Shane Gray

PFD Report All Responded Ref: 2019-0075
Date of Report 27 February 2019
Coroner Penelope Schofield
Coroner Area West Sussex
Response Deadline ✓ from report 24 April 2019
All 1 response received · Deadline: 24 Apr 2019
Response Status
Responses 1 of 1
56-Day Deadline 24 Apr 2019
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
(1) That there was inadequate signage in this particular area of the Site where Shane entered the Lake warning him that Swimming was not permitted.

(2) The area close to the Lake (where the accident occurred) is to be occupied by families with young children and there is no physical barrier to prevent young children entering the Lake..

(3) The signage that is in place in other parts of the sites in a text format (with no pictorial form) and therefore this signage does not provide for those individuals who cannot read or for children who are not of a reading age.

(4) Contractors who are working on the site are not directly made aware of the rules relating to the Lakes. Reliance is placed solely on these Contractors having seen the signs upon entering the Site.
Responses
Park Holidays UK
27 Feb 2019
Response received
View full response
Dear Gray: Gray. Gray during

signs on the Lake's edges, one on the "camp site side" and one on the opposing side along designated pedestrian There are no signs along the edges that border the A27 due to the thick trees that border the lakelroad The Company considers the number of signs around the Park as adequate to highlight the potential dangers of deep water and prohibit swimming: (2) The area close to the Lake is to be occupied by families with young children and there is no physical barrier to prevent young children entering the Lake The Company does not consider It to be practical to erect physical barriers around the Lake Some of the lakes at the Park, Including the Lake, are leased as syndicate lakes to nearby fisheries which means that the fisheries have a concession and are allowed to fish on the lakes One of the lakes at the Park IS also used for water skiing The Company does not agree physical barrier IS necessary In any event The lakes are viewed as having "natural barriers" where are surrounded by hedges, brambles or vegetation_ Cleared areas around the lakes are manmade In order to allow the fishermen and water skiers access to the lakes We would also note that It IS not a legal requirement for bodies of water to be fenced off The Company Is of the Vlew that the risk of young children entering the lake Is controlled by advice to parents contained In the holiday caravan rental safety information pack which states "Your safety IS paramount on the and we strongly advise all those with children to be extra vigilant when are walking or playing on the park unsupervised Most of our lakes are fishing lakes and as such are not fenced off please ensure you do not allow anyone to enter the lake to swim or paddle these lakes can be very deep and are full of weeds and obstructions you cannot see. In the event of an emergency signs and life buoys are located around each lake with emphasis on the approach routes Raise the alarm Immediately calling the emergency services stating the lake at which the emergency IS at Please also notify the Park Warden number which IS again listed on the signs Dogs should not be allowed to access the water it is not hygienic water (3) The signage that IS In place In other parts of the sites in a text format (with no pictorial form) and therefore this signage does not provide for those individuals who cannot read or for children who are not of reading age The Company would reiterate that children who are not of reading age are required to be supervised at all times whilst at the Park and parents are advised accordingly In the holiday caravan rental safety Information pack The Company takes its responsibility for health and safety very seriously and will be_ for the avoidance of any doubt;, erecting pictorial signage alongside the existing signs to Identify "no swimming" as a visual sign as well as the written word The Company has ordered pictorial signage and envisages that this WIll be In place by June 2019 path they park they

Contractors who are working on the site are not directly made aware of the rules relating to the Lakes Reliance IS placed solely on these Contractors having seen the signs upon entering the site The Company carries out open water risk assessments for staff safety These primarily relate to the Fisheries Wardens who do; on occasion; have need to access the water andlor lake edges In this regard, the Company provides these wardens with life jackets to be used when undertaking such tasks The Company does not agree that it would be practical to warn contractor on slte as to the dangers of the lakes, as a rule. The Company retains the services of contractors to carry out a number of different tasks such as refuse collection and cleaning for example It would be inappropriate to alert all contractors to all risks at the Park Risk assessments are specific to the expected tasks and are only provided to staff who are to work directly on the lakes The Company also has a pre-qualifying questionnaire scheme, entitled the Contractor Competence Assessment Scheme ("CCAS") whereby all contractors are required to provide their risk assessments, method statements and proof of Insurance to demonstrate that are responsible contractors The Company now retains third party to manage the scheme and contractors are required to be part of the CCAS Although some reliance IS, reasonably , placed on the contractors ensuring the health and safety of thelr own staff; the Company IS prepared to provide for those contractors engaged by the Company to be given a leaflet about the lakes when sign in at reception The Company IS aware of Its statutory and common law duties towards visitors at the Park and considers that the signage In place satisfies the Company's duty of care to ensure visItors' reasonable safety. Signage Is situated on the entrance to the Park itself and also on the approach to each lake We have been advised that the House of Lords directed In Tomlinson Congleton BC_[2003] UKHL 47 that any premise can be said to be dangerous to someone who chooses to use them for some dangerous activity The fact that such people take no notice of warnings cannot create a duty to take other steps to protect them it will be extremely rare for an occupier of land to be under duty to prevent people from taking risks which are Inherent in the activities they freely choose to undertake upon the land If people want to climb mountains; go hang-gliding or swim Or dive In ponds or lakes; that IS their affair Of course, the landowner may for his own reasons wish to prohibit such activities may think that they are danger or Inconvenience to himself or others Or he may take a paternalist view and prefer people not to undertake risky activities on his land. He IS entitled to Impose such conditions; as the Council did by prohibiting swimming But the law does not require him to do so The Company also submits that any contractors working on site are aware that swimming IS prohibited In the lakes due to the signage around the Park every they they He

Moreover; we have also been advised that the Court of Appeal held In English Heritage Taylor [2016] EWCA Civ 448 that; in order to comply with their statutory duties, where It IS not clear whether a risk IS self-evident or not; an occupier may take reasonable measures to warn against dangers but the steps need be no more than reasonable steps It IS the Company's vlew that the steps taken to date to prevent reoccurrence of this Incident are reasonable The Company therefore does not agree that anything more ought to, or can practically, be done to alert contractors to the rules relating to the lakes Following the inquest into the death of Mr the Company consulted the counsel of the Senior Environmental Health Officer from Chichester District Council ("the EHO") who visited the Park to review their safety management The EHO was pleased with the Company's systems and their review of the Open Water Risk Assessment following the Incident He also agreed that the steps taken by the Company to date are practicable and appropriate In terms of seeking to prevent reoccurrence of this tragedy The Company does not take the Incident lightly and Is eager to ensure that this does not happen again and that the Park IS a safe family holiday environment for all visitors We hope the above IS f assistance and that It addresses all of the Issues raised In the Coroner's report
Report Sections
Investigation and Inquest
On 26th July 2018 I commenced an investigation into the death of SHANE GRAY, aged 27 years. The investigation concluded at the end of the inquest on 27th February 2019. The conclusion of the inquest was that Shane died an accidental death.
Circumstances of the Death
On 25th July 2018 Shane Gray was working for Doe Caravan Transport Ltd erecting and dismantling Caravans on the Lakeside Caravan Park. It was a hot day. When the work for the day was complete Mr Gray decided to go for a swim in Leythorne Lake close to where he was working and which was part of the Lakeside Caravan Park. There were no signs at this part of the site showing that swimming was prohibited. He entered the water but after a short period he got into difficulties, being unable to breathe, and despite calling out to his friends, he went under the water and subsequently drowned.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.