Neil Stewart
PFD Report
0 of 1 responses identified
Ref: 2021-0400
Coroner's Concerns (AI summary)
There was an absence of clear, written safety policies and protocols for venues and event providers, leading to inadequate communication of risks and poorly defined responsibilities for guests.
View full coroner's concerns
6. The following action is required to avoid future deaths: (1) Create and adopt a written safety policy/protocol in which you clearly document the steps you will put in place to protect your guests, your expectation of them and their conduct and a clear warning of the risks associated with the events they may attend (2) Create/adopt a written policy/protocol for providing services (entertainment) at a venue that is associated with risks unique/specific to that venue which should include bespoke warnings/guidance to be given to clients who attend.
(3) When providing entertainment services in venue where another provider is responsible for organisation, safety of guests – discuss with the provider the details and clearly document the distinction in those responsibilities and give guidance to guests accordingly
(3) When providing entertainment services in venue where another provider is responsible for organisation, safety of guests – discuss with the provider the details and clearly document the distinction in those responsibilities and give guidance to guests accordingly
Sent To
- Bounce Til I Die
Responses Identified
Responses identified
0 of 1
56-Day Deadline
11 Jan 2022
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Report Sections
Investigation and Inquest
On 13 December 2017 I commenced an investigation into the death of Neil James STEWART. The investigation concluded at the end of the inquest on 27 September 2021. The conclusion of the inquest was Accidental death by drowning. The medical cause of death was: 1a Drowning
1b 1c
1b 1c
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.