Adam Forrester

PFD Report All Responded Ref: 2021-0268
Date of Report 11 August 2021
Coroner Margaret Jones
Coroner Area Stoke-on-Trent and North Staffordshire Coroner’s Court
Response Deadline est. 6 October 2021
All 1 response received · Deadline: 6 Oct 2021
Coroner's Concerns (AI summary)
A single-crewed bin lorry operated in hazardous conditions, and safety guidance for waste collection did not adequately address checking bins for persons, creating a risk for vulnerable individuals.
View full coroner's concerns
(1)The bin waggon had collected bins during the hours of darkness in apparently poor weather conditions and from an area vulnerable to vagrants. The vehicle was single crewed. (2)The WISH document, Effective Proactive Monitoring in Waste and Recycling Collection Activities document contains a checklist on page 5 of 8 and a section headed Public Safety at points numbered 20-
22. This section makes no mention of kicking bins or checking inside for persons. This is dealt with in the WISH Guidance Document –managing Access to Large Waste and Recycling Bins but not in the supervision advice document.
Responses
Health and Safety Executive Regulator / Inspectorate
29 Sep 2021
Action Planned
HSE and WISH have reviewed the guidance and drafted some modified text to WISH INFO 3, including adding "Crew check all large, four wheeled bins" to the checklist. (AI summary)
View full response
Dear Mrs Jones I refer to your report of 11th August 2021 which has been passed to me for response as head of HSE’s Waste and Recycling sector team. I have also consulted the Waste Industry Safety and Health forum (WISH) steering group who have many years of experience in the industry to clarify some of the issues. We have worked jointly to amend the guidance, ensure that it is fit for purpose and is as clear as it can be as to the risks and potential control measures. To save duplication, HSE has agreed with WISH that this letter should be regarded as a joint, composite response on behalf of both organisations. I trust this is acceptable. The issue of people sleeping in bins has exercised HSE and the waste and recycling industry for many years. You mention the checklist on page 5 of WISH document ‘Effective Proactive Monitoring in Waste and Recycling Collection Activities’ (INFO 03), in particular, that it makes no mention of kicking bins or checking inside for persons. It is important to distinguish between domestic and commercial type bins. The latter tend to be larger, with four wheels rather than two. They can also be found in communal locations (flats, community centres, schools, churches and ‘bring site’ locations for example). Because these are larger, they tend to be more attractive as a place to sleep. Their safe use is considered in WASTE 25 (Managing access to large waste and recycling bins). As you note, there are various WISH documents which identify good practice to minimise the risks of both sleeping in bins and around bins e.g., under waste such as cardboard. (In the latter case, the risk tends to relate more to being run over by collection vehicles). These risks should be captured in the route risk assessments which waste and recycling contractors are obliged to carry out. Areas known to attract rough sleepers should be identified and extra steps identified to ensure operatives are vigilant for people sleeping in or around bins. On the other hand, people sleeping in standard two wheeled domestic waste (wheelie) bins has been much less of an issue. They are typically too small and filled with contents that are too unpleasant for them to be attractive for sleeping in (even when intoxicated). A person in such a bin would also be very likely to be detected when an operative attempted to move the bin for emptying (the very significant additional weight would almost certainly prompt them to check what was in the bin). There is no conclusive evidence of such bins ever being involved in an accidental death ‘body in the bin’ event. HSE sends to think of risk control measures in terms of a hierarchy – eliminating or reducing it be way of design is at the top, whilst relying on PPE or people following procedures (often in less-than-ideal circumstances) is at the bottom. With this in mind, the best way to prevent further accidents arising from sleeping in or around bins is this for the bin owners (those in control of the premises or undertaking) to take all reasonable steps to keep people out of and away from the bins e.g., by keeping them in locked

2

enclosures or locking the individual bins. This is reflected in WASTE 25. It is the view of both HSE and WISH that kicking bins is weak control measure for various reasons, in particular, because it will not rouse a heavily intoxicated person. Having reviewed the guidance, we are content that the existing material and control measures are broadly sufficient and proportionate to the risk. However, we recognise the wording of WISH INFO 3 could be clearer – so we have drafted some modified text at line 13 on page 5 of INFO13 and with the addition of line 21 on page 6: “Crew check all large, four wheeled bins” (to distinguish from the smaller two wheeled domestic types). I hope this addresses your concerns.
Sent To
  • WISH and Health and Safety Executive
Response Status
Linked responses 1 of 1
56-Day Deadline 6 Oct 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

Report Sections
Investigation and Inquest
On 14/11/2017 I commenced an investigation into the death of Adam Albert John Forrester, aged 30 years. The investigation concluded at the end of the inquest on 28th July 2021. . The cause of death was 1a. Multiple injuries. 2. Alcohol intoxication and cocaine abuse with borderline cardiomegaly and atrial fibrillation.
Circumstances of the Death
The deceased had been out drinking in Hanley during the night of the 11/12th September 2017. He was known to have put his jacket into a commercial waste bin prior to visiting a club. He was last seen leaving a night club at 03..26 hours on the 12th September 2017. At 14.39 hours that day he was found dead in the top shed at Browns & Son Recycling, Sneyd Hill Stoke on Trent. Browns had collected waste bins from the vicinity of the night club in the early hours of that morning. The deceased injuries were compatible with being caused by compaction in a bin lorry or other vehicle with a compaction mechanism. There was no evidence as to which vehicle had transported the decease to the recycling plant.
Copies Sent To
Browns Recycling via Knights Solicitors Stoke on Trent City Council Unitas
Related Inquiry Recommendations

Public inquiry recommendations addressing similar themes

Independent Statutory Resilience Body
COVID-19 Inquiry
Outdated Operational Guidance
Improved Risk Assessment Approach
COVID-19 Inquiry
Outdated Operational Guidance
Triennial Pandemic Exercises
COVID-19 Inquiry
Outdated Operational Guidance
Publish Exercise Reports and Lessons
COVID-19 Inquiry
Outdated Operational Guidance
Apply best offer principle equally in GLOS
Post Office Horizon Inquiry
Outdated Operational Guidance
Post Office to engage in negotiations during HSSA appeal period
Post Office Horizon Inquiry
Outdated Operational Guidance
Set deadline for HSS claims with guidance on late applications
Post Office Horizon Inquiry
Outdated Operational Guidance
Clarify whether HCRS and OCS assessment processes differ
Post Office Horizon Inquiry
Outdated Operational Guidance
Establish standing public body to administer future redress schemes
Post Office Horizon Inquiry
Outdated Operational Guidance
Devise redress process for affected family members
Post Office Horizon Inquiry
Outdated Operational Guidance

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