Peter Lett
PFD Report
All Responded
Ref: 2018-0356
All 1 response received
· Deadline: 20 Jun 2019
Sent To
Response Status
Responses
1 of 1
56-Day Deadline
20 Jun 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
During the Inquest it became clear that there was a dearth of HSE Guidance in respect of historic and heritage equipment; much of which is unguarded and potentially extremely dangerous. Clear guidance needs to be produced by the HSE, failing which it is highly probable that further deaths will occur 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; His
YOUR RESPONSE You are under a to respond to this report within 56 days of date of this report;, namely by 9 January 2019. I, the coroner, may extend the period. Your response must contain details of action taken or proposed to be taken, setting out the timetable for action: Otherwise you must explain why no action is proposed.
YOUR RESPONSE You are under a to respond to this report within 56 days of date of this report;, namely by 9 January 2019. I, the coroner, may extend the period. Your response must contain details of action taken or proposed to be taken, setting out the timetable for action: Otherwise you must explain why no action is proposed.
Responses
Response received
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Dear Sir , HEALTH AND SAFETY AT WORK ETC ACT 1974 REGULATION 28 REPORT TO PREVENT FURTHER DEATHS; IN RESPECT OF THE INQUEST TOUCHING ON THE DEATH OF PETER JOHN LETT refer to your report in respect of the above which was forwarded to me to provide a response_ understand that the inquest concluded that Mr LETT's death was "accidental death" due to multiple injuries_ Mr LETT was assisting at Heckington Windmill, Sleaford in his capacity as a volunteer. His clothing became entangled in the crankshaft of a Ruston Hornsby stationary engine situated in a shed adjacent to the windmill: The inquest identified a matter of concern, namely, that it considered there to be a dearth of Health & Safety Executive (HSE) Guidance in respect of historic and heritage equipment; (much of which is unguarded and potentially extremely dangerous): The inquest called for clear guidance to be produced by the HSE to seek to prevent future deaths_ The death of Mr LETT was the subject of an investigation by North Kesteven District Council (local Authority) who are the relevant regulator of Health & Safety legislation in respect of the Windmill and the activities undertaken on site. In this instance the Local Authority Inspectors were supported by Michael Raynor CEng MIMechE MAPM, HM Specialist Inspector (HSE Mechanical Engineering), who provided technical support and opinion. understand that Mr Raynor's report was available to the inquest: The report identifies that the machine involved in the incident was a "vintage" Ruxton & Hornsby single cylinder "heavy oil" engine which had been installed recently at the site to provide drive for other machinery within the windmill when the sails were not rotating: duty under the above Act to ensure that the risks associated with the operation and use of the machinery on site were controlled by the Heckington Windmill Trust extended to both the volunteers assisting on site and the public visiting the attraction. understand that the investigation identified that the machinery was not suitably guarded at the time of the incident and as such the Local Authority served an Improvement Notice on the Trust requiring them to control the risks associated with the operation of the engine. The revised safeguards implemented to comply with the notice included the fitting of relevant guards to prevent access to the dangerous parts of the machinery including the rotating shaft which Mr LETT's clothing had become entangled in: The Health and Safety Executive has produced a wide range of guidance relevant to the guarding of machinery: This is freely available to download from the HSE website The machinery guarding homepage signposts readers to a wide range of additional information including specific guidance on the requirements for dangerous parts of machinery to be guarded to comply with the Provision & Use of Work Equipment 'being The
Regulations (PUWER) 1998. The Approved Code of Practice to these Regulations is aimed at employers dutyholders and anyone who has responsibility for the safe use of work equipment: If dutyholders follow the practical advice within the Code they will comply with the law. Although written for the 1998 Regulations the Code reflects and updates previous guidance in respect of machinery guarding including those relevant to vintage machinery. additionally, more detailed information on specific guarding requirements and solutions is available within PD 5304.2014 "Guidance on Safe Use of Machinery" produced by BSI Standards. This includes guidance on the guarding of rotating shafts with projections on them as was relevant in this case. Although the machinery in this case was vintage, it had been newly installed: The requirements of PUWER are relevant to this installation and all vintage or heritage machinery: The HSE recognises the challenges associated with safeguarding heritage machinery, particularly the need to strike the balance between ensuring the machinery is safe does not detract from the authentic representation of any historical exhibit: In some cases, the machines at heritage attractions are no longer in general use and whilst specific guidance for these may not be available PUWER sets out a default position of assessing the risks from first principles. Dutyholders should then implement measures and develop safe operating procedures in accordance with the outlined hierarchy of controls to ensure the machinery