Casper Blackburn

PFD Report Partially Responded Ref: 2018-0094
Date of Report 3 April 2018
Coroner 2018-0094
Response Deadline est. 12 August 2018
Coroner's Concerns (AI summary)
Extremely poor lighting and lack of CCTV near the canal made it difficult to discern the water from the land at night, posing a significant safety risk.
View full coroner's concerns
In the circumstances it is my statulory duty to report to you: The lighting in the area where Casper likely accidentally enlered the canal was extremely poOr_ There is no CCTV in the area and therefore what precisely happened on the morning of Casper's death is unclear . Evidence was heard that police attended the scene at night on a date following Casper's death. The area was s0 dark that it was very difficult t0 discern the canal from thegrass verge or the palh: am concerned that 23r his The future deaths might occur if action is not taken t0 address this
Responses
Responses
14 May 2018
Noted
The Canal & River Trust states it has no jurisdiction or responsibilities regarding the Bridgewater Canal or the land at the location, which they believe is the responsibility of Peel Holdings. (AI summary)
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Dear Sirs RE: Regulation 28: Report to prevent future deaths Casper Blackburn. refer to your report on this matter dated 3'd April 2018 Trafford Council takes this matter very seriously and since the unfortunate and tragic death of Casper has set up a multi-agency Trafford Water Safety Group to consider matters of water safety across the Borough: Therefore, in response to your report the Council has contacted both the Trafford Water Safety Group and the Bridgewater Canal Company Limited and has brought these matters to their attention. The Council understands that the Chair of the Trafford Water Safety Group and representative of Peel will be meeting in May to discuss an action plan for alleviating any future danger: Unfortunately, the Council has a very limited ability to take direct action as it is not the relevant landowner in respect of the path which runs alongside the canal, nor is it responsible for the public right of way which runs over that path. In both instances the responsible party is the Bridgewater Canal Company Limited However; the Council has approached the Bridgewater Canal Company to seek to find a resolution to improve the safety of the users of the path and to improve safety measures Yours faithfully Tim Rhodes, Principal Solicitor EGEI Legal & Democratic Services Trafford Borough Council Director of Legal and Democratic Services: Jane Le Fevre TR / 007348 / 530923 1 Version Authorised and regulated by the Solicitors Regulation Authority SRA No 65042 Floor, May;

The Brldgewater Canal Company Llmited PEEL Peel Dome, intu TRAFFORD CENTRE , TRAFFORDCITY , Manchester; Mt7 8PL TEL: 0161 629 8432 wwwbrdgewatercanalcouk WNWW peel.co.uk 24 2018 HM Coroner Manchester South Coroners Court 1 Mount Tabor Street Stockport RECEIVED SKI 3AG 2 5 MAK 2018 Dear Madam CH Caspar Blackburn (deceased) Thank you for your letter addressed to Peel Holdings which has been passed to The Bridgewater Canal Company Limited ("BCC") , the statutory navigation authority for and the company that owns and manages the Bridgewater Canal ("the canal"). BCC is wholly owned subsidiary of Peel Holdings Land and Property (UK) Limited. We acknowledge receipt of your letter and Regulation 28 report dated 3 April 2018 and note in particular the observations in section 5 of your report; which have been considered very carefully: Before responding to your observations, we would like to express our sincere sympathy to the family of Mr Blackburn and our sadness at his death Background information The canal is 39 mile canal between Runcorn and Leigh and the path which runs alongside the canal provides a multi-user route: There are approximately 4,000 miles of inland waterways in the UK managed by around 50 Navigation Authorities and other organisations. The Canal and River Trust is the largest of these managing over 2,000 miles of canals and rivers, most of which are accessible by the public. By comparison the canal is 39 miles long and is one of the few canals not to be nationalised in the 20th Century. The have had access t0 the Bridgewater Canal since it was completed over 250 years ago_ BCC is a member of a number of water safety groups and federations of canal users and (he prevention of incidents, including drowning, is always priority for BCC and these groups. Decisions in relation to safety are always taken very seriously and made by BCC with as much input from the groups as possible, as well as consultation with canal users wherever possible. The canal is of great historical importance locally and, indeed, globally extensive environmental and heritage benefits to the areas it passes through: In recognition of this a project to regenerate the canal, promoted and funded in part by the Bridgewater A member of (he Peel Land and Property Group Registered Office: Peel Dome, Intu TRAFFORD CENTRE , TRAFFORDCITY , Manchesler; M17 8PL Registered Number 6805592 England and Wales May towing public are and brings

