Recurring concern

Inadequate outdoor safety lighting

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First reported 26 Feb 2014•Latest report 28 Nov 2025

Definition

What this concern includes

Includes reports identifying absent, poor, uneven or obstructed lighting in outdoor areas such as roads, crossings, railway environs, venue grounds and other public-access locations.

Not included

  • Excludes deficiencies limited to warning signs, barriers, fencing, vegetation or other controls unless inadequate lighting is itself identified.
  • Excludes indoor or domestic lighting arrangements that are not part of an outdoor public or operational safety setting.
  • Excludes general darkness or poor visibility where no lighting deficiency or lighting control is identified.
Reports
44

Distinct published reports

Individual concerns
47

A report can raise multiple concerns

Date range
2014–2025

First to latest report issue date

Stated actions
26

Described in published responses

Reports over time

Reports over time

Reports about this concern issued each year.

* 2026 is projected from reports observed to 7 Sep 2026.

Most frequent recipients

Most frequent recipients

Reports about this concern sent to each recipient.

National Highways6
Recipient name withheld5
Durham County Council4
Cumbria County Council3
Department for Transport3
Warwickshire County Council3
Bournemouth, Christchurch and Poole Council2
Bradford City Council2
Essex Highways2
Network Rail2
Transport for London2
Windsor and Maidenhead Borough Council2
Alexandra Park and Palace Charitable Trust1
Amey plc1
Balfour Beatty A50 DBFO route management1

Concerns and responses across reports

Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.

  1. Black Country

    AI-generated summary

    Gurkirat Singh · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Gurkirat Singh, a child, died after being struck by a single-decker bus on High Street, Tipton, on 6 December 2024. The report raises concerns about repeated incidents on the road, the absence of pedestrian crossings and central road markings, poor street lighting, and visibility being obscured by parked vehicles and building-line shadows.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Poor street lighting failing to provide adequate visibility for drivers

    Wider context from the report

    “2. My concern is that in the last five years there have been six incidents including this fatality on this stretch of road and within half a mile approaching the roundabout. Evidence at the inquest emerged indicating there are no pedestrian crossings on this stretch of the High Street and visibility to drivers is obscured due to vehicles parked on either side. 3. In addition, there are no central road markings with poor street lighting resulting in the building line creating shadows on the footpath, which all add to the lack of visibility for drivers. ”

    Source location

    Gurkirat Singh · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Design and deliver enhanced street lighting and an improved lighting layout on High Street.

    Verbatim wording from the response

    “Although existing street lighting levels have been assessed and are compliant with the standards in place at the time of installation, it has been identified that opportunities exist to enhance lighting to the next level of standard and to improve the overall layout. These improvements will now be designed and delivered as part of a wider package of safety measures for the area.”

    Source location

    Response from Sandwell Metropolitan Borough Council
    Page 1 · response
    Published 16 February 2026

    Open published response
  2. North London

    AI-generated summary

    Robert Grey English · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Robert Grey English, aged 32, was electrocuted after entering a railway track at night, and was subsequently run over by a train searching the track. The report identifies concerns about failures to follow the process for switching the rail power back on and about inadequate lighting and equipment for locating a person on the railway at night.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Absence of suitable lights for locating people on or near railway lines at night

    Wider context from the report

    “The provision to protect a trespasser at night are the same as those during the day. The ability to locate a person close to or on the railway lines at night is made more difficult by the absence of suitable lights on the track or the train. In this case Mr English was not seen and run over by the train that has been asked to look for a person on the line. ”

    Source location

    Robert Grey English · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to provide distinct night-time protection for railway trespassers

    Wider context from the report

    “The provision to protect a trespasser at night are the same as those during the day. The ability to locate a person close to or on the railway lines at night is made more difficult by the absence of suitable lights on the track or the train. In this case Mr English was not seen and run over by the train that has been asked to look for a person on the line. ”

    Source location

    Robert Grey English · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Test and risk-assess a high-output cab-mounted lighting rig for locating people on open-air track at night, identifying required improvements.

    Verbatim wording from the response

    “You highlighted the need for more suitable lighting for locating a trespasser at night. We are actively assessing options for new equipment to provide additional lighting.”

    Source location

    Response from Transport for London
    Page 2 · response
    Published 29 July 2025

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    TfL is wholly responsible for the operational safety of the London Underground network and is addressing the report’s findings.

    Verbatim wording from the response

    “Transport for London (TfL) are wholly responsible for the operational safety of the London Underground network, and I understand that they have now responded to you, setting out how they are addressing the findings of your report. I understand that the actions TfL are taking will be implemented rapidly, which reflects the seriousness with which they take their responsibilities.”

    Source location

    Response from Department for Transport
    Page 1 · response
    Published 29 July 2025

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Continuous lineside illumination is not reasonably practicable because mainline trains operate primarily to signals and access is normally restricted.

    Verbatim wording from the response

    “The mainline rules for train drivers responding to reports of trespassers require a driver to proceed ‘at caution’. This requires drivers to be able to stop within the distance that they can see to be clear. As the rule is the same irrespective of lighting conditions, this means in practice, drivers are likely to travel at a lower speed when proceeding at caution in darkness than in daylight. In darkness the above regulations mean that the headlamps are designed to illuminate the track when proceeding at caution. As trains principally drive to signals rather than on sight on national mainline infrastructure to which access is normally restricted (by fencing, for example), it is not reasonably practicable to provide continuous lineside illumination.”

    Source location

    Response from Railway Safety Board
    Page 1 · response
    Published 29 July 2025

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Existing mainline rules and train headlamps, with no recorded caution-speed trespasser strikes since 2015, are considered sufficient for the identified risk.

    Verbatim wording from the response

    “The operating context of the mainline railway can be different to London Underground. The current regulation for mainline train headlamps is the Locomotives and Passenger National Technical Specification Notice, enforced by the Railways (Interoperability) Regulations 2011 (as amended).”

    Source location

    Response from Railway Safety Board
    Page 1 · response
    Published 29 July 2025

    Open published response
  3. West Yorkshire (Western)

    AI-generated summary

    Arsalan Khalid BAIG · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Arsalan Khalid Baig was a front-seat passenger in a car that collided with a brick wall on Dryden Street, Bradford, after the driver was intoxicated following drug use and travelling at more than twice the speed limit. Mr Baig sustained severe head injuries and died in hospital on 31 July 2022. The substantive concern was that poor street lighting and the absence of appropriate traffic warning signs may have contributed to the death.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of adequate street lighting

    Wider context from the report

    “The deceased was a passenger in a motor vehicle driven by Mohammed Azad Baig upon the late evening of 30th July 2022. The car containing both Mr Khan and Mr Baig was travelling along Dryden Street Bradford towards a right hand turn into Buck Street , whilst also approaching a brick wall at the end of Dryden Street. The street was badly lit with no traffic warning signs provided to the driver or his passenger as to the approaching wall and a 90 degree turn of the road onto Buck Street. It is my concern that it is more likely than not that the absence of good street lighting and lack of appropriate traffic warning signs contributed in part to the death of the deceased. ”

    Source location

    Arsalan Khalid BAIG · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Install a new street-lighting column at the Dryden Street and Buck Street corner facing approaching traffic.

    Verbatim wording from the response

    “I can confirm that following the incident:”

    Source location

    Response from Bradford Council
    Page 1 · response
    Published 10 March 2025

    Open published response
  4. West Yorkshire (Western)

    AI-generated summary

    Mohammed Azad KHAN · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Mohammed Azad Khan died at the scene after his vehicle collided with a brick wall on Dryden Street, Bradford, in the early hours of 31 July 2022. The report identified concerns that the bend and wall were obscured by darkness, street lighting was insufficient, and there were no warning signs for the dead end or turn, which may have contributed to the collision.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Insufficient street lighting obscuring the left turn and wall

    Wider context from the report

    “The fatal accident took place at the end of Dryden Street Bradford where the street becomes Buck street following a 90 degree left turn. At the time of collision at 23.32 hours on 30th July 2022, the street was badly lit , with the left turn and wall at the end of Dryden Street being obscured by the darkness with the result that a collision of the car driven by the deceased and the wall facing him took place. No warning road signs were placed to warn drivers of the dead end of the street or the left turn in advance; the absence of which together with insufficient street lighting may in all probability have contributed to the fatal accident ensuing. ”

    Source location

    Mohammed Azad KHAN · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Install a new street-lighting column at the Dryden Street and Buck Street corner facing approaching traffic.