is safeguarded as far as is practicable. This may include the fabrication and installation of bespoke guards. (I understand that in this case the guarded fitted subsequently included fitting Perspex panels to control the risks still allow the to see the operating exhibit): In this instance the Windmill is operated and controlled by the Heckington Windmill Trust who although is an employer is primarily an organisation run by volunteers We recognise that voluntary organisations and volunteers play an increasingly important part of society in Great Britain and their activities underpin and support a significant proportion of the delivery of services and leisure activities_ Health and safety legislation applies to the activities of volunteers and in particular the of the public, however this may not be fully understood by those involved. As such, the HSE acknowledge the need t0 engage with voluntary organisations and volunteers ensure they have a better understanding f their duties and are better signposted to relevant guidance to ensure that understand their duties and can comply with the requirements of the law: The lead on volunteers has been incorporated into the HSE Public Services Sector. The current work plan seeks to improve and expand the specific HSE web pages which focus on voluntary activity and work with relevant stakeholders to develop further guidance and support networks for voluntary organisations including assisting them in finding bespoke guarding and risk control solutions to include heritage machinery: trust that this provides you with the necessary reassurance that there are relevant standards and guidance setting out the duty and the approach to machinery safeguarding solutions to include historic equipment: As have identified the HSE are actively working to improve the signposting to risk control solutions and support for organisations such as the Heckington Windmill Trust: HM Principal Inspector of Health & Safety Head of Public Administration; Education & Volunteers (PAEV) Sector yet public yet safety and they
Regulations (PUWER) 1998. The Approved Code of Practice to these Regulations is aimed at employers dutyholders and anyone who has responsibility for the safe use of work equipment: If dutyholders follow the practical advice within the Code they will comply with the law. Although written for the 1998 Regulations the Code reflects and updates previous guidance in respect of machinery guarding including those relevant to vintage machinery. additionally, more detailed information on specific guarding requirements and solutions is available within PD 5304.2014 "Guidance on Safe Use of Machinery" produced by BSI Standards. This includes guidance on the guarding of rotating shafts with projections on them as was relevant in this case. Although the machinery in this case was vintage, it had been newly installed: The requirements of PUWER are relevant to this installation and all vintage or heritage machinery: The HSE recognises the challenges associated with safeguarding heritage machinery, particularly the need to strike the balance between ensuring the machinery is safe does not detract from the authentic representation of any historical exhibit: In some cases, the machines at heritage attractions are no longer in general use and whilst specific guidance for these may not be available PUWER sets out a default position of assessing the risks from first principles. Dutyholders should then implement measures and develop safe operating procedures in accordance with the outlined hierarchy of controls to ensure the machinery is safeguarded as far as is practicable. This may include the fabrication and installation of bespoke guards. (I understand that in this case the guarded fitted subsequently included fitting Perspex panels to control the risks still allow the to see the operating exhibit): In this instance the Windmill is operated and controlled by the Heckington Windmill Trust who although is an employer is primarily an organisation run by volunteers We recognise that voluntary organisations and volunteers play an increasingly important part of society in Great Britain and their activities underpin and support a significant proportion of the delivery of services and leisure activities_ Health and safety legislation applies to the activities of volunteers and in particular the of the public, however this may not be fully understood by those involved. As such, the HSE acknowledge the need t0 engage with voluntary organisations and volunteers ensure they have a better understanding f their duties and are better signposted to relevant guidance to ensure that understand their duties and can comply with the requirements of the law: The lead on volunteers has been incorporated into the HSE Public Services Sector. The current work plan seeks to improve and expand the specific HSE web pages which focus on voluntary activity and work with relevant stakeholders to develop further guidance and support networks for voluntary organisations including assisting them in finding bespoke guarding and risk control solutions to include heritage machinery: trust that this provides you with the necessary reassurance that there are relevant standards and guidance setting out the duty and the approach to machinery safeguarding solutions to include historic equipment: As have identified the HSE are actively working to improve the signposting to risk control solutions and support for organisations such as the Heckington Windmill Trust: HM Principal Inspector of Health & Safety Head of Public Administration; Education & Volunteers (PAEV) Sector yet public yet safety and they
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.