Source · Scotland · Fatal Accident Inquiry

James Osbourne Murray

Scotland · FAI Reference: [2026] FAI 8 Published: 9 Feb 2026 Sheriff: Sheriff Iain W Nicol Sheriffdom: Lothian and Borders View PDF
Court recommendations Identified
Responses identified 3
8-week deadline 6 Apr 2026
Section 28 status Response(s) published

Recommendations

[141] There are two recommendations which I wish to make. [142] Firstly, I have seen nothing to suggest that Interflex have reviewed their health and safety procedures in the same way that Drummond Distribution have. If that has not been carried out by Interflex, I recommend they do so immediately. They should review existing (or prepare new) risk assessments, identify the hazards in a loading operation, put practices in place to ensure the HSE and DVSA guidance along with their obligations under the Road Traffic Act 1998, Health and Safety at Work etc Act 1974 and The Provision and Use of Work Equipment Regulations 1998 are complied with, including the provision of all necessary training and health and safety information to their employees on their responsibilities for the loading and transportation of goods. Further, they should ensure sufficiently robust supervision and auditing practices are put in place to pick up on non-compliance so that those issues are addressed at the earliest opportunity. [143] Secondly, given the comments made by Nina Day that ignorance of i. loading responsibilities and ii. when a load requires the application of ratchet strapping, is widespread amongst HGV drivers, drivers’ employers and consignors, the mere existence of the legislation and guidance, and a hope that drivers, their employers and consignors fulfil their obligations, is insufficient to ensure that the risks associated with load stability are reduced to the lowest level possible. The diligent employer will do what is required. But, clearly, that is far from a universal position, and this widespread ignorance, or potentially deliberate flouting, of legal obligations, has potentially fatal consequences. [144] There have been two targeted roadside campaigns, one in 2011 and one in 2015 performed by DVSA which was the subject of an article in Transport Engineer published in January 2018. Half of the vehicles stopped in 2011 had inadequate load securing with a quarter having no load securing at all. In 2015, a quarter of lorries stopped had inadequate load securing. One in ten had an unstable load. Ms Day devised and oversaw those campaigns. In 2022, she developed Operation Eventide, a multi-agency enforcement and education operation to address load security issues with the Association of Pallet Networks, of which Drummond Distribution is a member, and provided technical support to its running in 2023 and 2024. DVSA and HSE work together to help commercial training providers access up-to-date supporting materials. Much work has therefore been done to provide information to the road haulage industry on what is expected of them to mitigate the risks associated with load security. [145] The Road Traffic Act 1988, The Health and Safety at Work etc Act 1974 and the Provision and Use of Work Equipment Regulations 1998 place obligations, and indeed criminal responsibility, on a number of different parties to ensure that loading is undertaken safely and that the load is adequately secured. [146] As such, the necessary statutory and regulatory framework and guidance already exists, setting out the requirements of each person or organisation involved in a loading operation. However, unless there are adequate auditing and enforcement measures in place across the haulage industry, there is frequent non-compliance by haulage operators, consignors and drivers, culminating in failures to ensure that a load is secure and remains so in transit. [147] My second recommendation, therefore, is to for DVSA and HSE to jointly consider how best to improve compliance. I acknowledge that DVSA and HSE were not represented at the Inquiry and have not had the opportunity of putting forward their views on this issue. It was a matter of agreement that since the accident Drummond Distribution have fully reviewed their procedures in relation to compliance and are now independently audited. A system of independent auditing across the haulage industry would be highly desirable, but no evidence was led as to whether it is feasible. I therefore stop short of recommending that such a scheme is put in place. I confine the recommendation to considering what can be done to improve compliance with the existing legal requirements for load security. Many professional bodies and businesses utilise peer review and independent auditing to ensure compliance with rules and regulations with appropriate sanctions for non-compliance. It is clear from the material submitted to the Inquiry that some haulage operators are utilising the services of compliance auditors. However, there is a widespread problem where the risks associated with insecure loads still exist despite the extensive work undertaken by Ms Day, and others, in disseminating information to the haulage industry. She herself recognises that many drivers still fail to appreciate the risks. Many employers and consignors appear to be failing to comply with their legal obligations. [148] The practical detail of how such a scheme could reasonably operate is something which is beyond the scope of this determination but it is within judicial knowledge that such schemes often involve the creation of a list of auditing criteria which is circulated to those to be assessed so there is a clear understanding of what the auditors will be assessing, how each criteria will be scored, what would constitute a fail and what the implications would be for such failure. Suitably qualified quality assurance peer reviewers are appointed and tasked with undertaking desk-top reviews of the relevant documentation and, if necessary, can undertake on-site reviews. Additional targeted roadside campaigns could be undertaken. There would clearly be a cost implication and consideration would have to be given to how such a scheme would be funded. These are simply observations for consideration in any feasibility study which is undertaken. [149] It is of note that Drummond Distribution were convicted of contraventions of the Health and Safety at Work etc Act 1974 but that only arose as a result of the death of Mr Murray, and were it not for this Fatal Accident Inquiry it is likely no such convictions would have resulted. An audit of the type described above may well have highlighted, in advance, the various defects in the systems of work which could have been rectified prior to the accident.
Under section 28 of the 2016 Act, each recipient of a recommendation must respond within 8 weeks. The window from publication ran to 6 April 2026. See how we track responses.

