Stephen Preston

PFD Report Historic (No Identified Response) Ref: 2023-0060Deceased
Date of Report 14 February 2023
Coroner Martin Fleming
Response Deadline est. 11 April 2023
No published response · Over 2 years old
Response Status
Responses 0 of 1
56-Day Deadline 11 Apr 2023
Over 2 years old — no identified published response
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
It became clear during the inquest that the double doors and glazing had been installed in the early 1990’s and not in accordance with current H&S requirements. To review and consider the adequacy of such glazing in doors positioned at the bottom of the stairs, throughout other Conservative Clubs in England and Wales to enable compliance with existing H&S and Fire regulations.
- To review and consider the adequacy of the proximity of the doors positioned near to the bottom of the stairs throughout other conservative Clubs in England and Wales in order to ensure compliance with existing H&S and Fire regulations.
Report Sections
Investigation and Inquest
On 22/3/22 I opened an inquest into the death of Stephen Geoffrey Preston who, at the date of his death was aged 68 years old. The inquest was resumed and concluded on 7/2/23 I found that the cause of death to be: ­ 1a Haemorrhage from face and neck injuries II Hypertensive Heart Disease I arrived at a conclusion of Accident.
Circumstances of the Death
I heard that Mr Stephen Preston had previously served the Earlsheaton Conservative Club in Dewsbury for many years in the capacity as Secretary and Trustee. On 6/5/22 Stephen was in the company of several friends in the Club whilst he was overseeing in a voluntary capacity the entertainment that had been previously booked to appear. During the afternoon he had been drinking alcohol, although he was not thought to be unduly intoxicated when he left the club for a taxi to take him home. It was as Stephen made his way down the stairs, with the assistance of a walking stick, that he took a fall on the lower steps, causing his head to make direct contact with the glazing in the double doors at the bottom of the stair case, such that his head became lodged between the broken glass. Although paramedics arrived very quickly, Stephen was found to have passed away. In considering the evidence, I noted the contents of an experts’ report who had conducted a site visit at the club, in which he expressed the view that the glazing that Stephen made contact with was not safety glass and as such was a major contributor to his demise. He also confirmed that the double doors were too near the bottom step and do not comply with legislation governing the spatial requirements. During the inquest representatives of the Club informed me that they were to immediately take remedial steps to prevent a further recurrence and that they would write to me in due course to confirm that they have been implemented.
Related Inquiry Recommendations

Public inquiry recommendations addressing similar themes

Inspect and rectify electrical wiring in escalator machine rooms and shafts
Fennell Inquiry
Public Infrastructure Physical Hazards Fire risk assessment failures
Survey VIR cables, improve machine rooms, and waterproof electrical equipment for cleaning
Fennell Inquiry
Public Infrastructure Physical Hazards Fire risk assessment failures
Implement regular cleaning of machine rooms and shafts with safe material storage
Fennell Inquiry
Public Infrastructure Physical Hazards Fire risk assessment failures
Seek and use non-inflammable escalator lubricant; improve lubrication methods
Fennell Inquiry
Public Infrastructure Physical Hazards Fire risk assessment failures
Ensure daily rubbish removal from machine rooms and fire-protected bin rooms
Fennell Inquiry
Public Infrastructure Physical Hazards Fire risk assessment failures
Review Code of Practice administration and ensure material compliance for all works
Fennell Inquiry
Public Infrastructure Physical Hazards Fire risk assessment failures
Extend material use restrictions to all engineering departments and contractors
Fennell Inquiry
Public Infrastructure Physical Hazards Fire risk assessment failures
Survey system materials, evaluate risks, and remove hazardous materials programme
Fennell Inquiry
Public Infrastructure Physical Hazards Fire risk assessment failures
Prohibit unprotected storage of combustible items at all Underground stations
Fennell Inquiry
Public Infrastructure Physical Hazards Fire risk assessment failures
Empty escalator dust trays daily and examine design for damp contents
Fennell Inquiry
Public Infrastructure Physical Hazards Fire risk assessment failures

Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.