Jose Orlando
PFD Report
Historic (No Identified Response)
Ref: 2020-0063
Coroner's Concerns (AI summary)
Lorries lacked essential safety features like hand holds for driver access and necessary equipment (CO2 detectors, telescopic mirrors) for Border Force checks, tempting drivers to use unsuitable alternatives.
View full coroner's concerns
The MATTERS OF CONCERN DURING THE COURSE OF THE INQUEST are as follows The likely
There appeared to be no hand hold/grab rail to assist drivers in pulling themselves up into the interior of their trailers_ The metal prop/stay is not designed to be used for this purpose: As there is nothing purpose built to assist drivers to themselves Up, it would be very tempting for drivers to use the prop/stay for this purpose: In addition, there were no items within the lorry that would have assisted Mr Sanchez-Figueroa to carry out the checks required from the Border Force Agency: Carbon-dioxide detectors or telescopic mirrors could assist drivers with these checks and none of these items were present within the vehicle.
There appeared to be no hand hold/grab rail to assist drivers in pulling themselves up into the interior of their trailers_ The metal prop/stay is not designed to be used for this purpose: As there is nothing purpose built to assist drivers to themselves Up, it would be very tempting for drivers to use the prop/stay for this purpose: In addition, there were no items within the lorry that would have assisted Mr Sanchez-Figueroa to carry out the checks required from the Border Force Agency: Carbon-dioxide detectors or telescopic mirrors could assist drivers with these checks and none of these items were present within the vehicle.
Sent To
- Tradomi S.L. Transporte
Response Status
Linked responses
0 of 1
56-Day Deadline
15 May 2020
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
Following an Inquest which was opened on the 18th January 2019 the investigation concluded on the 3rd March 2020. The conclusion of the Inquest was a narrative conclusion: Mr Sanchez-Figueroa died from a traumatic brain injury caused by a fall from the back of his lorry: absence of secure footing and leveraging contributed to the accident:
Circumstances of the Death
Mr Sanchez-Figueroa worked as a long distance lorry driver. He had delivered a load of vegetables to the New Spitalfields Market in Leyton, London on the 17 December 2018. At around 20.00 hours on the 17th December 2018 he was found unconscious near to his lorry with a severe head injury: The circumstances in which he was found indicated a likely fall from the back of his trailer. A metal prop/stay that should have been secured in the back of the trailer was found on the ground with blood staining on it Investigators from the Metropolitan Police Service and the Health and Safety Executive considered that the mechanism of injury was most to have been fall from the back of the lorry in which the stay/prop was likely to have been involved: It was noted during the course of the Inquest that there was no hand hold to assist drivers to enter their trailers. It was further noted that drivers would be responsible for stowaways and may need to check the interior of their trailer. Sadly, Mr Sanchez-Figueroa died from his injury's at the Royal London Hospital on the 23rd December 2018_
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you have the power to take such action:
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.