Source · Prevention of Future Deaths
Kuldip Singh Dhillon
Ref: 2013-0254
Date: 8 Oct 2013
Coroner: Chinyere Inyama
Area: London (East)
Responses identified: 0 / 1
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Widespread common practice of unrestrained palletised loads on vehicles poses significant safety risks, compounded by insufficient enforcement and auditing of transport regulations by the Department of Transport.
Date
8 Oct 2013
56-day deadline
3 Dec 2013 est.
Responses identified
0 of 1
Coroner's concerns
Widespread common practice of unrestrained palletised loads on vehicles poses significant safety risks, compounded by insufficient enforcement and auditing of transport regulations by the Department of Transport.
View full coroner's concerns
1. Evidence was given at the inquest that the load which the deceased was carrying was sitting on the vehicle’s load bed without any restraint at all.
2. This, according to the evidence given, was ‘common practice nationwide with palletised loads’. You note that this evidence was given by a senior engineer from the Engineering Safety Unit of the Health and Safety Laboratory.
3. This type of lack of restraint not only puts a driver at risk whilst driving but also at risk during loading and unloading.
4. Evidence was given at the inquest by the senior engineer that similar evidence has been given be her at inquests nationwide over a number of years without any apparent change in industry practice.
5. Evidence was given at the inquest that it is the Department of Transport that is responsible for enforcing and auditing compliance with the pieces of legislation (supported by specific guidance and codes of practice) that govern the loading and transport of goods by road in the UK.
6. Evidence was given that there, clearly, is insufficient enforcing and auditing of the guidance and codes of practice.
2. This, according to the evidence given, was ‘common practice nationwide with palletised loads’. You note that this evidence was given by a senior engineer from the Engineering Safety Unit of the Health and Safety Laboratory.
3. This type of lack of restraint not only puts a driver at risk whilst driving but also at risk during loading and unloading.
4. Evidence was given at the inquest by the senior engineer that similar evidence has been given be her at inquests nationwide over a number of years without any apparent change in industry practice.
5. Evidence was given at the inquest that it is the Department of Transport that is responsible for enforcing and auditing compliance with the pieces of legislation (supported by specific guidance and codes of practice) that govern the loading and transport of goods by road in the UK.
6. Evidence was given that there, clearly, is insufficient enforcing and auditing of the guidance and codes of practice.
Report sections
Investigation and inquest
On 30th May 2012 I commenced an investigation into the death of Kuldip Singh Dhillon then aged 57. The investigation concluded at the end of the inquest on the 20th September 2013. The conclusion of the inquest was accidental death and the medical cause of death being extensive full thickness burns.
Circumstances of the death
1. Essex Police were performing a rolling road block to clear debris off the M25 on the 25th May 2012.
2. Vehicles had slowed and stopped.
3. The deceased was driving a lorry when he (as confirmed by CCTV footage) collided into a stationery vehicle.
4. He was trapped in his vehicle when the vehicle exploded following the impact, engulfing his cab in fire.
5. He was confirmed dead at the scene.
2. Vehicles had slowed and stopped.
3. The deceased was driving a lorry when he (as confirmed by CCTV footage) collided into a stationery vehicle.
4. He was trapped in his vehicle when the vehicle exploded following the impact, engulfing his cab in fire.
5. He was confirmed dead at the scene.
Action should be taken
It is clear there should be a review of the systems in place that are meant to ensure there is no risk of anaphylactic shock in such cases. In addition, the operation of the system should be audited on a regular basis since potential consequences of absence of or poor operation of such systems are potentially so serious.
7. You are under a duty to respond to this report within 56 days of the date of this report namely by 3rd December 2013. I, the coroner, may extend the period.
Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed.
7. You are under a duty to respond to this report within 56 days of the date of this report namely by 3rd December 2013. I, the coroner, may extend the period.
Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed.
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Report details
- Reference
- 2013-0254
- Date of report
- 8 October 2013
- Coroner
- Chinyere Inyama
- Coroner area
- London (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: 3 Dec 2013 (estimated).
Sent to
- Department for Transport