Ashley Matthews
PFD Report
All Responded
Ref: 2015-0297
All 1 response received
· Deadline: 17 Sep 2015
Coroner's Concerns (AI summary)
Insecure perimeter fencing allowed unauthorized access to the railway site, and there was a lack of warning signs for high voltage cabling on the bridge.
View full coroner's concerns
In the crcumstances t s my statutory duty to report to you. as fotows. (1 During the course of the inquest, evidence suggested that access to the site was gained by insecure fencing.
(2) After the death of Ashley Matthews, the family were able to gain access to the site unchallenged by security. i3The family ctressed the segggyj Ja has eep in mc ncr
— [iLl: PROTECT]
(4) Others had gained access and placed flowers on Bridge 26
5) The family witnessed someone on the site walking with their dog nd placing flowers on bridge 26 6I Evidence suggested that some parts of the perimeter fencing were secured with cable ties ç7) Evidence suggested there were no warning signs on Brioge 26 warning of toe dangers posed by high voltage cabling (8) In light of the inquest findings, you may wish to consider he pnyscal security of the site including fencing as well as the security patrols in place
(2) After the death of Ashley Matthews, the family were able to gain access to the site unchallenged by security. i3The family ctressed the segggyj Ja has eep in mc ncr
— [iLl: PROTECT]
(4) Others had gained access and placed flowers on Bridge 26
5) The family witnessed someone on the site walking with their dog nd placing flowers on bridge 26 6I Evidence suggested that some parts of the perimeter fencing were secured with cable ties ç7) Evidence suggested there were no warning signs on Brioge 26 warning of toe dangers posed by high voltage cabling (8) In light of the inquest findings, you may wish to consider he pnyscal security of the site including fencing as well as the security patrols in place
Responses
Action Taken
Palisade fencing has been extended to prevent access, and regular inspections and repairs are being conducted. Signs warning of electrocution dangers have been placed on the overbridge. (AI summary)
Palisade fencing has been extended to prevent access, and regular inspections and repairs are being conducted. Signs warning of electrocution dangers have been placed on the overbridge. (AI summary)
View full response
BRITISH TRANSPORT POLICE Coroners Liaison Office British Transport Police 1 st Floor, South Axs House 10 Holliday Streei Birmingham BI lup Inquest into the late Ashley Mathews Sir, With reference to your request for clarification of points made under the regulation 28 notice issued, I have the following to report. Approximately 2 weeks after the inquest I attended the scene of this fatality with from Network Rail and British Transport Police liaison officer with Network Rail, As well as the areas mentioned by the family, a number of other potential access points were visited as part of a full review of the site safety. has prepared a report of work already completed and work to be done. With regards to points 1-6. There has been an extension to the palisade fencing to prevent access by climbing around the side of the fencing to the over bridge that carries the disused line from which Ashley climbed down. (See the bottom middle photo on third page of report). The site is regularly subject to damage to fencing and has assured me that there is constant inspection and repair as soon practicable when any holes in fencing are found. The construction site for the adjacent distribution deport was well underway, it has been established that the security officer mentioned by the family was for this site and not associated in any way with Network Rail. No cable ties were found on Network rail fencing, visit, however there are some cable ties securing temporary fencing that sounds the construction site. The two lower photographs on page 2 of the report show the area where the family placed their flowers. They fence they attached them to can now clearly be seen to be a new public footpath that passes very close to the over bridge which is shown at the top right hand side of the second photo. Running along side this is a river and consideration has been given to placing palisade fencing on the other side of the river on Network Rail land. However, as can be seen in the top two photos on page 2 a ladder has been fixed at the time of construction which is there as a means of escape should a person find themselves trapped in the river during flooding. from network rail is carrying out investigation to see if the placing of fencing on the riverside would interfere with this means of escape. Point 7, although this is not a public area Network rail have already placed signs warning of the dangers of electrocution on the over bridge (See photo on final pages of the report).
