Anthony Lapping

PFD Report All Responded Ref: 2014-0214
Date of Report 8 May 2014
Coroner Karen Dilks
Response Deadline est. 3 July 2014
All 1 response received · Deadline: 3 Jul 2014
Sent To
Response Status
Responses 1 of 1
56-Day Deadline 3 Jul 2014
All responses received
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Coroner's Concerns
_ [BRIEF SUMMARY OF MATTERS OF CONCERN] (1) Opportunities for escape from the fire and from the effects of Carboxyhaemoglobin were significantly reduced due to the rapid spread of the fire.

(2) The rapidity of the spread was attributed to the insulation material used in a Hotpoint fridge freezer.

(3) There is a clearly identified risk of further deaths if manufacturers do not address the risks posed by the highly flammable nature of the insulation material used in the manufacture of kitchen equipment (fridge freezers) in common use by the public at large_ (4) Urgent review of the manufacturing process and the use of appropriate insulation materials in fridge_freezers _is required_ Lord Mayor' $ Gallery, Civic Centre, Barras Bridge; Newcastle Tync, NEI 8QA Tel 0191 2777280 Fax 0191 2612952 City City Upon Upon
Responses
Indesit
27 Jun 2014
Response received
View full response
Dear Michael Allen, Further to your letter of 8th on behalf of the Company may first of all say how truly sorry we are to hear of this tragic incident and we would like to take this opportunity to extend our deepest condolences to Mr Lapping's family and friends_ In response to your specific points regarding Hotpoint Refrigeration appliances, having reviewed the matter in some detail, we can advise as follows: Our understanding is that the original product is no longer available for examination and so having only the information provided in your letter/report, we were unfortunately unable to identify the exact model of refrigerator owned by Mr Lapping: However; from the photograph of the compressor label, we are led to believe that the appliance was most probably manufactured at the end of 1998/beginning of 1999 Whilst this product was produced in accordance with the regulations/Standards in force at the time, we believe thatit is worth noting that the Safety Standards and component specifications have evolved significantly since 1998 and we would like to take this opportunity to outline some of the improvements to you: Introduction of the Glow Wire Test The glow wire test is the fire protection requirement created to evaluate the rate of flammability of materials used within an appliance: It measures the risk of fire ignition due to the contact between live electrical parts with no insulation and plastic parts, which could arise due to a possibility of over current or short circuit failures: actual test is described in the picture below. Glow Wire Element Product Tissue Paper Indirect Method (IEC Method) Indesit Company UK Ltd Morley Way; Woodston Peterborough PEZ 98 Telephone: +44(011733 568989 Fax: +44/0/1733 341783 | indesitcompany com Registered Office Peterbarough PEZ 9B - Registered Lojidon No 106725 VAT No 513936740 RECEIVED May, key The

