On April 2016 commenced an Investigation into the death of Stephen Sean CAHILL aged 55 years. The Investigation concluded at the end of the Inquest on 18 August 2016. The Conclusion of the Inquest was that he died as a result of Multiple Injuries' . CIRCUMSTANCES OF THE DEATH On the 29th March 2016 the 2P49 Peterborough to London Kings Cross train was approximately half mile north of Sandy Railway Station when the driver saw the deceased walk from the left side of the track and face down on the track with his body over the rail. The train at this time was travelling at 75 miles per leaving the driver no time to stop_ The train struck the deceased and his death was subsequently confirmed at the scene_ A witness had earlier seen the deceased climb over a gate to walk on the track and down across the rail. Senior Coroner_ The Court House; Woburn Street: A MPTHILL, Bedfordshire; MK45 ZHX Tel 0300-300-6559 Fax 0300-3uu-8267 lay hour lay

CORONER'S CONCERNS the course of the inquest the evidence revealed matters giving rise to concern. In my opinion there is a risk that future deaths will occur unless action is taken_ In the circumstances it is my statutory duty to report to you: The MATTERS OF CONCERN are as follows (1) The British Transport investigation revealed that the deceased gained access to the railway line through an access gate. Both the gate and fence provide little deterrence or hindrance to someone wanting to access to the railway. (2) Investigation recommended a review of the fencing and access gates be undertaken at the location as it is relatively easy to access the track from both sides of the line_ It is understood that this has not been undertaken_ ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and believe you have the power to take such action. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report; namely by 15 November 2016. |, the Assistant Coroner, may extend the period. Your response must contain details of action taken or proposed to be taken, out the timetable for action. Otherwise you must explain why no action is proposed_ COPIES and PUBLICATION have sent a copy of my Report to the Chief Coroner and to the following Interested Persons wife of the deceased_ am also under a to send the Chief Coroner a copy of your response_ The Chief Coroner may publish either or both in a complete or redacted or summary form He may send a copy of this report to any person who he believes Senior Coroner, The Court House: Woburn Street: AMPTHILL, Bedfordshire, MK45 ZHX Tel (300-300-6559 Fax 0300-300-8267 During gain The setting duty find it useful or of interest You may make representations to me, the coroner, at the time of your response, about the release or the publication of your response by the Chief Coroner. Dated 23 August 2016 ~ IAN PEARS Assistant Coroner Bedfordshire and Luton Senior Coroner; The Court House: Woburn Street: AMPTHILL, Bedfordshire; MK45 2HX Tel 0300-300-6559 Fax 0300-300-8267 may 'GORONE; Am 'SHIRE AND '

On the 29th March 2016 the 2P49 Peterborough to London Kings Cross train was approximately half mile north of Sandy Railway Station when the driver saw the deceased walk from the left side of the track and face down on the track with his body over the rail. The train at this time was travelling at 75 miles per leaving the driver no time to stop_ The train struck the deceased and his death was subsequently confirmed at the scene_ A witness had earlier seen the deceased climb over a gate to walk on the track and down across the rail. Senior Coroner_ The Court House; Woburn Street: A MPTHILL, Bedfordshire; MK45 ZHX Tel 0300-300-6559 Fax 0300-3uu-8267 lay hour lay