Safety concerns raised by coroners
Explore concerns raised in Prevention of Future Deaths (PFD) reports.
Recurring concerns bring together individual concerns from different reports that describe the same underlying safety problem.
1,669 recurring concerns
Concern
Trend
Reports
Recipients
Latest report
Failure to tailor safety arrangements to individual entertainment events and venues
2
3
6 Jun 2024
Failure to use direct contact to assess vulnerable people’s safety risks and understanding
2
2
16 May 2023
Fire risk assessment processes failing to respond to material changes
2
10
21 Jul 2017
Inadequate control of collision risks on steep, bending roads in slippery conditions
2
3
3 Jul 2024
Inadequate control of flood risk to residents in flood-prone areas
2
5
8 Sep 2025
Inadequate control of waterborne pathogen risks in healthcare water systems
2
3
14 Nov 2022
Inadequate controls for cold-water immersion risks in open water
2
2
4 Oct 2023
Inadequate controls for hallucinogen-related psychosis risks
2
2
21 Jun 2022
Inadequate controls for positional asphyxia during patient handling and care
2
5
17 Aug 2023
Inadequate controls for safe propofol use
2
9
29 Jan 2026
Inadequate controls on supplying medicinal products to unauthorised customers
2
3
11 Aug 2025
Inadequate controls preventing falls from platform edges
2
6
13 May 2015
Inadequate controls preventing motorcycles from endangering pedestrians in public areas
2
2
17 Dec 2019
Inadequate drowning-risk controls during patient bathing
2
2
8 Oct 2019
Inadequate employer processes for addressing workplace mental health concerns
2
2
26 Jun 2024
Inadequate engagement with prisoners at risk from drug use
2
6
11 Mar 2026
Inadequate fall protection at mezzanine and balcony openings
2
2
29 Oct 2021
Inadequate flotation protection for people entering deep open water
2
3
16 Dec 2019
Inadequate formal patient advocacy support for people with complex care needs
2
3
16 May 2022
Inadequate guidance for managing oesophageal strictures and transition to stenting
2
3
15 May 2023
Inadequate management of burns
2
5
13 Feb 2024
Inadequate medical fitness controls for safety-critical aviation personnel
2
4
29 Jun 2023
Inadequate pilot training and competence for abnormal aircraft handling
2
1
18 Jun 2018
Inadequate professional competence in ME/CFS care
2
6
7 Jul 2025
Inadequate protection of tenants from cuckooing
2
2
28 May 2025
Recurring concerns bring together reports that describe the same underlying safety problem. Open one to compare the individual concerns and original wording.
Data last updated 7 September 2026