Recipient

Recipient name withheld

First report 1 Oct 2015•Latest report 1 Oct 2015

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
Published responses: 0%
Concerns addressed: 0
Stated actions: 0

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 Oct2015
Stoke-on-Trent and North Staffordshire
Concerns raised11
1. Failure to maintain a safe launch distance from a stopper
2. Exceeding permitted raft capacity for prevailing white water conditions
3. Lack of pre-activity liaison between rafting provider and Army
1. Lack of obligation for TIWAG to notify downstream rafting companies of significant discharges
2. Lack of preparatory training on a less challenging river
3. Lack of obligation for rafting operators to ascertain significant TIWAG discharges
4. Failure to dynamically risk assess changing river conditions before launch
5. Lack of water confidence testing
6. Failure to rectify identified boat faults
7. Lack of generic risk assessment for soldier suitability for rafting
8. Unavailability of a safety kayak
Responses linked to these concerns
Each statement is shown once, even when linked to more than one concern.

No linked response statements
No action or position from this recipient is clearly linked to the concerns in this report.
AI-generated summary

John Lomas · 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

John Lomas, a serving soldier, died after a white water rafting boat capsized shortly after launch on the River Inn on 21 June 2012; he was unable to be resuscitated and was certified dead. Concerns included inadequate liaison and risk assessment, the raft exceeding its permitted capacity for the prevailing conditions, launching too close to a stopper, and the absence of preparatory training, a water confidence test, and a safety kayak.

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 to maintain a safe launch distance from a stopper
Wider context from the report
“4. The raft on which Private Lomas was a passenger was launched too close to a stopper resulting in it capsizing within seconds of launch. ”
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
Exceeding permitted raft capacity for prevailing white water conditions
Wider context from the report
“3. The number of person in the raft exceeded that permitted for the white water grade 4+ conditions that prevailed at the time. ”
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
Lack of pre-activity liaison between rafting provider and Army
Wider context from the report
“1. There had been no liaison between Sport Camp Tirol and the Army prior to the white water rafting Trip that took place on the 21st June 2012. No generic risk assessment had been provided to or requested by Sports Camp Tirol as a result there was a lack of understanding as to the suitability of soldiers to undertake the trip. ”
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
Lack of obligation for TIWAG to notify downstream rafting companies of significant discharges
Wider context from the report
“9. There was no obligation to liaise with TIWAG Water Company to ascertain when a significant stowage discharge would take place and TIWAG had no obligation to notify rafting companies downstream who might be affected by the discharge. (The last discharge had been two and half years prior to this incident.) ”
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
Lack of preparatory training on a less challenging river
Wider context from the report
“5. There was no preparatory training on a less challenging river. ”
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
Lack of obligation for rafting operators to ascertain significant TIWAG discharges
Wider context from the report
“9. There was no obligation to liaise with TIWAG Water Company to ascertain when a significant stowage discharge would take place and TIWAG had no obligation to notify rafting companies downstream who might be affected by the discharge. (The last discharge had been two and half years prior to this incident.) ”
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 dynamically risk assess changing river conditions before launch
Wider context from the report
“2. The lead guide and the raft guide did not correctly dynamically risk assess the river Inn on the 21st June 2012 at the point of departure of the trip. They did not recognise that the level of water had risen by one third in the hour preceding the launch resulting in white water of grade 4+. ”
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
Lack of water confidence testing
Wider context from the report
“6. There was no water confidence test. ”
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 rectify identified boat faults
Wider context from the report
“8. Although not considered contributory in this particular matter it was noted that the boat had faults which were identified at its last inspection which had not been rectified. ”
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
Lack of generic risk assessment for soldier suitability for rafting
Wider context from the report
“1. There had been no liaison between Sport Camp Tirol and the Army prior to the white water rafting Trip that took place on the 21st June 2012. No generic risk assessment had been provided to or requested by Sports Camp Tirol as a result there was a lack of understanding as to the suitability of soldiers to undertake the trip. ”
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
Unavailability of a safety kayak
Wider context from the report
“7. There was no safety kayak. ”
Open source report

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

Reports, concerns and published responses

Reports over time

Concerns raised11

Failure to maintain a safe launch distance from a stopper

Exceeding permitted raft capacity for prevailing white water conditions

Lack of pre-activity liaison between rafting provider and Army

Lack of obligation for TIWAG to notify downstream rafting companies of significant discharges

Lack of preparatory training on a less challenging river

Lack of obligation for rafting operators to ascertain significant TIWAG discharges

Failure to dynamically risk assess changing river conditions before launch

Lack of water confidence testing

Failure to rectify identified boat faults

Lack of generic risk assessment for soldier suitability for rafting

Unavailability of a safety kayak