Point 8. Network rail have never employed a security officer at the depot. It is currently used as a marshalling yard for trucks carrying low value railway ballast. I have discussed point 8 with who will be speaking with Network Rail to see if a security officer would be cost effective. He has mentioned that the site where this fatality took place is not actually within the area of the marshalling yard but is on the access line that runs towards it. Finally, the liaison officer for this case has spoken with the family about the points that they raised. He has supplied a statement of their conversation and in this he confirms that the family did not access the rail yard at any time. They have also clarified that the security guard found asleep was from a nearby haulage yard and was nothing to do with Network Rail. I hope that I have answered the points raised, however if you need any further information I will be please to help. BRITISH TRANSPORT POLICE Pau(Simmon& Fatality Investigation &Coroners Liaison Officer British Transport Police 1 st Floor, South Wing, Axis House 10 Holliday Street Birmingham BI IUP Ext No 0121 781 1165 Tel 0300 123 9100 Office Ext 7811165 DX 702861 Coroners Liaison Officer Ext No 0121 781 1165 Tel 0300 123 9100 Office Ext 7811165
Point 8. Network rail have never employed a security officer at the depot. It is currently used as a marshalling yard for trucks carrying low value railway ballast. I have discussed point 8 with who will be speaking with Network Rail to see if a security officer would be cost effective. He has mentioned that the site where this fatality took place is not actually within the area of the marshalling yard but is on the access line that runs towards it. Finally, the liaison officer for this case has spoken with the family about the points that they raised. He has supplied a statement of their conversation and in this he confirms that the family did not access the rail yard at any time. They have also clarified that the security guard found asleep was from a nearby haulage yard and was nothing to do with Network Rail. I hope that I have answered the points raised, however if you need any further information I will be please to help. BRITISH TRANSPORT POLICE Pau(Simmon& Fatality Investigation &Coroners Liaison Officer British Transport Police 1 st Floor, South Wing, Axis House 10 Holliday Street Birmingham BI IUP Ext No 0121 781 1165 Tel 0300 123 9100 Office Ext 7811165 DX 702861 Coroners Liaison Officer Ext No 0121 781 1165 Tel 0300 123 9100 Office Ext 7811165
Sent To
- British Transport Police
Response Status
Linked responses
1 of 1
56-Day Deadline
17 Sep 2015
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 23.6. 2015, I commenced an investigation into the death of Mr Ashley Aaron Matthews. The investigation concluded at the end of the inquest on 23 July 2015. The conclusion of the inquest was Death by Misadventure
Circumstances of the Death
1. On the 18.6.15, Ashley Matthews and friends accessed Bescot Traction Maintenance Depot in Wednesbury, via a gap in fencing.
2. He climbed over a railway bridge ( Bridge 26) and attempted to drop into a good wagon.
3. Whilst attempting to do so, he was electrocuted after making contact with a high voltage cable.
4. He was taken to hospital but his injuries were thought to be incompatible with I ife.
5. Hediedl9.6.15
6. The medical cause of death was given as: Ia. Extensive full thickness burns incompatible with life
2. He climbed over a railway bridge ( Bridge 26) and attempted to drop into a good wagon.
3. Whilst attempting to do so, he was electrocuted after making contact with a high voltage cable.
4. He was taken to hospital but his injuries were thought to be incompatible with I ife.
5. Hediedl9.6.15
6. The medical cause of death was given as: Ia. Extensive full thickness burns incompatible with life
Similar PFD Reports
Reports sharing organisations, categories, or themes
Related Inquiry Recommendations
Public inquiry recommendations addressing similar themes
Review CCTV monitoring SIA licence requirements
Manchester Arena Inquiry
Unregulated recreation safety
Establish standard for event healthcare services
Manchester Arena Inquiry
Unregulated recreation safety
Mandatory Ambulance Liaison Officer at events
Manchester Arena Inquiry
Unregulated recreation safety
Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.