Source · Prevention of Future Deaths

Jack Sheldon

Ref: 2017-0088 Date: 14 Mar 2017 Coroner: Nicola Mundy Area: South Yorkshire (East) Responses identified: 0 / 1 View PDF

The emergency services lacked an effective system for managing multiple calls, prioritising resources, and mobilising appropriate appliances, compounded by inadequate staff training and difficult-to-use systems.

Date 14 Mar 2017
56-day deadline 29 May 2017 est.
Responses identified 0 of 1
Community health care and emergency services related deaths

Coroner's concerns

AI summary
The emergency services lacked an effective system for managing multiple calls, prioritising resources, and mobilising appropriate appliances, compounded by inadequate staff training and difficult-to-use systems.
View full coroner's concerns
_ (1) Lack of an effective system for management of multiple calls received regarding the same incident and prioritisation of appliances (2) Lack of effective training of staff with regard to the importance of verbal communication Lack of effective protocols for mobilisation of appropriate appliances and associated training of staff Need for training of staff to ensure they have full knowledge of the systems in place to check availability of appliances prior to mobilisation.

(5) An overview of the system generally with regard to the practicality of operators switching between screens to check appliances and their availability and location when already dealing with emergency situations. Coroner'$ Court and Office_ Doncaster Crown Court; Road, Doncaster, DNI 3HS Tel 01302 737135 Fax 01302 736365 being College

Report sections

Investigation and inquest
On 01/11/2016 commenced an investigation into the death of Jack Owen Sheldon, 13 The investigation concluded at the end of the inquest on 14 March 2017. The conclusion of the inquest was Accidental death
Circumstances of the death
On the 27lh October 2016 Jack Sheldon was stripping paint off a motorbike he had bought in the shed in the garden of his home with the door closed. The shed filled with petrol vapours and petrol leaked onto objects within the shed. At some point after 20.00 hrs on the 27 the petrol vapours reached a flammable level and reached the naked flame of the candle (being used for light) and flashed and thereafter led to an intense shed fire It was not known that Jack was in the shed until after the fire had been extinguished. Four emergency calls were made to the fire service, the first call led to reservation of an appliance but this was not mobilised as the second call taken had more detailed information leading the operator to mobilise the second allocated appliance, which was in fact the second nearest, leading to a delay of some four minutes in the appliance arriving at the scene. It is unlikely that this would have made a difference to the outcome t0 Jack
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you James Courtney have the power to take such action.

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Report details

Reference
2017-0088
Date of report
14 March 2017
Coroner
Nicola Mundy
Coroner area
South Yorkshire (East)

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: 29 May 2017 (estimated).

Sent to

Chief Fire Officer

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