Roseleen O’Donoghue
PFD Report
Historic (No Identified Response)
Ref: 2017-0007
No published response · Over 2 years old
Sent To
Response Status
Responses
0 of 1
56-Day Deadline
16 Apr 2017
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 AI summary
The installed stair lift does not stop in a safe position at the top, leaving the step plate suspended over the stairwell. This creates a falling risk for users and may affect other similar installations.
Action Should Be Taken
In my opinion action should be taken t0 prevent future deaths and believe you have the power t0 take such action.
Report Sections
Investigation and Inquest
On 4th July 2016 commenced an investigation into the death of Roseleen
Circumstances of the Death
Mrs 0'Donoghue fell down her stairs at home on the 26th or 27th June 2016 which resulted in a traumatic fatal head injury sustained in the Impact following the fall and she was pronounced dead at the scene on 27th June 2016
Similar PFD Reports
Reports sharing organisations, categories, or themes with this PFD
Related Inquiry Recommendations
Public inquiry recommendations addressing similar themes
Remove all spikes and inward-facing constructions from perimeter and radial fences
Taylor Inquiry
Public Infrastructure Physical Hazards
Limit perimeter fencing height to a maximum of 2.2 metres
Taylor Inquiry
Public Infrastructure Physical Hazards
Provide sufficient 1.1-metre wide gates in perimeter fences for emergency evacuation
Taylor Inquiry
Public Infrastructure Physical Hazards
Paint and mark all emergency gates in fences with "Emergency Exit
Taylor Inquiry
Public Infrastructure Physical Hazards
Keep all perimeter fence gates to pitch unlocked and open during matches
Taylor Inquiry
Public Infrastructure Physical Hazards
Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.