will be disseminated to staff