Recipient

Recipient name withheld

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First report 3 Apr 2025•Latest report 3 Apr 2025

Recipient record

Reports, concerns and published responses

This page brings together reports naming this recipient and response statements clearly connected to concerns raised in those reports.

Reports
1

Naming this recipient

Published responses
0%

Found for named reports

Concerns addressed
0

Across all linked responses

Stated actions
0

Described in responses

Reports over time

Reports over time

Reports naming this recipient by issue year.

Evidence profile

Report topics

Share of this recipient’s reports compared with all other recipients.

0%published responses found
0stated actions described

Topic comparisons are not available in the current evidence snapshot.

Concerns and recipient responses

Statements from Recipient name withheld linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. City of London

    AI-generated summary

    Alexander Adnan Cardoza · 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

    Alexander Adnan Cardoza, a 16-year-old child, died on 27 March 2025 after falling from a location in the City of London. The principal concerns were that barriers remained surmountable, could potentially be assisted by horizontal wiring and a movable object, and that operational security was insufficient to prevent the fall; there was also no CCTV security camera monitoring of the location. The report identifies an ongoing risk of further deaths, noting that two deaths had occurred in similar circumstances.

    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 Recipient name withheld; that does not assign responsibility.

    PFD Monitor interpretation

    Failure of barriers to prevent surmounting

    Wider context from the report

    “1. On the 10th December 2024, I concluded the inquest into the death of ████████ and found that he died on ████████ after jumping from ████████. 2. Despite the subsequent structural and operational changes I was told about at the inquest, Alexander Cardoza was able to and did climb over ████████ and fall to his death on the 27th March 2025. 3. It seems that no or no sufficient action has been taken to prevent persons being able to fall from ████████ and that there is an ongoing risk of further deaths. The ongoing risk is exacerbated by the fact that there have now been two deaths in similar circumstances, thereby increasing the risk of others copying. 4. I am particularly concerned that, despite previous knowledge of the risks, (i) the barriers in place ████████ remain surmountable, (ii) the barriers include horizontal metal wiring which, it appears, may assist the surmounting of the barrier, (iii) the ████████ can be moved and can be used to assist a person to surmount the barriers, (iv) the nature and level of operational security in place on the 27th March 2025 was insufficient to prevent Alexander Cardoza from surmounting the barrier and falling, and (v) there is no CCTV security camera monitoring of ████████ in place. ”
    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 Recipient name withheld; that does not assign responsibility.

    PFD Monitor interpretation

    Barrier design incorporating horizontal metal wiring that may assist surmounting

    Wider context from the report

    “1. On the 10th December 2024, I concluded the inquest into the death of ████████ and found that he died on ████████ after jumping from ████████. 2. Despite the subsequent structural and operational changes I was told about at the inquest, Alexander Cardoza was able to and did climb over ████████ and fall to his death on the 27th March 2025. 3. It seems that no or no sufficient action has been taken to prevent persons being able to fall from ████████ and that there is an ongoing risk of further deaths. The ongoing risk is exacerbated by the fact that there have now been two deaths in similar circumstances, thereby increasing the risk of others copying. 4. I am particularly concerned that, despite previous knowledge of the risks, (i) the barriers in place ████████ remain surmountable, (ii) the barriers include horizontal metal wiring which, it appears, may assist the surmounting of the barrier, (iii) the ████████ can be moved and can be used to assist a person to surmount the barriers, (iv) the nature and level of operational security in place on the 27th March 2025 was insufficient to prevent Alexander Cardoza from surmounting the barrier and falling, and (v) there is no CCTV security camera monitoring of ████████ in place. ”
    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 Recipient name withheld; that does not assign responsibility.