    Verbatim wording from the response

    “I can confirm that following the incident:”

    Source location

    Response from Bradford Council
    Page 1 · response
    Published 10 March 2025

    Open published response
  5. County Durham and Darlington

    AI-generated summary

    Scott Andrew PUNSHON · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Scott Andrew Punshon, a 36-year-old man, was found deceased on the A689 near Howden Le Wear on 12 August 2023 after being struck by a car while lying in the road. A site investigation identified issues with road markings, signage and lighting.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Deficient road lighting

    Wider context from the report

    “On the 13th September 2023, on behalf of Durham County Council, you carried out a site investigation (Fatal Accident Report M7/R11/23) which identified issues with road markings, signage and lighting. You made recommendations that these should be addressed by the DCC Technical Services personnel. ”

    Source location

    Scott Andrew PUNSHON · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Trim vegetation obstructing illumination around street-lighting columns 333 and 334.

    Verbatim wording from the response

    “As a result of the accident investigation three observations/recommendations were raised by the investigation officers which have also been highlighted in your report. I can confirm following receipt of the fatal accident report council officers took the following actions:”

    Source location

    Response from Durham County Council
    Page 1 · response
    Published 9 August 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Continue scheduled highway safety inspections to assess condition and identify issues meeting investigatory levels for remedial action.

    Verbatim wording from the response

    “I can confirm we continue to assess the condition of the highway as part of our scheduled safety inspections as identified in the councils Highway Safety Inspection Manual which is aligned to the National Code of Practice for Well Maintained Highway Infrastructure and any issues meeting the investigatory level will be identified for remedial action.”

    Source location

    Response from Durham County Council
    Page 2 · response
    Published 9 August 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Scheduled highway safety inspections will identify issues meeting investigatory levels for remedial action, providing the ongoing response to highway-condition concerns.

    Verbatim wording from the response

    “I can confirm we continue to assess the condition of the highway as part of our scheduled safety inspections as identified in the councils Highway Safety Inspection Manual which is aligned to the National Code of Practice for Well Maintained Highway Infrastructure and any issues meeting the investigatory level will be identified for remedial action.”

    Source location

    Response from Durham County Council
    Page 2 · response
    Published 9 August 2024

    Open published response
  6. North West Kent

    AI-generated summary

    Richard HEDGES · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Richard Hedges was admitted to critical care after an unwitnessed fall down a short external staircase, resulting in cardiac arrest, traumatic cervical spine fractures and extensive hypoxic brain injury. He was later moved to comfort care and died on 26 September 2023. Concerns related to the staircase included worn concrete steps without a non-slip surface or edge highlighting, a handrail that was too short, and poor lighting.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Poor lighting of the external staircase area

    Wider context from the report

    “(3) The current lighting of the area of the external staircase is poor. ”

    Source location

    Richard HEDGES · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Remove the steps and platform from the walkway to return it to ground level.

    Verbatim wording from the response

    “I am writing in response to the above Regulation 28 report, to provide details of works undertaken to address your concerns following the conclusion of the inquest into the sad death of Mr Hedges. An action plan was drawn-up immediately following the inquest to determine what works should be carried out to address your concerns and the timescale for these works to be undertaken. A copy of the Action Plan is attached for your information. The decision was taken to remove the steps and platform completely and bring the walkway back to ground level thereby removing the hazard posed by the steps and also improving access to the bins for wheelchair users.”