Section 28 responses

Response(s) published
Response - Driver & Vehicle Standards Agency Other

Court ref: EDI-B398-24 RESPONSE to the DETERMINATION OF SHERIFF IAIN W NICOL UNDER THE INQUIRIES INTO FATAL ACCIDENTS AND SUDDEN DEATHS ETC. (SCOTLAND) ACT 2016 IN THE INQUIRY INTO THE DEATH OF JAMES MURRAY To: the Scottish Courts and Tribunals Service 1. The Driver and Vehicle Standards Agency (DVSA) has …

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Court ref: EDI-B398-24
RESPONSE
to the
DETERMINATION OF SHERIFF IAIN W NICOL
UNDER THE INQUIRIES INTO FATAL ACCIDENTS AND SUDDEN DEATHS ETC. (SCOTLAND) ACT 2016
IN THE
INQUIRY INTO THE DEATH OF JAMES MURRAY
To: the Scottish Courts and Tribunals Service
1.
The Driver and Vehicle Standards Agency (DVSA) has an interest in the inquiry but was not a participant in the inquiry. DVSA is responsible for, amongst other things, carrying out roadside checks on commercial drivers and vehicles to make sure they follow safety rules and keep their vehicles safe to drive.
2.
DVSA was sorry to learn of Mr Murray’s death and extends its condolences to his family and friends.
3.
Following a coroner’s report in 2022, DVSA, working with the Health and Safety Executive (HSE), published new load security guidance in July 2023, and revised it in December 2024. This guidance replaced the previous Department for Transport code of practice and DVSA operator guidance on GOV.UK. It places greater emphasis on the responsibilities of drivers, operators and consignors, and on the need for robust risk assessments. The guidance was developed with input from key transport industry stakeholders and informed by accident and enforcement data to ensure it addressed the areas of greatest risk.
4.
The guidance was promoted through established DVSA and HSE communication channels, including social media and industry publications such as
Moving On
, which is distributed to all operator licence holders.
5.
DVSA enforcement examiners routinely assess load security during roadside checks. Where issues are identified, enforcement action requires the load to be made safe before the vehicle is permitted to continue its journey. Depending on the circumstances, action may also be taken against the driver and operator, ranging from fixed penalties to court prosecution in more serious cases. DVSA will subsequently engage with the operator to ensure effective systems are in place to manage load security, including appropriate driver training, risk assessments and monitoring the condition of related equipment. Examiners may provide advice where appropriate; however, where significant failings are identified, the operator will be referred to the Traffic Commissioner for consideration of disciplinary action.
6.
In response to previous fatalities involving insecure loads, DVSA has undertaken targeted load security operations over the past 12 months, focusing on specific transport sectors to maximise impact. These activities have been supported by stakeholder engagement, including published blogs, social media campaigns and attended conferences where DVSA subject matter experts have delivered presentations on compliance and highlighted the importance of effective load security. DVSA also contributed to a BBC programme in 2025, providing insight into its enforcement activity and advice to the public on securing loads.
7.
The release of the Department for Transport’s (DfT) Road Safety Strategy includes DVSA and DfT commitments to explore opportunities to enhance load security compliance, work with stakeholders to improve training resources and to further promote DVSA guidance.
8.
To drive this work forward, DVSA and DfT are jointly exploring options including launching an industry-led communications package on load security and roadworthiness and considering how to pursue policy options around fixed penalty amounts – such as introducing higher fines for serious offences, including those for insecure loads to encourage greater compliance.
9.
In addition, DVSA is scoping the options below to enhance driver and operator knowledge and compliance:
•   the introduction of QR codes on enforcement documentation issued to drivers and operators (including at the roadside), providing direct access to relevant training and compliance materials, including the load security guidance and the guide to maintaining roadworthiness
•   introducing training material and guidance when DVSA’s remote enforcement office interacts with operators. This may include a requirement for the operator to acknowledge that they have read and understood the guidance with a failure to do so leading to enforcement action.
10.
DVSA continues to work closely with colleagues at HSE and across the various GB police forces by organising and attending targeted enforcement checks. In 2024/2025 DVSA checked approximately 120,000 vehicles and identified over 2,000 insecure loads requiring rectification.
Response - HSE

SHERIFFDOM OF LOTHIAN AND BORDERS AT EDINBURGH Court ref: EDI-B398-24 RESPONSE to the DETERMINATION OF SHERIFF IAIN W NICOL UNDER THE INQUIRIES INTO FATAL ACCIDENTS AND SUDDEN DEATHS ETC. (SCOTLAND) ACT 2016 IN THE INQUIRY INTO THE DEATH OF JAMES OSBOURNE MURRAY To: the Scottish Courts and Tribunals Service 1. …

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SHERIFFDOM OF
LOTHIAN AND BORDERS AT EDINBURGH
Court ref: EDI-B398-24
RESPONSE
to the
DETERMINATION OF SHERIFF
IAIN W NICOL
UNDER THE INQUIRIES INTO FATAL ACCIDENTS AND SUDDEN DEATHS ETC. (SCOTLAND) ACT 2016
IN THE
INQUIRY INTO THE DEATH OF JAMES OSBOURNE MURRAY
To: the Scottish Courts and Tribunals Service
1.
The Health & Safety Executive (HSE)
, being an organisation to whom a recommendation under section 26(1)(b) was addressed, do respond as follows.
2.
HSE
has an interest in the inquiry but was not a participant in the inquiry.
3.
The recommendation was made for HSE and the Driver & Vehicle Standards Agency (DVSA) to jointly consider how best to improve compliance with the existing legal requirements for load security. HSE’s proposals are set out in paragraphs 4-6.
4.
HSE accepts the inquiry’s observation that there is a lack of clarity in the HSE guidance HSG136 in relation to the duties of the consignor, specifically paragraphs 121 and 145. HSE will review and update HSG136 in the 2026 calendar year to clarify consignor and operator responsibilities during shared loading operations. We will also include new guidance on the loading of palletised loads, the use of XL alongside standard curtain-sided trailers, specific considerations around the transport of palletised loads, the provision of comprehensible information to drivers and loaders, the importance of monitoring and supervision.
5.
HSE will update workplace transport training for its own inspectors to improve workplace enforcement. This will be concluded in the 2026 calendar year.
6.
HSE will work with DVSA, industry groups and associations to communicate key safety messages directly to companies involved in the loading and transport of goods by road in the 2026 calendar year including publication of a specific article in a trade journal.
Response - Interflex Scotland Limited

