Other related deaths

PFD Category
Reports: 778 Areas: 72 Earliest: Aug 2013 Latest: 23 Mar 2026

75% response rate (above 62% average). 48% of classified responses show concrete action taken. Reports fell 26% from 91 (2023) to 67 (2024).

PFD Reports
778 results
John Jaundoo
Historic (No Identified Response)
2017-0100 29 Mar 2017 Liverpool and Wirral
Liverpool City Council National Offender Management Service
Concerns summary Probation failed to appropriately place high-risk offenders and maintain dynamic risk assessments, while Adult Social Services lacked oversight, leading to unsuitable placements and missed public protection opportunities.
Antony Abbott
Historic (No Identified Response)
2017-0092 23 Mar 2017 Manchester (West)
Foreign, Commonwealth & Development Off…
Concerns summary Spanish Custody Officers, despite receiving first aid training for detainees, are not trained in Cardio Pulmonary Resuscitation (CPR), posing a risk in emergency situations.
James Spencer
All Responded
2017-0072 20 Mar 2017 Exeter and Greater Devon
Stoneham Bass
Concerns summary Inadequate training for induction support officers regarding drug-related collapse and the heightened risks for recently released prisoners due to decreased drug tolerance.
Peter Norton
Historic (No Identified Response)
2017-0251 9 Mar 2017 Cornwall and the Isles of Scilly
Halfords Group PLC
Concerns summary The store lacked guidance, policies, and risk assessments for cycling indoors, including a safe designated area and helmet use, creating an unsafe environment.
John Atkin
Historic (No Identified Response)
2017-0064 6 Mar 2017 Surrey
Millbrook Healthcare Limited
Concerns summary There is a critical breakdown in communication regarding hazard assessment at service-user homes, with occupational therapists unaware of their role in informing delivery services about potential dangers, and no policy preventing drivers from entering without prior contact.
Charles Rendell
All Responded
2017-0006 11 Jan 2017 Berkshire
Bayer Plc
Concerns summary There is inadequate communication to patients and prescribing clinicians about Ciprofloxacin's rare but serious side effect of suicidal ideation. This lack of awareness prevents timely recognition and appropriate reaction to potential symptoms.
Roseleen O’Donoghue
Historic (No Identified Response)
2017-0007 3 Jan 2017 Manchester (South)
Your Housing
Concerns summary The installed stair lift does not stop in a safe position at the top, leaving the step plate suspended over the stairwell. This creates a falling risk for users and may affect other similar installations.
Simon Charles
All Responded
2016-0465 28 Dec 2016 Cornwall and the Isles of Scilly
South West National Trust
Concerns summary Concerns exist over insufficient preventative measures at Hells Mouth, a known suicide location, beyond a fence. Suggestions included providing suicide support contact numbers and planting natural barriers along the cliff edge.
Edwin Flett
Historic (No Identified Response)
2016-0450 16 Dec 2016 London Inner (South)
Foreign, Commonwealth & Development Off…
Concerns summary This beach has an acknowledged high risk of death due to dangerous currents, yet specific warnings for tourists are insufficient, and no standardized risk classification system for swimming is in place.
Pamela Gower
All Responded
2016-0446 15 Dec 2016 County Durham and Darlington
British Parachute Association
Concerns summary Concerns remain whether the deceased skydiver was progressed beyond her abilities, questioning the adequacy of training intervals and overall progression for such a sport.
Liam Day
All Responded
2016-0402 14 Dec 2016 Dorset
British Mountaineering Council Royal Yachting Association
Concerns summary Significant risks in deep water soloing include dangerously cold sea temperatures, lack of essential safety equipment like lifejackets or communication devices, and unawareness of rapid hypothermia.
Ellen Kelly
All Responded
2016-0451 12 Dec 2016 London Inner (North)
London Borough of Camden
Concerns summary Residential fire safety is compromised by flat front doors lacking self-closing mechanisms and failing to meet 30-minute fire resistance standards, leading to rapid fire spread and trapping residents.
Ajvir Sandhu
Historic (No Identified Response)
2016-0436 8 Dec 2016 North Yorkshire (East)
Department for Transport
Concerns summary Safety concerns include the lack of mandatory parachutes with static lines in certain aircraft and insufficient mandatory spin recovery training on specific light aircraft types for pilots.
Cameron Forster
Historic (No Identified Response)
2016-0436-wp25563 8 Dec 2016 North Yorkshire (East)
Department for Transport
Concerns summary Parachutes were not supplied for a light aircraft flight, and there is no mandatory spin recovery training specific to aircraft types, increasing risks during aerobatics.
Andrew Machin
Historic (No Identified Response)
2016-0349 7 Dec 2016 Coventry
National Offender Management Service
Concerns summary Limited support was provided to a prison employee during a prolonged disciplinary process, and no internal investigation was conducted into the dismissal circumstances following his death.
Flavio Pizarro
Historic (No Identified Response)
2016-0419 23 Nov 2016 Manchester (North)
Canal and River Trust
Concerns 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.
Frazer Livesey
All Responded
2016-0418 21 Nov 2016 Cumbria
Impact Housing Association
Concerns summary Defective window stays prevented emergency escape from inside, potentially contributing to the deceased's death and a friend's injuries.
Gareth Willington
All Responded
2016-wp25435 10 Nov 2016 Carmarthenshire  and Pembrokeshire
Maritime and Coastguard Agency
Concerns summary The lack of mandatory personal flotation device wearing on fishing vessel decks at sea unnecessarily increases the risk of death.
Daniel Willington
All Responded
2016-wp25437 10 Nov 2016 Carmarthenshire  and Pembrokeshire
Maritime and Coastguard Agency
Concerns summary The lack of mandatory personal flotation device wearing on fishing vessel decks at sea unnecessarily increases the risk of death.
Michelle Lawrence
Historic (No Identified Response)
2016-0412 8 Nov 2016 London Inner (West)
Metropolitan Police MOJ Serco
Concerns summary Key concerns include lack of independent investigations for deaths after private custody, inadequate concealment questioning, and insufficient strip-search facilities.
Jane Reason
All Responded
2016-0376 25 Oct 2016 Birmingham and Solihull
Department of Health and Social Care Department for Education NHS England +1 more
Concerns summary There is a critical shortage of public access defibrillators in colleges and schools, and a need for increased public education on their placement and effective use during cardiac arrest.
Isaac Brocklehurst
All Responded
2016-0486 18 Oct 2016 West Yorkshire (West)
Incommunities
Concerns summary There is a concern about the safety of pedestrian gaps in a low perimeter wall within a communal grassed area, requiring review to protect playing children.
Karnel Haughton
Historic (No Identified Response)
2016-0339 23 Sep 2016 Birmingham and Solihull
National Society for the Prevention of … Department for Education
Concerns summary Uncensored online videos promote dangerous 'choking game' activities, yet there is no national guidance for schools or support for parents, risking further injuries and deaths.
Denis Cronin
All Responded
2016-0332 16 Sep 2016 Leicester City and South Leicestershire
British Sub Aqua Club Dulwich Dive Club
Concerns summary Significant failings in dive training, planning, and risk assessment led to an unqualified diver teaching an inexperienced individual. Important safety information was ignored, and equipment design posed a release risk.
David Phillips
Historic (No Identified Response)
2016-0334 16 Sep 2016 Swansea Neath and Port Talbot
Mitie NHS Wales South Wales Police
Concerns summary An inappropriate healthcare professional conducted the mental health assessment for a vulnerable older person, and the assessing professional lacked critical access to the detainee's medical records.