Source · Prevention of Future Deaths

Joshua Perry

Ref: 2026-0206 Date: 7 Apr 2026 Coroner: Helen Rimmer Area: Liverpool & Wirral Responses identified: 1 / 2 View PDF

A conflict exists between Building Regulations and BSI Standards regarding the measurement of barrier heights when a wall or parapet is used as guarding, and the guidance does not mention horizontal railings being a climbing risk for adults and children over 5 years old.

Date 7 Apr 2026
56-day deadline 2 Jun 2026 est.
Responses identified 1 of 2
Other related deaths

Coroner's concerns

AI summary
A conflict exists between Building Regulations and BSI Standards regarding the measurement of barrier heights when a wall or parapet is used as guarding, and the guidance does not mention horizontal railings being a climbing risk for adults and children over 5 years old.
View full coroner's concerns
During the course of the inquest it came to my attention that there is a conflict between The Building Regulations 2010, Guidance: Approved Document K and BSI Standards, barriers in and about buildings, Code of Practice, which requires resolution and may prevent future deaths. Document K at K2 paragraph 3.2 outlines that guarding must be at a minimum height and that any wall, parapet, balustrade or similar obstruction can be used as guarding. The British Standards, Code of Practice indicates that barriers installed on parapet walls should be measured from the top of the parapet and not at walk level. It is not clear from the guidance and standards where the starting point of the barrier height is to be taken from when a wall, parapet, balustrade or similar obstruction is used as guarding. Document K at K2 paragraph 3.3 outlines that the use of horizontal railings should be avoided to prevent children under the age of 5 years readily being able to climb the guarding, there is no mention of this also being applicable to adults and children over the age of 5 years.

Responses

1 respondent
MHCLG Central Government
1 Jun 2026 PDF
Action Planned

The MHCLG intends to address the conflict between Building Regulations and BSI Standards regarding guarding design and horizontal railings through a forthcoming call for evidence on Approved Document K, which will inform potential future changes to guidance and standards. (AI summary)

View full response
Dear Helen, Thank you for your letter and report dated 7 April regarding the tragic death of Joshua Perry. I recognise the profound distress this tragic loss would have caused and would like to express my sincere condolences to Mr Perry’s family and friends. Your letter and report were made in accordance with paragraph 7 of Schedule 5, to the Coroners and Justice Act 2009 and regulation 28 of the Coroner’s (Investigations) Regulations 2013. You set out matters of concern and recommended that I, in my capacity as Secretary of State, of the Ministry of Housing, Communities and Local Government (MHCLG), should take action. You noted that:
• There is conflict between the Building Regulations 2010 Guidance: Approved Document K (ADK) and BSI Standards, barriers in and about buildings, Code of Practice. Specifically;
• It is not clear from the guidance and standards where the starting point of the barrier height is to be taken from when a wall, parapet, balustrade or similar obstruction is used as guarding.
• There is no mention of the use of horizontal railings being avoided to prevent adults and children over the age of 5 being able to climb the guarding. The guidance only makes reference to children under the age of 5. The minimum heights in both ADK and the British Standards are measured from the floor level to the top of either parapet, barrier or guarding in most cases. The British Standards go further to state that the height of barriers installed on top of low parapet walls should be measured from the top of the parapet and not at walk level. This is because a low parapet wall could constituent a step therefore reducing the effectiveness of the barrier. At Mr Perry’s inquest, you established that he died as a consequence of falling from the nineteenth floor of a multi storey car park from which he suffered multiple injuries, which proved fatal. You established that horizontal railings at the car park facilitated Joshua’s fall from height. Consideration of the matters of concern The Ministry for Housing, Communities and Local Government (MHCLG) intends to consider the issues raised through a forthcoming call for evidence on ADK where we will be seeking views to help us understand which areas may need strengthening, greater clarity or further research. This

[Page 2] will include the case for changes on guarding design and wider fall and accidental prevention measures. This will provide an opportunity for regulators, industry experts, and other stakeholders to share evidence on the effectiveness and clarity of the current guidance, including its application in complex environments such as multi-storey car parks, and to inform consideration of whether further clarification or revision would support improved safety outcomes. This approach will ensure that any future changes are developed carefully, on the basis of evidence, and subject to appropriate consultation. We will also ensure that any changes are considered within the wider framework of the Building Regulations. The matters raised in your coroner’s report will be taken into account as part of this work. Conclusion I fully recognise the seriousness of this incident and the measures set out above look to prevent this type of incident from occurring.

Report sections

Investigation and inquest
On 17 March 2025 an investigation into the death of Joshua Christopher Edward PERRY aged 21 was commenced. The investigation concluded at the end of the inquest on 02 April 2026. The conclusion of the inquest was that: Cause of death 1a. Multiple Injuries Conclusion Narrative – Joshua died as a consequence of falling from the nineteenth floor of a multi storey car park from which he suffered multiple injuries, which proved fatal. On the evidence it is not clear whether he intended to take his own life.
Circumstances of the death
On 14th March 2025, Joshua Perry fell from the 19th floor of the multi storey car park situated on     [REDACTED], horizontal railings at the car park facilitated Josh’s fall from height. Police officers attended and located Joshua on the floor between two vehicles in a car park on the junction of [REDCATED] Cardio pulmonary resuscitation was performed, however Joshua had suffered multiple injuries as a result of the fall and his death was verified by paramedics at 18:31 hours. There were no suspicious circumstances surrounding Joshua’s death.

Toxicological analysis revealed that Joshua had consumed ketamine prior to his death at a concentration consistent with moderate excessive use, the effects of which can include drowsiness/sedation, intense hallucinations and unsteadiness. In the context of Joshua having consumed ketamine, which more likely than not influenced Joshua’s cognitive functioning, it cannot be established on a balance of probabilities that he intended to take his own life.
Copies sent to
[REDACTED]ParkBee Ltd

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Report details

Reference
2026-0206
Date of report
7 April 2026
Coroner
Helen Rimmer
Coroner area
Liverpool & Wirral

Responses identified

Responses identified 1 of 2
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 2 Jun 2026 (estimated).

Sent to

Secretary of State for building safety, fire and construction
Secretary of State for building safety, fire and construction regulations

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