    Source location

    Response from Gravesham Borough Council
    Page 1 · response
    Published 29 December 2023

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Completed works are considered sufficient to address all concerns raised in the Regulation 28 report.

    Verbatim wording from the response

    “During the inquest my officer mentioned that there was another similar structure on the same estate which only had access from steps at one end. These steps have also been removed along with the platform bringing access back down to ground level. The final tarmac floor finish in this area is due to be completed over the next few days. Gravesham Borough Council believes the works undertaken address all the concerns raised in the Regulation 28 report. If you require any further information or clarification, please do not hesitate to contact me.”

    Source location

    Response from Gravesham Borough Council
    Page 2 · response
    Published 29 December 2023

    Open published response
  7. Warwickshire

    AI-generated summary

    Master Mason Williams · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Mason Williams was struck by a car while crossing Trinity Road, Piccadilly, in darkness on 30 November 2022 and died in hospital three days later. The substantive concern was that the street lighting was not illuminated because of a fault with underground cabling, which may have been damaged in an earlier road traffic collision.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Unavailability of street lighting due to underground cabling faults

    Wider context from the report

    “i. The street lighting along Trinity Road, Piccadilly, nr Kingsbury was not illuminated at the time of the Road Traffic Collision due to a fault. I am told the fault was with the underground cabling which was affecting lamp posts 16 to 21 along Trinity Road. ii. I am aware that the cabling may have been damaged from a previous Road Traffic Collision that occurred on 20 October 2022. ”

    Source location

    Master Mason Williams · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Repair the damaged cabling, replace the damaged lighting column, and restore full operation of the Trinity Road street lighting.

    Verbatim wording from the response

    “1. The damaged power cabling on Trinity Road was temporarily repaired by the Council’s contractors on 5 December 2022 to restore the street lighting. The lighting column damaged on 28 October 2022 (no. 18) was replaced and a permanent repair to the cable carried out on 17 January 2023. The street lighting on Trinity Road has been fully operational since that date.”

    Source location

    Response from Warwickshire County Council
    Page 2 · response
    Published 14 November 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Recruit two additional street lighting team employees to increase capacity for detecting street lighting faults.

    Verbatim wording from the response

    “2. The Council’s street lighting team has recruited two additional employees who started work on 6 November 2023. The central management system is now interrogated by an appropriately qualified officer on a daily basis. This means that street lighting faults that are not alerted automatically (ie due to power outage) or are not reported by the public will be detected very quickly.”

    Source location

    Response from Warwickshire County Council
    Page 3 · response
    Published 14 November 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Interrogate the central management system daily through an appropriately qualified officer to detect faults not automatically alerted or publicly reported.

    Verbatim wording from the response

    “2. The Council’s street lighting team has recruited two additional employees who started work on 6 November 2023. The central management system is now interrogated by an appropriately qualified officer on a daily basis. This means that street lighting faults that are not alerted automatically (ie due to power outage) or are not reported by the public will be detected very quickly.”

    Source location

    Response from Warwickshire County Council
    Page 3 · response
    Published 14 November 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Continue working with Telensa to pursue a solution for automatically detecting complete power loss to street lighting columns.

    Verbatim wording from the response

    “4. The Council met with Telensa, its contracted supplier of the central management system, in March 2023 and highlighted the lack of an automatic systems alert in the event of a complete power loss to a street lighting column. Telensa have advised that they will consider updates and improvements that could be made to the system. The Council will continue to work with Telensa to pursue a solution to this issue.”

    Source location

    Response from Warwickshire County Council
    Page 3 · response
    Published 14 November 2023

    Open published response
  8. Cornwall and Isles of Scilly

    AI-generated summary

    James Francis PARSONS · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    James Francis PARSONS died by drowning at Porthleven Harbour on 23 April 2022 after falling from the harbour wall into the water. The report identified safety concerns including sheer drops without railings, trip hazards, poor lighting, the absence of access ladders or refuge areas, and the pier being open to the public during the festival.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Inadequate lighting on the pier

    Wider context from the report

    “There were safety issues revealed at Porthleven Harbour, particularly in the evening when festival goers will have been drinking alcohol. Sections of the harbour wall feature sheer drops into water with no railings and trip hazards. The pier presents a particular risk due the absence of railings on one side with a sheer drop into water, and being poorly lit. For anyone falling from the pier, swimming to safety will be difficult due to current and the absence of access ladders or refuge area. The pier is sometimes closed to access by the public but was not closed at the time of the festival. ”

    Source location

    James Francis PARSONS · Prevention of Future Deaths report
    Page 3 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Statutory health and safety enforcement for dock premises falls outside the council’s powers under the Health and Safety at Work etc. Act 1974.