    PFD Monitor interpretation

    Absence of CCTV security camera monitoring

    Wider context from the report

    “1. On the 10th December 2024, I concluded the inquest into the death of ████████ and found that he died on ████████ after jumping from ████████. 2. Despite the subsequent structural and operational changes I was told about at the inquest, Alexander Cardoza was able to and did climb over ████████ and fall to his death on the 27th March 2025. 3. It seems that no or no sufficient action has been taken to prevent persons being able to fall from ████████ and that there is an ongoing risk of further deaths. The ongoing risk is exacerbated by the fact that there have now been two deaths in similar circumstances, thereby increasing the risk of others copying. 4. I am particularly concerned that, despite previous knowledge of the risks, (i) the barriers in place ████████ remain surmountable, (ii) the barriers include horizontal metal wiring which, it appears, may assist the surmounting of the barrier, (iii) the ████████ can be moved and can be used to assist a person to surmount the barriers, (iv) the nature and level of operational security in place on the 27th March 2025 was insufficient to prevent Alexander Cardoza from surmounting the barrier and falling, and (v) there is no CCTV security camera monitoring of ████████ in place. ”
    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 Recipient name withheld; that does not assign responsibility.

    PFD Monitor interpretation

    Insufficient operational security to prevent barrier surmounting and falls

    Wider context from the report

    “1. On the 10th December 2024, I concluded the inquest into the death of ████████ and found that he died on ████████ after jumping from ████████. 2. Despite the subsequent structural and operational changes I was told about at the inquest, Alexander Cardoza was able to and did climb over ████████ and fall to his death on the 27th March 2025. 3. It seems that no or no sufficient action has been taken to prevent persons being able to fall from ████████ and that there is an ongoing risk of further deaths. The ongoing risk is exacerbated by the fact that there have now been two deaths in similar circumstances, thereby increasing the risk of others copying. 4. I am particularly concerned that, despite previous knowledge of the risks, (i) the barriers in place ████████ remain surmountable, (ii) the barriers include horizontal metal wiring which, it appears, may assist the surmounting of the barrier, (iii) the ████████ can be moved and can be used to assist a person to surmount the barriers, (iv) the nature and level of operational security in place on the 27th March 2025 was insufficient to prevent Alexander Cardoza from surmounting the barrier and falling, and (v) there is no CCTV security camera monitoring of ████████ in place. ”
    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 Recipient name withheld; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to prevent movable objects being used to assist barrier surmounting

    Wider context from the report

    “1. On the 10th December 2024, I concluded the inquest into the death of ████████ and found that he died on ████████ after jumping from ████████. 2. Despite the subsequent structural and operational changes I was told about at the inquest, Alexander Cardoza was able to and did climb over ████████ and fall to his death on the 27th March 2025. 3. It seems that no or no sufficient action has been taken to prevent persons being able to fall from ████████ and that there is an ongoing risk of further deaths. The ongoing risk is exacerbated by the fact that there have now been two deaths in similar circumstances, thereby increasing the risk of others copying. 4. I am particularly concerned that, despite previous knowledge of the risks, (i) the barriers in place ████████ remain surmountable, (ii) the barriers include horizontal metal wiring which, it appears, may assist the surmounting of the barrier, (iii) the ████████ can be moved and can be used to assist a person to surmount the barriers, (iv) the nature and level of operational security in place on the 27th March 2025 was insufficient to prevent Alexander Cardoza from surmounting the barrier and falling, and (v) there is no CCTV security camera monitoring of ████████ in place. ”
    Open source report
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Published response patterns

Compared with other recipients in reports included in PFD Monitor

Describes published response evidence, not performance.

Published responses found

0%
0%All other recipients 58%
0%100%

How actions were described at the time

This respondent
All other recipients
47%25%27%<1%<1%
  • Completed
  • In progress
  • Planned
  • Unclear
  • Partially completed

Statuses reflect what recipients said at the time. PFD Monitor does not verify whether actions happened.

Types of action described in responses

Percentages use all actions described by each group. An action may have more than one type, so percentages do not total 100%.

Information checked against published PFD reports and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Data last updated 7 September 2026