Indesit company Glow wire testing is performed by heating an element to a pre-determined temperature. The heated element is referred to as the glow wire The sample to be tested is fixed in place and tissue paper is positioned directly below the sample. After reaching the pre-determined temperature, the element is then pressed into a sample material under a set force of 1N for 30 seconds. If ignition occurs, recordings are made to note the duration, flame height; and whether drips ofthe material ignite the tissue paper_ GWFI stands for Glow Wire Flammability Index (IEC 60695-2-12). This is a property associated with raw material used in the end product: This property is determined by conducting the glow wire test on a test plate ofa raw material ofa given thickness. The Glow Wire Flammability Index (GWFI) is the highest temperature at which the material does not ignite or self-extinguishes within 30 seconds after removal of the heated element: The limit admitted is 850"C GWIT stands for Glow Wire Ignition Temperature (IEC 60695-2-13). This is a property associated with raw material used in the end product: This property is determined by conducting the glow wire test on a test plate ofa raw material of a given thickness The Glow Wire Ignition Temperature (GWIT) is the lowest temperature at which the material ignites and burns for longer than 5 seconds while the heated element is in contact with the test plate. The limits admitted are 750*€C for the parts as compressor connection box or electronic board components (I>0,2A) and 650*C for parts as light switch, light box (I<0,2A) The Glow Wire test limits above were introduced in 2002. Run capacitor Alternative Design Starting from 2009, we have changed the capacitors used in the production of our refrigeration appliances from type 'PO' to type 'P2'. This change was mandatory/driven by changes to the Standards but a5 we felt that an improvement in Safety Levels could be obtained, we unilaterally decided to make this change: The main differences between the 'PO' and 'P2' run capacitors are as follows: Both have a plastic cover Both inciude a Zn-Al film The Zn-Al film in the PO run capacitor has a flat active surface: The film in the P2 capacitor is divided in zones and there are fuses between those zones. The fuses insulate the zone if there is a short circuit and as a consequence the P2 design prevents the capacitor from rupturing: Testing of light boxes To increase the severity ofthe test; from 2008 the test was changed such that the door is now in the most unfavorable condition of closed, (previously the test had been carried out with the door open): The light remains switched on continuously and the temperature is measured until it has stabilised. At the measured temperature the plastic on the light box must not soften: Indesit Company UK Ltd Morley Way; Woodston | Peterborough PEZ 9B Telephone: +44(011733 568989 Fax: +44(0/1733 341783 indesitcompanycom Registered Office Peterborough PEZ 91B Registered in London No 106725 VAT No 513936740 not being

Indesit company Future Developments Curtentlyewe are assessing proposals to reduce the potential flammability of cooling products even further;through the possible introduction of an aluminized cardboard covering for the key insulation Unfortunately due to constraints within the design that we have in production now; areas_ the fact that our insulation is quite convex, introduction of this material today is not FasibicarHothevec; Wead utudyilhg aethods ofitvoducingsuch a material on our new GOcm feasible. product platform which is under development: In summary,for Hotpoint; product safety is of paramount importance and every product sold under brand is fully compliant with the Safety Standards in force at the time of manufacture, and so our of the model, this was certainly the case for Mr Lapping'$ appliance. Additionally, since irrespective in question was manufactured in 1998/99,both the Safety Standards and where the anpliance specifications have moved in the general direction to which appropriate, Hotpoint's own component refer and hence have reduced any possible risk levels even further: Going forwards vou have DOU abfolute aseurance that as we have always done, Hotpoint will continue to design our products our with appropriate technological/market developments that become available, or changes in line any to the Standards that occur. We do hope that this information will be sufficient to satisfy your requirements, but obviously given the circumstances behind these questions Hotpoint will remain at your disposal should any further clarification be required. on behalf of all at Hotpoint we would like to emphasise how sorry we are to hear of the Finally, tragic death of Mr Lapping as a result of this incident
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe your organisation has the power to take such action.
Report Sections
Investigation and Inquest
On 29/08/2013 commenced an investigation into the death of Anthony Lapping aged 48 years_ The investigation concluded at the end of the inquest on 24 March 2014. The conclusion of the inquest was Accidental Death:
Circumstances of the Death
On the 24"h August 2013 Mr Lapping consumed approx 7-8 pints of beer. He returned t0 his home of 47 spoor Street, Dunston. A report of a fire at the premises was made by a third party: Fire and Rescue Services found Mr Lapping on the settee in the living room. Although Mr Lapping was successfully rescued and provided with emergency medical treatment he died to the effects of Carboxyhaemoglobin which caused Cardio Respiratory arrest and his death_ The evidence of the Fire Investigation Officer was that his investigation led him to the conclusion that a cooker in the kitchen of the premises was switched on and that either a pan or the pans contents had ignited spreading to a Hotpoint Fridge Freezer adjacent to the cooker. Insulation material within the fridge freezer caused an extremely rapid development of the fire. This substantially reduced Mr Lapping's prospects of (a) escaping the fire or (b) avoiding the effects of Carboxyhaemoglobin:
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.