Canal Trust, commenced in 2003. Justover 26 miles of the canal towpath has been improved as a result of this project to date, with further work planned for the future. The aim of the regeneration is to provide a better surface for the towpath, increased seating and public information for the canal, and provide improved access to encourage new users of the canal: The regenerated sections of the canal form the Bridgewater The area in which this sad incident occurred was in an area that had been regenerated:. Information relating to the canal is available on the Bridgewater Canal website which can be found at w bridgewatercanalcouk: The website includes a code of use for all users of the canal, including pedestrians. The code of use contains a number of warnings regarding using the canal, including highlighting the fact that towing paths are unlit: There are also a number of natural and historical features along the canal which may present a hazard for pedestrians and due to the close proximity of deep water, it is therefore not recommended t0 use the in the hours of darkness and in poor light conditions. Response to concerns The towing in the regenerated areas consists of light golden colour stone and is approximately 1.8 metres wide in the area in question. There is then verge approximately 0.5 metres wide before the coping stones bordering the canal itself It is not intended that lighting will be introduced to the canal by BCC. To introduce lighting in the urban and rural areas would have significant adverse impact on the heritage and natural environment of the canal which would be entirely detrimental to local areas for users of the canal, residents and the ecology and wildlife which thrives along the canal. It may also present other safety issues and encourage night time use which is not advisable. We understand that this is also the policy of the Canal and River Trust Thank you for your report dated 3 April 2018 and for the opportunity to respond t0 your observations. Signed_ For on behalf of The Bridgewater Canal Company Limited Position. Director Dated. 2* A97 291 Way: path path grass and

CH RECEIVED 25 APR 2018 Canal & River Trust Coroner s Office Mount Tabor Street Stockport SK1 3AG FAO Ms Rachel Galloway Ref: 8398/CH 20"h April 2018 Dear Ms Galloway, RE: Casper Harvey Blackburn Thank you for your letter dated 3rd April 2018, addressed to the Trust's Chairman, Allan Leighton. As the Iocal safety advisor for the area in which Casper sadly died, your letter has been passed to me to reply on behalf of the Canal & River Trust ("the Trust') on this occasion, however, please can ask you to address all such correspondence in the first instance to: Head of Legal and Governance Services Canal & River Trust First Floor North, Station House 500 Elder Gate Milton Keynes MK9 1BB May take this opportunity to extend the Trust's sincerest condolences to Casper's family for their loss; our thoughts and sympathies are with them at this extremely difficult time. Turning to the Regulation 28 report enclosed with your letter, can see that it recommends action should be taken regarding lighting on the towpath of the Bridgewater Canal where it is believed likely that Casper entered the water However, the Canal & River Trust has no jurisdiction or responsibilities regarding the Bridgewater Canal or the land at this location believe is in fact the responsibility of Peel Holdings and because can see that the Regulation 28 report is sent to Peel Holdings, in the circumstances do not believe the Trust is required to take any further action; Canal & River Trust First Floor North Station House 500 Elder Gate Milton Keynes MK9 1BB 0303 040 4040 E customer services@canalrivertrust org uk www canalrivertrust org uk Patron: H.RH The Prince of Wales. Canal & River Trust, a charitable company limited by guarantee registered in England and Wales wilh company number 7807276 and registered charily number 1146792 , registered office address First Floor North , Station House 500 Elder Gate, Milton Keynes MK9 1B8 Your being

Canal & River Trust Please do not hesitate to contact me if the Trust can be of any further assistance in this matter.
Sent To
  • Canals and Waterways Agency
  • Peel Holdings
  • Trafford County Council
Response Status
Linked responses 1 of 3
56-Day Deadline 12 Aug 2018
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 the12th October 2017 an inquest was opened into the death of Casper Blackburn: The evidence was heard at inquest 0 the March 2018 and my conclusions were given on the 29lh October 2018 The conclusion left was a narrative conclusion: "Casper died from the recognised complications of accidentally entering the canal contributed to by very poor lighting" . The medical cause 0f death was: 1a drowning:
Circumstances of the Death
Casper Blackburn died in the early hours of the morning on the 18' October 2017 after he entered the Bridgewater canal in the vicinity of St Paul's Church on Springfield lane; Sale in unclear circumstances. It is likely that very poor lighting in the area and a degree of intoxication on Casper's part contribuled to death:
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you have the power lo take such action:
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.