Source · Prevention of Future Deaths
Marko Petrovic
Ref: 2017-0354
Date: 15 Sep 2017
Coroner: Martin Fleming
Area: West Yorkshire (West)
Responses identified: 0 / 1
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There are no written guidelines for dismantling cantilevered scaffolds, nor are specific Risk Assessment Method Statements (RAMS) required for this process, risking worker safety.
Date
15 Sep 2017
56-day deadline
8 Apr 2018 est.
Responses identified
0 of 1
Coroner's concerns
There are no written guidelines for dismantling cantilevered scaffolds, nor are specific Risk Assessment Method Statements (RAMS) required for this process, risking worker safety.
View full coroner's concerns
The MATTER OF CONCERN is as follows. During the inquest evidence was heard to suggest that there are no written guidelines with respect to the dismantling of cantilevered scaffolds_ During the inquest evidence was heard to suggest that there are currently no written guidelines with respect to dismantling of cantilevered scaffolds. In this respect I would ask that the consideration be given to a further review of the existing guidelines. RT3589 being taking they along him,
Although evidence was heard to suggest that a RAMS had been initiated with respect to the erection of the scaffolding a further RAMS to cover the subsequent dismantlement of the scaffolding was not required: Iwould ask that consideration be given to the appropriateness of further RAMS specific to the dismantlement of the scaffolding:
Although evidence was heard to suggest that a RAMS had been initiated with respect to the erection of the scaffolding a further RAMS to cover the subsequent dismantlement of the scaffolding was not required: Iwould ask that consideration be given to the appropriateness of further RAMS specific to the dismantlement of the scaffolding:
Report sections
Investigation and inquest
Iopened an inquest into the death of Marko Petrovic on 19/1/16 who, at the date of his death was 53 years old. The inquest was resumed before a jury on 13/11/17 and concluded on 16/11/17 The jury found the cause of death to be: la Multiple injuries The jury arrived at a conclusion of Accident Under Box 3 Marko Petrovic died as a result of multiple injuries resulting from a fall from the roof of a four storey building on 11 January 2016 at Calderdale Royal Hospital: Work commenced before additional barriers were in The scaffold was taken down to a where what was left became unstable_ The scaffold fell from the roof and fell to the ground along with Marko.
Circumstances of the death
Mr Petrovic was employed by Talk Scaffold as an advanced scaffolder with many years experience, owned by its Director_ RT3589 aged point place.
which was contracted by RH Fulwood to erect scaffolding on the roof of Calderdale Royal Hospital in Halifax to enable the completion of structural work contracted to them by Cofley Integrated (now known as Engie) who had the responsibility for managing the hospital site AtJam 11/1/16 Mr Petrovic and colleague scaffolders, and arrived at the hospital to dismantle the scaffold, which they had previously erected on 18/12/15, after the repairs on the roof; had been completed: Whilst arrangements were made to fully cordon off the ground area, Mr Petrovic and colleagues went onto the roof to dismantle the cantilever scaffolding which protruded from the roof, by parts to the ground in a service lift in order to place them onto a wagon parked underneath: Evidence was heard to suggest that Mr Petrovic as the most experienced scaffolder made a decision to commence dismantling from a point opposite to the cantilever in order to allow time for the barriers to be fully erected: As instructed by Mr Petrovic, his colleagues left him on the roof to continue dismantling the scaffold whilst took the parts to the ground floor in the service lift: It was then that the scaffolding platform became unstable causing it to fall from the roof with Mr Petrovic who sustained severe injuries Although he was rushed into A&E, notwithstanding attempts to resuscitate he succumbed and died from his injuries The jury heard expert evidence to suggest that Mr Petrovic had taken the decision to dismantle the scaffolding from the wrong end, which destabilised the remaining platform:
which was contracted by RH Fulwood to erect scaffolding on the roof of Calderdale Royal Hospital in Halifax to enable the completion of structural work contracted to them by Cofley Integrated (now known as Engie) who had the responsibility for managing the hospital site AtJam 11/1/16 Mr Petrovic and colleague scaffolders, and arrived at the hospital to dismantle the scaffold, which they had previously erected on 18/12/15, after the repairs on the roof; had been completed: Whilst arrangements were made to fully cordon off the ground area, Mr Petrovic and colleagues went onto the roof to dismantle the cantilever scaffolding which protruded from the roof, by parts to the ground in a service lift in order to place them onto a wagon parked underneath: Evidence was heard to suggest that Mr Petrovic as the most experienced scaffolder made a decision to commence dismantling from a point opposite to the cantilever in order to allow time for the barriers to be fully erected: As instructed by Mr Petrovic, his colleagues left him on the roof to continue dismantling the scaffold whilst took the parts to the ground floor in the service lift: It was then that the scaffolding platform became unstable causing it to fall from the roof with Mr Petrovic who sustained severe injuries Although he was rushed into A&E, notwithstanding attempts to resuscitate he succumbed and died from his injuries The jury heard expert evidence to suggest that Mr Petrovic had taken the decision to dismantle the scaffolding from the wrong end, which destabilised the remaining platform:
Action should be taken
In my opinion action should be taken to prevent future deaths and [ believe that the Health and Safety Executive has the to take such action.
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Report details
- Reference
- 2017-0354
- Date of report
- 15 September 2017
- Coroner
- Martin Fleming
- Coroner area
- West Yorkshire (West)
Responses identified
Responses identified
0 of 1
1 response not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 8 Apr 2018 (estimated).
Sent to
- Health and Safety Executive