Source · Prevention of Future Deaths

Stephen Cahill

Ref: 2016-0304 Date: 23 Aug 2016 Coroner: Ian Pears Area: Bedfordshire and Luton Responses identified: 1 / 1 View PDF

Easy access to the railway line through inadequate fencing and an access gate poses a risk, and a recommended review of these security measures has not been carried out.

Date 23 Aug 2016
56-day deadline 18 Oct 2016 est.
Responses identified 1 of 1
Railway related deaths

Coroner's concerns

AI summary
Easy access to the railway line through inadequate fencing and an access gate poses a risk, and a recommended review of these security measures has not been carried out.
View full coroner's concerns
the course of the inquest the evidence revealed matters giving rise to concern. In my opinion there is a risk that future deaths will occur unless action is taken_ : (1) The British Transport investigation revealed that the deceased gained access to the railway line through an access gate. Both the gate and fence provide little deterrence or hindrance to someone wanting to access to the railway.

(2) Investigation recommended a review of the fencing and access gates be undertaken at the location as it is relatively easy to access the track from both sides of the line_ It is understood that this has not been undertaken_

Responses

1 respondent
Network Rail Private Sector
10 Nov 2016 PDF
Action Planned

Network Rail has commissioned works to enhance the fencing and gates in the area, including installing over 600m of fencing and upgrading the gate height and construction, to deter unauthorised access to the railway by January 15, 2017. (AI summary)

View full response
Dear Sir Inquest touching the death of Stephen Sean CAHILL Inquest held on the 18th August 2016 at Coroners $ Court; Ampthill refer to your report dated 23rd August 2016 and the very sad death of Stephen Sean Cahill In respect of the matters of concern raised in your letter we respond as follows: have commissioned works to enhance the fencing and gates in this area. These works will be delivered by 15" January 2017 and will be to instail over 6OOm of fencing and upgrade the gate height and construction to deter unauthorised access to the railway in the area internal standard mandates that after unauthorised access has been detected that our "Off Track" team (who maintain our boundary) perform an inspection to fix any damage or recommend investment in upgrades to prevent access where necessary. Their assessment is basec on trained assessment of risks at the site. In this instance we decided that this site required an upgrade as detailed above We take the issue of suicide very seriously. On the route from Peterborough to Kind Cross we have invested significantly in removing the opportunities for unauthorised access to the railway We have done tis primarily tnrough physical mitigation such as platform end barriers, mid-platform fencea 2 stations ad lineside fencing at our boundary line As part of this work we currently have joint proiects with the British Transport Police ana have recently engaged with several iocal authorities at points within this area Of railway: We continue to explore what other opportunities can be realised together with our partners the British Transport Police, Train Operators and Samaritans Nationally we have been working with the Samaritans since 2010 supporting campaigns aimed at reducing suicides 0n theraiwavas Well as training Our Statf to be better prepared to recognise and respond to members of the public who may be considering ending their lives trust this answers your concerns but please advise if you require further information. Yours faithful Route Managing Director Nenvo k Rail Intrastr-cture Limted Registered Olfice: Nefwor Rall, Zra Fior, Cne Evershait Street Wv neixorkrall; London; NW1 ZDN Rogistered Englana Wales i2904587 c?.uk We Our four

Report sections

Investigation and inquest
On April 2016 commenced an Investigation into the death of Stephen Sean CAHILL aged 55 years. The Investigation concluded at the end of the Inquest on 18 August 2016. The Conclusion of the Inquest was that he died as a result of Multiple Injuries' . CIRCUMSTANCES OF THE DEATH On the 29th March 2016 the 2P49 Peterborough to London Kings Cross train was approximately half mile north of Sandy Railway Station when the driver saw the deceased walk from the left side of the track and face down on the track with his body over the rail. The train at this time was travelling at 75 miles per leaving the driver no time to stop_ The train struck the deceased and his death was subsequently confirmed at the scene_ A witness had earlier seen the deceased climb over a gate to walk on the track and down across the rail. Senior Coroner_ The Court House; Woburn Street: A MPTHILL, Bedfordshire; MK45 ZHX Tel 0300-300-6559 Fax 0300-3uu-8267 lay hour lay

CORONER'S CONCERNS the course of the inquest the evidence revealed matters giving rise to concern. In my opinion there is a risk that future deaths will occur unless action is taken_ In the circumstances it is my statutory duty to report to you: The MATTERS OF CONCERN are as follows (1) The British Transport investigation revealed that the deceased gained access to the railway line through an access gate. Both the gate and fence provide little deterrence or hindrance to someone wanting to access to the railway. (2) Investigation recommended a review of the fencing and access gates be undertaken at the location as it is relatively easy to access the track from both sides of the line_ It is understood that this has not been undertaken_ ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and believe you have the power to take such action. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report; namely by 15 November 2016. |, the Assistant Coroner, may extend the period. Your response must contain details of action taken or proposed to be taken, out the timetable for action. Otherwise you must explain why no action is proposed_ COPIES and PUBLICATION have sent a copy of my Report to the Chief Coroner and to the following Interested Persons wife of the deceased_ am also under a to send the Chief Coroner a copy of your response_ The Chief Coroner may publish either or both in a complete or redacted or summary form He may send a copy of this report to any person who he believes Senior Coroner, The Court House: Woburn Street: AMPTHILL, Bedfordshire, MK45 ZHX Tel (300-300-6559 Fax 0300-300-8267 During gain The setting duty find it useful or of interest You may make representations to me, the coroner, at the time of your response, about the release or the publication of your response by the Chief Coroner. Dated 23 August 2016 ~ IAN PEARS Assistant Coroner Bedfordshire and Luton Senior Coroner; The Court House: Woburn Street: AMPTHILL, Bedfordshire; MK45 2HX Tel 0300-300-6559 Fax 0300-300-8267 may 'GORONE; Am 'SHIRE AND '
Circumstances of the death
On the 29th March 2016 the 2P49 Peterborough to London Kings Cross train was approximately half mile north of Sandy Railway Station when the driver saw the deceased walk from the left side of the track and face down on the track with his body over the rail. The train at this time was travelling at 75 miles per leaving the driver no time to stop_ The train struck the deceased and his death was subsequently confirmed at the scene_ A witness had earlier seen the deceased climb over a gate to walk on the track and down across the rail. Senior Coroner_ The Court House; Woburn Street: A MPTHILL, Bedfordshire; MK45 ZHX Tel 0300-300-6559 Fax 0300-3uu-8267 lay hour lay
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action.
Copies sent to
6559 Fax 0300

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Report details

Reference
2016-0304
Date of report
23 August 2016
Coroner
Ian Pears
Coroner area
Bedfordshire and Luton

Responses identified

Responses identified 1 of 1
All listed responses identified

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 18 Oct 2016 (estimated).

Sent to

Network Rail

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