Flavio Pizarro

PFD Report Historic (No Identified Response) Ref: 2016-0419
Date of Report 23 November 2016
Coroner Julie Robertson
Coroner Area Manchester (North)
Response Deadline est. 23 April 2017
Other related deaths
Judiciary.uk Report PDF
Coroner's Concerns (AI summary)
Lack of warning signs about swimming dangers and absence of safety aids at canal locks, despite previous assurances, creating ongoing risks for children playing near the water.
View full coroner's concerns
There was no signage warning of the dangers of swimming or safety aids at Lock 62 or within the nearby vicinity. There remains no signage at all locks in the immediate area and children continue to play in and near the water despite correspondence dated 5 July 2016 from the Canal % River Trust that stated that signs would be erected at all locks in the immediate vicinity. Future deaths could be prevented by the presence of signs and safety aids.
Sent To
  • Canal and River Trust
Response Status
Linked responses 0 of 1
56-Day Deadline 23 Apr 2017
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 16.6.16 I commenced an investigation into the death of Flavio Rafael Pizarro.
Circumstances of the Death
The deceased died after her entered the water at Lock 62 by jumping into the canal with friends. There were no signs warning of the dangers of swimming or safety aids. After entering the canal the deceased got into difficulties as he was unable to swim. Despite rescue attempts by passers-by and attending police and fire personnel the deceased spent a significant period submerged. Having been removed from the water he was conveyed to Manchester Children’s Hospital where he died on 14 June 2016.
Similar PFD Reports

Reports sharing organisations, categories, or themes

Sam Dudley
5 Feb 2026 Sefton, St Helens and Knowsley
2 shared themes
Emma Harper
11 Sep 2024 Manchester West
2 shared themes
Richard Hopkins
23 Mar 2026 Coventry and Warwickshire
1 shared category 1 shared theme
John Oates
18 Dec 2025 Cumbria
1 shared category 1 shared theme
Ann Campbell
23 Oct 2025 Cornwall and the Isles of Scilly
1 shared category 1 shared theme
Catherine Forbes
14 Nov 2024 Oxfordshire
1 shared category 1 shared theme
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
Remove all spikes and inward-facing constructions from perimeter and radial fences
Taylor Inquiry
Public Infrastructure Physical Hazards
Limit perimeter fencing height to a maximum of 2.2 metres
Taylor Inquiry
Public Infrastructure Physical Hazards
Provide sufficient 1.1-metre wide gates in perimeter fences for emergency evacuation
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.