    Verbatim wording from the response

    “In relation to the safety concerns of the Harbour itself, Cornwall Council has no statutory powers under the Health and Safety At Work etc Act 1974 because Dock Premises fall to the Health & Safety Executive (HSE) for statutory enforcement purposes Appendix 1: Health and Safety (Enforcing Authority) Regulations 1998: A-Z guide to allocation (hse.gov.uk). We have passed your FDR to the local inspectors for the HSE, however you may wish to consider sending the HSE an FDR directly.”

    Source location

    Response from Cornwall Council
    Page 2 · response
    Published 28 February 2023

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The Health and Safety Executive is responsible for statutory enforcement concerning safety at the harbour’s dock premises.

    Verbatim wording from the response

    “In relation to the safety concerns of the Harbour itself, Cornwall Council has no statutory powers under the Health and Safety At Work etc Act 1974 because Dock Premises fall to the Health & Safety Executive (HSE) for statutory enforcement purposes Appendix 1: Health and Safety (Enforcing Authority) Regulations 1998: A-Z guide to allocation (hse.gov.uk). We have passed your FDR to the local inspectors for the HSE, however you may wish to consider sending the HSE an FDR directly.”

    Source location

    Response from Cornwall Council
    Page 2 · response
    Published 28 February 2023

    Open published response
  9. County Durham and Darlington

    AI-generated summary

    Leanne DUNN · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Leanne DUNN died after falling from the bridge at Newton Cap; the inquest concluded that her death was suicide. Concerns related to pedestrian access to the bridge parapet and railing, the absence of monitored CCTV and lighting or other detection measures, and the risk of death to people falling or present at the foot of the bridge.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Absence of monitored CCTV, lighting or other means of detecting persons at immediate risk

    Wider context from the report

    “All concerns relate to the bridge ████████, which carries a road and two footpaths up to around 30m (100ft) above the reiver Weir (1) the bridge’s parapet and railing is accessible to pedestrians on the bridge; ████████ ████████ (3) there is absence of monitored CCTV and lighting or other means of detecting those at immediate risk; and (4) there is a risk of death to persons falling AND to those near the foot of the bridge at any time when persons fall. ”

    Source location

    Leanne DUNN · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    No further response is considered necessary at this stage after reviewing the existing submission and Regulation 28 report.

    Verbatim wording from the response

    “As you note in the report, Durham County Council provided a written submission to the inquest, dated 30 November 2022, which addresses the points raised. Having reviewed the Regulation 28 report and the letter of 30 November, I do not feel that there is anything further to add at this stage, other than to reaffirm the commitment of Durham County Council to suicide prevention.”

    Source location

    Response Durham County Council
    Page 1 · response
    Published 9 December 2022

    Open published response
  10. Cumbria

    AI-generated summary

    Mr Peter John Moorby · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Peter John Moorby fell approximately 8–10 feet over a low wall into a beck in an unlit area and sustained severe head injuries. He died in hospital on 5 September 2021. The concern was that the low wall offered little protection from the drop and that the area was unlit at night, creating a risk of future deaths.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of lighting in the area at night

    Wider context from the report

    “I am concerned about the risk of future deaths posed by the low wall. The wall is less than knee height and offers no real protection from the significant drop of 8-10 feet into the River Eea which has a rock-strewn riverbed. The area is also unlit at night. ”

    Source location

    Mr Peter John Moorby · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report
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Data last updated 7 September 2026