Henry Campbell-Byatt
PFD Report
Historic (No Identified Response)
Ref: 2019-0438
Coroner's Concerns (AI summary)
The resort lacked essential deep-water rescue equipment and trained staff. The system for monitoring swimmers was inadequate, necessitating improved watchtower manning and safety equipment.
View full coroner's concerns
1. That the Peligoni Club should consider instructing an appropriate expert to assess whether the club should have on site equipment (SCUBA) and staff that would allow them to effect deep-water rescue.
2. That a buoy and line should be recommended for the use by all swimmers, including staff, who swim in an area of the sea more than 10 m deep.
3. That the system for watchtower manning should include a sign/sign out system.
4. That an appropriate watching system for swimmers as well as sea-craft be put in place.
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2. That a buoy and line should be recommended for the use by all swimmers, including staff, who swim in an area of the sea more than 10 m deep.
3. That the system for watchtower manning should include a sign/sign out system.
4. That an appropriate watching system for swimmers as well as sea-craft be put in place.
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Sent To
- Peligoni Club
Response Status
Linked responses
0 of 1
56-Day Deadline
28 Feb 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
On the 29th and 30th October 2019, evidence was heard touching the death of Henry Huw Duncan Campbell Byatt. On the 6th August 2017, Harry was free-diving in the sea off Zakynthos in Greece when he sadly drowned.
Medical Cause of Death
1 (a) Drowning in seawater
How, when, where Harry came by his death:
On 6/8/2017 at around midday, Harry went free diving in deep water (around 30 m) off the coast of Zakynthos in Greece. He failed to resurface. After around 20 mins he was rescued and CPR started. This was sadly unsuccessful. He was recognised as life extinct at the local hospital.
Conclusion of the Coroner as to the death:
Accident Extensive evidence was taken in court. In summary:
Harry had been freediving for sport using equipment borrowed from a friend during a break from work at the Peligoni Club. A friend accompanied him as a watcher. He was seen to take increasingly deep dives with no difficulty. His friend retreated to the pontoon nearby whilst he performed one more dive. Sadly he did not resurface and the alarm was promptly raised. His body was spotted deep down on the sea-bed floor and rescue attempted by freediving, but this was unsuccessful due to the depth. SCUBA equipment was sourced from a local port, and he was rescued and given resuscitation. His rescuer risked his own life to bring him up.
The seawater in this area becomes very deep very quickly. Staff regularly swim, snorkel and free dive in this area, albeit to lesser depths that than undertaken by . Rescue from greater than 10m depth is very difficult and would require SCUBA equipment. The sea quickly becomes more than 30 m deep, when even rescue by SCBA becomes very dangerous.
The resort had a watchtower system in place at the time to monitor craft out on the water, however it could not be established who was on duty in the watchtower at the material time. Swimmers are not regularly observed whilst in the water. Concerns of the Coroner:
1. That the Peligoni Club should consider instructing an appropriate expert to assess whether the club should have on site equipment (SCUBA) and staff that would allow them to effect deep-water rescue.
2. That a buoy and line should be recommended for the use by all swimmers, including staff, who swim in an area of the sea more than 10 m deep.
3. That the system for watchtower manning should include a sign/sign out system.
4. That an appropriate watching system for swimmers as well as sea-craft be put in place.
Medical Cause of Death
1 (a) Drowning in seawater
How, when, where Harry came by his death:
On 6/8/2017 at around midday, Harry went free diving in deep water (around 30 m) off the coast of Zakynthos in Greece. He failed to resurface. After around 20 mins he was rescued and CPR started. This was sadly unsuccessful. He was recognised as life extinct at the local hospital.
Conclusion of the Coroner as to the death:
Accident Extensive evidence was taken in court. In summary:
Harry had been freediving for sport using equipment borrowed from a friend during a break from work at the Peligoni Club. A friend accompanied him as a watcher. He was seen to take increasingly deep dives with no difficulty. His friend retreated to the pontoon nearby whilst he performed one more dive. Sadly he did not resurface and the alarm was promptly raised. His body was spotted deep down on the sea-bed floor and rescue attempted by freediving, but this was unsuccessful due to the depth. SCUBA equipment was sourced from a local port, and he was rescued and given resuscitation. His rescuer risked his own life to bring him up.
The seawater in this area becomes very deep very quickly. Staff regularly swim, snorkel and free dive in this area, albeit to lesser depths that than undertaken by . Rescue from greater than 10m depth is very difficult and would require SCUBA equipment. The sea quickly becomes more than 30 m deep, when even rescue by SCBA becomes very dangerous.
The resort had a watchtower system in place at the time to monitor craft out on the water, however it could not be established who was on duty in the watchtower at the material time. Swimmers are not regularly observed whilst in the water. Concerns of the Coroner:
1. That the Peligoni Club should consider instructing an appropriate expert to assess whether the club should have on site equipment (SCUBA) and staff that would allow them to effect deep-water rescue.
2. That a buoy and line should be recommended for the use by all swimmers, including staff, who swim in an area of the sea more than 10 m deep.
3. That the system for watchtower manning should include a sign/sign out system.
4. That an appropriate watching system for swimmers as well as sea-craft be put in place.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.