Kevin Sherwood

PFD Report All Responded Ref: 2018-0289
Date of Report 11 September 2018
Coroner Geoffrey Sullivan
Coroner Area Hertfordshire
Response Deadline est. 15 March 2019
All 1 response received · Deadline: 15 Mar 2019
Coroner's Concerns (AI summary)
Insufficient railway boundary fencing, consisting only of post and wire, in an area frequented by walkers, creates a risk of trespass onto the train line.
View full coroner's concerns
In the clrcumstances It Is my statutory duty to report to vou: (1) Only post and wlre fencing at the rallway boundary In this area. The areas on both sides off the Ickneild Way, particularly to the west of the rallway; are used by walkers and others: Old Courthouse; St Albans Road East, Hatfield, ALIO OES 01707 292707 The-
Responses
Network Rail Private Sector
15 Nov 2018
Action Planned
Network Rail has increased the frequency of fence inspections to three-monthly and scheduled renewal of the fencing in the Inckneild Hitchin area for 2019/2020. Platform End Anti-trespass measures have been added to Hitchin Station. (AI summary)
View full response
Dear Sir, Regulation 28: Report to Prevent Deaths Kevin Phillip Sherwood refer to your report dated 11th September 2018 made under paragraph 7 , schedule 5, of the Coroners and Justice Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013. On behalf of all at Network Rail, would like to take this opportunity to express my sincere condolences to the family of Mr Sherwood As you noted in your report Mr Sherwood died as the result of Severe Multiple Injuries sustained when he was struck by a train on the railway near Hitchin on 20m February 2018. The conclusion at the end of the inquest on 6th September 2018 was Suicide detail below Network Rail's considered response to the matter of concern raised in your report: Network Rail's Fencing Standard In accordance with its legal obligations, Network Rail implements mandatory fencing standard NRILZITRKI51OO Issue 2 (2008) Management of Fencing and other Boundary Measures, which applies to all Network Rail controlled infrastructure (a copy of this document can be provided if required)- The purpose of the Fencing Standard is to specify the boundary management measures commensurate with assessed risks posed by adjacent environment and the railway, and to incorporate a method of assessing these risks Netxcrk Rai Infrastructure Limited Registered Ottice: Network Ra | One Evershax Sieet; Londcn; NWIZDN Registeredin Ergland Wales No. 2904587 wvw nlelworkrall couk Future the am

To comply with the standard, annual inspections are undertaken, noting and scoring against stipulated criteria:
1) Likelihood of unauthorized access (Risk score 1-4)
2) Consequence of unauthorized access (Risk score 1-4)
3) Condition of existing boundary (Rating score 0, 2 or 4) Low scores =Low risk The overall risk score is derived the equation: Risk = (Likelihood x Consequence) + Condition The overall risk score informs the boundary management measures that are appropriate for the given location. Fencing in the Ickneild Hitchin area At the time of the incident the boundary measure in the Ickneild Hitchin area had been assessed as 3 (Likelihood) x 3 (Consequence) 0 (Condition) 9 and, as such, deemed medium risk The class 4m high) boundary measure on both sides of the track was installed twelve years ago The inspection prior to the incident on 15th February 2018 recorded the fence as 'good condition and regarded as compliant to the Fencing Standard. As a result of this incident, the site was re-assessed (in line with the Fencing Standard) and the likelihood score increased from 3 to 4 as there was now 'recorded evidence of trespass or vandalism within the last twelve months" The consequence score was also increased from 3 to 4 as a result of the increase in numbers of trains through this section of railway The revised score, therefore, became 4 (Likelihood) x 4 (Consequence) + 0 (Condition) 16, The mitigation for the increased risk score is a requirement to increase the frequency of inspection from annual to three monthly. The standard also requires that, at the point where the current fence becomes life expired it will be replaced by a class (1.8m high) fence_ fence line may be renewed prior to life expiry in some circumstances due to operational requirements or route enhancement projects (subject to funding). Renewal of the fencing in the Inckneild Hitchin area is currently scheduled for 2019/2020. In the meantime the fencing remains compliant with our Fencing Standard, and will continue to be monitored via three-monthly inspections_ Further Suicide Prevention Work Network Rail and the British Transport Police (BTP), together with Train Operating Companies, are working together to actively mitigate against suicidal intent along the line of route from Peterborough to Kings Cross and Bedford to St Pancras (which includes Hitchin) , together known as the Thameslink route using Way, Way, Way,

Specifically, Platform End Anti-trespass measures have been added to Hitchin Station to deter access on to the track: In addition to existing Mobile Operations staff who patrol the area, the Route has been supported by BTP Emergency Interventions Units and BTP Embedded Inspectors_ Network Rail has also introduced a team of 'roving patrollers whose focus is suicide prevention on this line of route and providing rapid response to incidents. We continue to work closely with industry partners to prevent loss of life in the Hitchin area as part of our strategy for the Thameslink route hope this response answers your concerns but if | can be of further assistance, or if you would like further clarification, please do not hesitate to contact me_ Yours sim terely, Route Managing Director LNEREM Network Rail
Sent To
  • Network Rail
Response Status
Linked responses 1 of 1
56-Day Deadline 15 Mar 2019
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 the 27* February 2018 commenced an investlgation into the death of Kevln Phlllp SHERWOOD. The Investigation concluded at the end of the inquest 6th September 2018. conclusion of the Inquest was Sulcide Medlcal Cause of Death: 1a Severe Multiple Injuries CIRCUMSTANCES OF ThE DEATH On the morning of the ZOth February 2018 a passenger train from Edinburgh to London Kings Cross was approaching Hltchin Statlon: The drlver of the train saw Kevin Sherwood standing on the train line faclng the oncomlng traln. The drlver applled the brake and sounded the horn but Mr Sherwood did not move and was struck by the train. Police and paramedlcs attended and hls death was confirmed at 11.47 hours at the scene CORONER"'S CONCERNS During the course of the Inquest the evldence revealed matters giving rlse to concern. The matters outlined below were not found to have caused or contributed to the death: In my oplnlon, however there Is a risk that future deaths wlll occur unless action Is taken. In the clrcumstances It Is my statutory duty to report to vou: The MATTERS OF CONCERN are as follows; (1) Only post and wlre fencing at the rallway boundary In this area. The areas on both sides off the Ickneild Way, particularly to the west of the rallway; are used by walkers and others: Old Courthouse; St Albans Road East, Hatfield, ALIO OES 01707 292707 The-dog The
Action Should Be Taken
In my opinlon actlon should be taken to prevent future deaths and believe you Network Rall have the power to take such action:
Related Inquiry Recommendations

Public inquiry recommendations addressing similar themes

Replace Buried Metallic LPG Pipes
ICL Inquiry
Public Infrastructure Physical Hazards
New LPG Safety Regime
ICL Inquiry
Public Infrastructure Physical Hazards
LPG Supplier Registration
ICL Inquiry
Public Infrastructure Physical Hazards
Polyethylene Piping Research
ICL Inquiry
Public Infrastructure Physical Hazards
Limit perimeter fencing height to a maximum of 2.2 metres
Taylor Inquiry
Public Infrastructure Physical Hazards
Paint and mark all emergency gates in fences with "Emergency Exit
Taylor Inquiry
Public Infrastructure Physical Hazards
Keep all perimeter fence gates to pitch unlocked and open during matches
Taylor Inquiry
Public Infrastructure Physical Hazards
Annually inspect all crush barriers for corrosion; repair or replace as needed
Taylor Inquiry
Public Infrastructure Physical Hazards

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