Source · Prevention of Future Deaths
Kamrul Rubel
Date: 15 Dec 2015
Coroner: Louise Hunt
Area: Birmingham and Solihull
0 responses identified · 1 indexed addressee
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AI-generated concerns summaryThe gym did not enforce the use of the emergency stop cord, despite advising users to attach it, which raised concerns about the adequacy of advice and warnings provided to users.
Date
15 Dec 2015
56-day deadline
9 Feb 2016 est.
estimated from the report date
Responses identified
0 of 1
Coroner's concerns
The gym did not enforce the use of the emergency stop cord, despite advising users to attach it, which raised concerns about the adequacy of advice and warnings provided to users.
View full coroner's concerns
_ (1) During the inquest heard evidence that initial gym induction users are advised, in accordance with the manufacturer' s instruction; that attach a cord which acts as an emergency stop if anything untoward should occur. At the time in question the deceased did not attach the cord and evidence confirmed it was not normal practice for the gym to enforce use of the emergency cord. It is impossible to say whether this would have made any difference to the deceased but steps should be taken to ensure that appropriate advice and warnings are given to all users regarding the correct use of the emergency cord City _ aged during they
Report sections
Investigation and inquest
On 21/08/2015 commenced an investigation into the death of Kamrul Hassan RUBEL (DOB 30/12/91)
23. The investigation concluded at the end of the inquest 14th December 2015. The conclusion of the inquest was that the deceased as a result of an accident:
23. The investigation concluded at the end of the inquest 14th December 2015. The conclusion of the inquest was that the deceased as a result of an accident:
Circumstances of the death
The deceased was running on a treadmill at Small Heath Wellbeing Centre on 10/8/15. The treadmill as manufactured by Technogym and the model was Run 700. At approximately 13.00 he was seen to fall of the back ofthe treadmill hitting his head on the floor. He was taken to Birmingham Heartlands Hospital and later transferred to Queen Elizabeth Hospital Birmingham. He continued to have raised intracranial pressure as a result of the head injury: He required surgery on 15/8/15 but died despite all treatment: The cause of death was TRAUMATIC BRAIN INJURY.
Action should be taken
In my opinion action should be taken to prevent future deaths and believe you Birmingham Council; have the power to take such action:
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Report details
- Date of report
- 15 December 2015
- Coroner
- Louise Hunt
- Coroner area
- Birmingham and Solihull
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: 9 Feb 2016 (estimated from the report date).
Sent to
- Birmingham City Council