Peter Dolan

PFD Report All Responded Ref: 2024-0370
Date of Report 11 July 2024
Coroner Alexander Frodsham
Coroner Area Cheshire
Response Deadline est. 24 September 2024
All 1 response received · Deadline: 24 Sep 2024
Coroner's Concerns (AI summary)
The absence of a legal requirement for smoke alarms in non-hire narrowboats, unlike carbon monoxide alarms, increases the risk of fire fatalities from smoke inhalation and burns.
View full coroner's concerns
Peter Dolan lived on a narrowboat which caught fire during the early hours of 8th March 2024. An investigation by Cheshire Fire and Rescue Service revealed that the likely ignition source was hot embers ejected from a solid fuel stove, and that there was no evidence of any smoke alarm having been fitted within the boat. The position of Peter's body indicated that he was lying on a sofa when he died. It is presently a legal requirement of BSS that boats be fitted with carbon monoxide alarms, but there is no requirement that boats be fitted with smoke alarms (unless it is a hire boat for overnight accommodation). Any equivalent requirement for all other boats may reduce the likelihood of further fatalities arising from smoke inhalation and/or burns.
Responses
Boat Safety Scheme Other
Action Planned
The Boat Safety Scheme is committed to a public consultation by the end of the year to research if evidence exists to introduce a mandatory requirement for all boats on waterways participating in the BSS to be fitted with smoke alarms. (AI summary)
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Dear Chris I refer to the Coroner’s Concerns as set out in Regulation 28 Report concerning the tragic death of Peter Richard Dolan aboard a narrowboat at Lymm Cheshire in March 2024. The Coroner’s Concern is that, recognising that hire boats must have at least one smoke alarm, a legal requirement of BSS that privately owned boats be fitted with smoke alarms may reduce the likelihood of further fatalities arising from smoke inhalation and/or burns. The diƯerence is that Boat Safety Standards exist to support the duties of care of the navigation authorities and in regard to boats in private ownership and use, those duties are to ‘third parties, i.e. people and property beyond the confines of the boat such as other visitors to the waterways, neighbours of the waterways, and the staƯ and volunteers working on our waterways. Ultimately, on private boats, it is the boat owner who bears the responsibility for the safety of those aboard. Conversely, following the principles of the Visitor Safety Group and National Water Safety Forum, people aboard a boat let out for hire fall within that third-party category and thus hired craft must meet several higher standards, including having suitable working smoke alarms. Currently the BSS continues to promote our strongest recommendation to private boat owners to fit smoke alarms since the time we successfully lobbied the alarm industry to include certification standards appropriate for marine use. Our promotion of smoke alarms with the support of UK fire and rescue services and others has had some success, according to our most recent filed survey, around half of private boat owners enjoy the protection of a working smoke alarm on their boats. Notwithstanding all of the above, and more aligned to your recommendation, the BSS is committed to a public consultation by the end of this year on the commendation to research if evidence exists to introduce a mandatory requirement for all boats on waterways participating in the BSS, to be fitted with a smoke alarm. The evidence we are tasked with seeking is to support the argument that working smoke alarms also provide protection to those aforementioned third-parties. Our diƯiculty in finalising the consultation document, is achieving suƯicient and supportable evidence of that protective mechanism. We can see the theoretical routes aimed at reducing the risk of boat fires spreading (one of our roles), but finding tangible examples to support the theories is diƯicult as Fire and Rescue Services are not routinely providing such information, albeit we have sought and had agreement from the National Fire Chiefs Council for the sharing of fire incident data. In case you harbour a question, the introduction of the mandatory BSS requirement for carbon monoxide alarms on boats in 2019 was grounded on evidence of carbon monoxide produced on one boat potentially entering adjacent boats and so third parties were at risk. All this stated, we still remain confident that we can present a supportable argument for increasing the regulation in this area and as soon as we have it collated and marshalled, I will inform you at the time the smoke alarm BSS public consultation is launched. Related to what I stated earlier about fire incident information, I would be grateful for a copy of the full report from the Coroner, in order that we may assess any wider safety lessons from the

tragic circumstances and how actions and activities and may help prevent fires occurring which is our ultimate goal. Kind regards Communications Manager Boat Safety Scheme

T: @BSS_BoatSafety G+: Boat Safety Scheme Fb: BSS.BoatSafety Boat Safety Scheme c/o National Waterways Museum Ellesmere Port, South Pier Road, Ellesmere Port Cheshire CH65 4FW W boatsafetyscheme.org/contact- us The Boat Safety Scheme Limited is a not for profit company limited by guarantee registered in England and Wales with company number 15501423, registered office address c/o National Waterways Museum Ellesmere Port South Pier Road Ellesmere Port Cheshire CH65 4FW.
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  • Boat Safety Scheme
Response Status
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56-Day Deadline 24 Sep 2024
All responses received
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Source: Courts and Tribunals Judiciary

Report Sections
Investigation and Inquest
On 09 April 2024 I commenced an investigation into the death of Peter Richard DOLAN aged 63. The investigation concluded at the end of the inquest on 09 July 2024. The conclusion of the inquest was that: Accident
Circumstances of the Death
On 08/03/24 a fire took place on a canal boat on the Bridgewater Canal, Whitbarrow Road in Lymm. When the fire was extinguished a badly burnt body was recovered from inside the canal boat which was later identified as being Mr Dolan. Police attended and confirmed that there was no suspicious circumstances. Reason for inquest - unnatural death.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.