Source · Prevention of Future Deaths
Andrew Phrydas
Ref: 2013-0301
Date: 15 Nov 2013
Coroner: ME Hassell
Area: London Inner North
0 responses identified · 1 indexed addressee
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AI-generated concerns summaryLondon Underground lacked a process to simultaneously shut down intersecting lines and an effective method to alert train drivers to a person on the track.
Date
15 Nov 2013
56-day deadline
21 Feb 2014 est.
estimated from the Judiciary.uk publication date
Responses identified
0 of 1
Coroner's concerns
London Underground lacked a process to simultaneously shut down intersecting lines and an effective method to alert train drivers to a person on the track.
View full coroner's concerns
The MATTERS OF CONCERN raised by the jury are contained in their narrative as follows.
Three minutes and 49 seconds passed between Andrew leaving the platform and him being struck by the train.
Although a person in the tunnel was an unprecedented event, there was a failure by London Underground to have a process in place to shut down both lines simultaneously at a station where two lines intersect.
There was also a failure by London Underground to alert the driver in the most direct and effective method about Andrew’s presence on the track.
Three minutes and 49 seconds passed between Andrew leaving the platform and him being struck by the train.
Although a person in the tunnel was an unprecedented event, there was a failure by London Underground to have a process in place to shut down both lines simultaneously at a station where two lines intersect.
There was also a failure by London Underground to alert the driver in the most direct and effective method about Andrew’s presence on the track.
Report sections
Investigation and inquest
On 6 June 2012, my predecessor, Shirley Anne Radcliffe, commenced an investigation into the death of Andrew Phrydas (aged 23 years). The investigation concluded yesterday.
The medical cause of death was 1a multiple injuries, and the jury returned a narrative conclusion, a copy of which I attach.
The medical cause of death was 1a multiple injuries, and the jury returned a narrative conclusion, a copy of which I attach.
Circumstances of the death
Andrew Phrydas died when he was struck by a London Underground train on the line just outside Finsbury Park Station. He had jumped off the platform and run into the tunnel, then crossed over from the Victoria Line onto the Piccadilly Line, which is where the collision took place.
Action should be taken
I believe that you and London Underground have the power to take action that may prevent future deaths.
Copies sent to
Barnet Enfield & Haringey MentalHealth Trust
Similar PFD reports
Report details
- Reference
- 2013-0301
- Date of report
- 15 November 2013
- Coroner
- ME Hassell
- Coroner area
- London Inner North
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: 21 Feb 2014 (estimated from the Judiciary.uk publication date).
Sent to
- London Underground