The inquest into the death of Zane Gbangbola was opened on the 13th February 2014 and was resumed on the 131h June 2016. It was concluded on the 7th September 2016. I found the medical cause of death to have been: 1a. Carbon Monoxide Toxicity I concluded with a short form conclusion of: Accidental Death'_

At the date of his death on the 7h February 2014, Zane was seven years and was living with his parents, and_ at the family' s home address at Thameside, Chertsey, Surrey. At that time, that area of Surrey had suffered severe flooding and as a result Zane' $ parents had bought a number of electric pumps to pump out water from the property' s flood basement: On the 6th February 2014,having been told to expect a further rise in the Rtdoc/00462-2014-PFD old level of the flood water, Zane' s parents decided to hire a non-electric and more powerful pump. In consequence, on the 6mh February 2014 attended Surrey Hire and Sales Ltd ('SHS' ) where she hired a centrifugal driven pump. There was a dispute in the evidence as to what was said in the hire but I found that wwas told that she could use the pump inside the house provided it was ventilated That advice was in line with advice given in a Safety Guidance document relating to petrol driven centrifugal pumps prepared by Hire Association Europe Ltd (HAE') for use by their members It contained the words, reduce the risk of serious O fatal injury from breathing toxic fumes, do not run the pump indoors unless you have ventilation. Ensure that you have proper ventilation when working in other confined areas such as trenches:" HAE is a trade body representing plant; tool and equipment hire companies. SHS were members of HAE and had access to that Safety Guidance document The Safety Guidance document had on it an box containing the HSE' s although this was described to me by_ Deputy Director in the HSE's Field Operations Division, as a "banner as opposed to the HSE itself: He explained to me that the HSE had not approved the contents of the Safety Guidance document and the banner was there simply to provide details of how to find the HSE' s website, where further safety information would be available Mr Galloway stated that the inclusion of the HSE' s shaped banner, rather than the HSE's logo in a square box was intended to convey that this did not represent the HSE'$ endorsement of the document: However, he accepted that; whilst this might have been the intention, there was a real risk that members of the public would not understand the niceties of the notice and would take it as an endorsement by the HSE of the document and its contents. The Safety Guidance document presents a potential danger: During the course of the evidence I heard from very experienced Gas Incident Investigation Officer who has been employed by the Health and Safety Laboratory, which is an agency of the HSE, since 1991. He told me that; when in use, this pump created very volumes of Carbon Monoxide and that 'it would never be safe to have the pump inside the premises if there was any chance that a person might be there' _ Whilst Icould not accept the finality of that statement as the level of danger would, he said, depend upon the size and nature of the premises and the means of ventilation available, he did agree that; as a general statement; it had force, especially in relation to use for domestic purposes He further agreed that this advice would apply to any piece of equipment that was driven by an internal combustion engine Rtdoc/00462-2014-PFD petrol shop, "To good oblong logo, logo oblong ' large the Managing Director of HAE, took a very similar stance and said that HAE intended to review their Safety Guidance documents, although remain in use pending that review.