SHERIFFDOM OF LOTHIAN AND BORDERS AT EDINBURGH Court ref: EDI-B398-24 RESPONSE to the DETERMINATION OF SHERIFF IAIN W NICOL UNDER THE INQUIRIES INTO FATAL ACCIDENTS AND SUDDEN DEATHS ETC. (SCOTLAND) ACT 2016 IN THE INQUIRY INTO THE DEATH OF JAMES OSBOURNE MURRAY To: The Scottish Courts and Tribunals Service 1. …

View full response
SHERIFFDOM OF LOTHIAN AND BORDERS AT EDINBURGH
Court ref: EDI-B398-24
RESPONSE
to the
DETERMINATION OF SHERIFF IAIN W NICOL
UNDER THE INQUIRIES INTO FATAL ACCIDENTS AND SUDDEN DEATHS ETC. (SCOTLAND) ACT 2016
IN THE
INQUIRY INTO THE DEATH OF JAMES OSBOURNE MURRAY
To: The Scottish Courts and Tribunals Service
1.
Interflex Scotland Limited (“Interflex”), being a person to whom a recommendation under section 26(1)(b) was addressed, do respond as follows.
2.
Interflex was a participant in the inquiry.
3.
Sheriff Nicol made the following recommendation as it relates to Interflex, namely:
[142] Firstly, I have seen nothing to suggest that Interflex have reviewed their health and safety procedures in the same way that Drummond Distribution have. If that has not been carried out by Interflex, I recommend they do so immediately. They should review existing (or prepare new) risk assessments, identify the hazards in a loading operation, put practices in place to ensure the HSE and DVSA guidance along with their obligations under the Road Traffic Act 1998, Health and Safety at Work etc Act 1974 and The Provision and Use of Work Equipment Regulations 1998 are complied with, including the provision of all necessary training and health and safety information to their employees on their responsibilities for the loading and transportation of goods. Further, they should ensure sufficiently robust supervision and auditing practices are put in place to pick up on non-compliance so that those issues are addressed at the earliest opportunity.
Interflex again extends its condolences to the family of Mr Murray.
Interflex intends to comply with the recommendation.
Interflex has commenced a review of its standard operating and health and safety processes related to all loading operations, with a view to ensuring that the processes it has in place comply with relevant HSE and DVSA guidance and their obligations under the Road Traffic Act 1988, Health and Safety at Work etc Act 1974 and The Provision and Use of Work Equipment Regulations 1998
. Since the Determination was issued, Interflex has reviewed its Risk Assessment for Lorry Loading & Unloading, Vehicle & Consignment Inspection document, Despatch Standard Operating Procedure and Vehicle and Consignment Terms and Conditions. The relevant HSE and DVSA guidance was considered during this review process. Interflex has revised and updated each document where areas for improvement were identified to ensure compliance with statutory obligations and relevant guidance.
Interflex intends that, once completed, it will have:
Fully reviewed risk assessment procedures concerning lorry loading, in particular load security, and where considered appropriate, prepare new or revised risk assessments.
Fully reviewed warehousing and dispatch procedures, including the delivery of further training as deemed applicable in light of the review.
Worked in conjunction with its appointed hauliers to ensure that employees of each organisation are aware of all updated safety arrangements.
Developed documented sign-off protocols which address load security prior to the release of loads from Interflex to the haulier. Interflex will periodically review adherence to protocols as a means of supervising compliance with relevant guidance and legal duties; this shall allow it to identify and address any instances of non-compliance.

Determination details

Reference
[2026] FAI 8
Published
9 February 2026
Sheriff
Sheriff Iain W Nicol
Sheriffdom
Lothian and Borders
Date of death
23 August 2022
Location
17:26 hours
Cause of death
3. In terms of section 26(2)(c) of the Act, the cause of Mr Murray’s death

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Fatal Accident Inquiries are held under the 2016 Act before a sheriff. They are mandatory for deaths in custody and at work. The sheriff may make recommendations under s.26(1)(b); recipients must respond within 8 weeks under s.28. See the methodology page for detail.

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