5 Apr 2016 Mark Richard Seward · Prevention of Future Deaths report Warwickshire
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Concerns raised 6 Failure of managers and staff to access computer-based health and safety material View source Lack of clarity about activities constituting pressure testing View source Unavailability of clear operating instructions for the Enerpac pump View source Lack of a specific risk assessment or method statement for the work View source Inadequate compliance with PUWER and HSE pressure-testing guidance across the industry View source Lack of clear strategic and operational responsibility for health and safety issues View source See 3 more concerns
No linked response statements No action or position from this recipient is clearly linked to the concerns in this report.
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Mark Richard Seward · 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
Mark Richard Seward died after a pressurised cylinder fractured during workplace testing, ejecting debris that caused a serious head injury. Concerns included unclear definitions of pressure testing and questioned compliance with PUWER and HSE guidance, with evidence that poor practices were replicated elsewhere in the industry.
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. The report was sent to Construction Plant-hire Association; that does not assign responsibility.
PFD Monitor interpretation Failure of managers and staff to access computer-based health and safety material
Wider context from the report “(4) AGD managers and staff had not accessed computer-based material relating to health and safety issues.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Construction Plant-hire Association; that does not assign responsibility.
PFD Monitor interpretation Lack of clarity about activities constituting pressure testing
Wider context from the report “(1) There was a lack of clarity as to what type of activity amounted to pressure testing.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Construction Plant-hire Association; that does not assign responsibility.
PFD Monitor interpretation Unavailability of clear operating instructions for the Enerpac pump
Wider context from the report “(3) No instruction manual had been provided to AGD to give clear instruction on how the Enerpac pump should be used .
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Construction Plant-hire Association; that does not assign responsibility.
PFD Monitor interpretation Lack of a specific risk assessment or method statement for the work
Wider context from the report “(2) There was no specific risk assessment or method statement for the type of work being carried out by Mr Seward.
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Construction Plant-hire Association; that does not assign responsibility.
PFD Monitor interpretation Inadequate compliance with PUWER and HSE pressure-testing guidance across the industry
Wider context from the report “(2) The degree of compliance with the Provision and Use of Work Equipment Regulations 1998 (PUWER) and guidance issued by the HSE such as GS4 was called into question , not only at AGD but more widely within the industry. Witnesses gave evidence that the poor practices followed at AGD were replicated elsewhere .
” Open source report × Source evidence
How this individual concern was interpreted PFD Monitor created a concise, searchable interpretation from the report wording shown below. The report was sent to Construction Plant-hire Association; that does not assign responsibility.
PFD Monitor interpretation Lack of clear strategic and operational responsibility for health and safety issues
Wider context from the report “(1) It was unclear who had responsibility for Health and Safety issues at AGD at a strategic (ie. Board) level and operationally.
” Open source report
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Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations