Source · Prevention of Future Deaths

Susan Hamlett

Ref: 2016-wp25372 Date: 4 Aug 2016 Coroner: Ian Pears Area: Bedfordshire and Luton 1 response identified · 1 indexed addressee View PDF

AI-generated concerns summaryThe coroner noted that a wooden access gate and fence to the railway line at Lower Farm Road offered little deterrence to access. Recommendations to replace this with a more significant fence have not been actioned.

Date 4 Aug 2016

56-day deadline 29 Sep 2016 est. estimated from the report date

Responses identified 1 of 1

Railway related deaths Suicide (from 2015)

Coroner's concerns

AI summary

The coroner noted that a wooden access gate and fence to the railway line at Lower Farm Road offered little deterrence to access. Recommendations to replace this with a more significant fence have not been actioned.

View full coroner's concerns

Tel 0300-300-6559 | Fax 0300-300-8267 6 (1) The British Transport investigation revealed that the deceased gained access to the railway line through an access gate at Lower Farm Road, Bromham, Bedfordshire. The gate is of wooden construction and provides little deterrence or hindrance to someone wanting to gain access to the railway. The gate has a wooden fence around it of a similar height.

(2) The investigation identified that the area around the wooded track access gate, at the western side of the bridge, should be removed and replaced with a more significant fence as a matter of urgency. It is understood that this has not been undertaken.

Responses

1 respondent

Hamlette Network Rail

Private Sector

Letter dated 3 Nov 2016 PDF

AI-classified response stance Action Planned

AI-generated response summary

• The wooden gate will be upgraded by 2 December 2016. • A multi-agency site visit was organised to scope additional fencing. • Over 500 metres of Class 1 palisade anti-trespass fencing will be installed, with 385 metres already delivered.

Report sections

Investigation and inquest

On 9 March 2016 I commenced an Investigation into the death of Susan Elizabeth HAMLETT, aged 66 years. The Investigation concluded at the end of the Inquest on 04 August 2016. The Conclusion of the Inquest was 'suicide; the medical cause of death was 'Multiple Severe Traumatic Injuries'.

Circumstances of the death

On the 8th March 2016 the driver of a train travelling at 115 mph saw the deceased walk from behind the bridge pillar and lay down across the tracks looking at the train. The deceased was killed instantly.

Similar PFD reports

Shared signals

Report details

Reference: 2016-wp25372
Date of report: 4 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: 29 Sep 2016 (estimated from the report date).

Sent to

Network Rail

Source links

Judiciary.uk page → Report PDF →

Data: judiciary.uk.

Contains public sector information licensed under the Open Government Licence v3.0.