Luiz Anjos
PFD Report
All Responded
Ref: 2020-0259
All 1 response received
· Deadline: 24 Feb 2021
Response Status
Responses
1 of 1
56-Day Deadline
24 Feb 2021
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
The BTP post incident site report reported the following:-
1. No crisis signs at the location
2. Relatively easy access over the footbridge parapet and sides. It is my understanding that point 1. has been remedied but not point 2. The family of the deceased has photographs of the location which can be sent on to you.
1. No crisis signs at the location
2. Relatively easy access over the footbridge parapet and sides. It is my understanding that point 1. has been remedied but not point 2. The family of the deceased has photographs of the location which can be sent on to you.
Responses
Response received
View full response
Dear Mrs Beasley-Murray,
Re: Regulation 28 Report to Prevent Future Deaths – Mr L C Ramos Dos Anjos
I am writing to update you regarding St Dominic Road Footbridge, Colchester following our initial letter to you dated 25 August 2020
Following the concerns you raised within item five of your report, I can confirm that your recommendations have been explored further and our inspection report has been finalised. As a result of our option study, we can confirm that we identified three potential options of improvement for the structure:
- Option One To install an enclosed mesh canopy to the entire footbridge
- Option Two To install a solid screen extension to the top of the existing bridge parapet
- Option Three Installation of full height panels resulting in corrugated steel parapets
Our preferred option is option three. Our initial investigations suggest that this option provides more durability to the structure, along with providing preventative measures to reduce the possibilities of further incidents occurring in the future at this location. Engineers within my team also believe that option three will provide better value for money for Essex County Council and furthermore, option three will result in the least impact upon the existing structural capacity of the footbridge. Sent By E-Mail
Mrs C Beasley-Murray Essex Coroner's Service, Essex County Council, County Hall, Market Road, Chelmsford, CM1 1QH
13 November 2020
Our Ref:
The bridge now needs to undergo a full structural assessment and this is estimated to be completed by the end of January 2021. Once the bridge has undergone a full engineering assessment, the design of any refurbishment works can commence. The design is estimated to take approximately twelve weeks to complete, should no additional strengthening works be necessary.
Please note, if it is agreed to provide these works the chosen option must be agreed by Network Rail, as the footbridge travels over the train line and is extremely close to overhead cables. Once designed, the works are likely to last an estimated six weeks to complete.
I trust that the above information is useful however please contact me should you have any further concerns. Once the structural assessment has been completed, we will endeavour to provide you with a further update.
Re: Regulation 28 Report to Prevent Future Deaths – Mr L C Ramos Dos Anjos
I am writing to update you regarding St Dominic Road Footbridge, Colchester following our initial letter to you dated 25 August 2020
Following the concerns you raised within item five of your report, I can confirm that your recommendations have been explored further and our inspection report has been finalised. As a result of our option study, we can confirm that we identified three potential options of improvement for the structure:
- Option One To install an enclosed mesh canopy to the entire footbridge
- Option Two To install a solid screen extension to the top of the existing bridge parapet
- Option Three Installation of full height panels resulting in corrugated steel parapets
Our preferred option is option three. Our initial investigations suggest that this option provides more durability to the structure, along with providing preventative measures to reduce the possibilities of further incidents occurring in the future at this location. Engineers within my team also believe that option three will provide better value for money for Essex County Council and furthermore, option three will result in the least impact upon the existing structural capacity of the footbridge. Sent By E-Mail
Mrs C Beasley-Murray Essex Coroner's Service, Essex County Council, County Hall, Market Road, Chelmsford, CM1 1QH
13 November 2020
Our Ref:
The bridge now needs to undergo a full structural assessment and this is estimated to be completed by the end of January 2021. Once the bridge has undergone a full engineering assessment, the design of any refurbishment works can commence. The design is estimated to take approximately twelve weeks to complete, should no additional strengthening works be necessary.
Please note, if it is agreed to provide these works the chosen option must be agreed by Network Rail, as the footbridge travels over the train line and is extremely close to overhead cables. Once designed, the works are likely to last an estimated six weeks to complete.
I trust that the above information is useful however please contact me should you have any further concerns. Once the structural assessment has been completed, we will endeavour to provide you with a further update.
Report Sections
Investigation and Inquest
On 8 November 2019 I commenced an investigation into the death of Luiz Claudio Ramos Dos Anjos (jnr) a 21 year old man who died on 7 November 2019 at on the railway track at St Dominic’s footbridge Colchester.
The conclusion of the inquest was:- the deceased killed himself whilst suffering from a diagnosed mental illness. The deceased had a substantial history of mental illness stretching back over a number of years.
The conclusion of the inquest was:- the deceased killed himself whilst suffering from a diagnosed mental illness. The deceased had a substantial history of mental illness stretching back over a number of years.
Circumstances of the Death
See above
The medical cause of death was 1a) multiple traumatic injuries 1b) train collision.
The medical cause of death was 1a) multiple traumatic injuries 1b) train collision.
Copies Sent To
British Transport Police
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.