Recipient

Recipient name withheld

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First report 20 Mar 2019•Latest report 20 Mar 2019

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. Blackpool and the Fylde

    AI-generated summary

    Christopher BEVAN · 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

    Christopher BEVAN fell from a ladder while working on a garage roof on 14 August 2018 and sustained head injuries. He died at Royal Preston Hospital on 15 August 2018. The principal concern was that ladders were used in potentially unsafe circumstances and in a manner that could present a risk to life, including on a possibly slippery surface, without being footed or secured at the top, and while adopting an awkward position.

    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

    Lack of checking of garage coping stones for security against falling

    Wider context from the report

    “(1) That the coping stones on top of the facing blockwork of the garage at your premises may not have been checked subsequent to the fatal accident on 14ᵗʰ August 2018 to ensure that they are secure for reasons of safety and not liable to fall. Whereas the Court received differing evidence as to the weight of each coping stone there is an apparent risk that, should any one of them fall, death may result. My officer has sought to contact you by telephone on my behalf to enquire as to whether such checks have been made but, unfortunately, has been unable to speak to you. ”
    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

    Unsafe positioning during ladder use

    Wider context from the report

    “(1) That ladders may be used in the course of your work (a) in circumstances in which their use may present a risk to life and/or (b) in a manner in which their use may present a risk to life. The Court received evidence to the effect that the ladders in use at the time of the fatal accident on 14ᵗʰ August 2018 were used on a surface which may have been slippery, that they were not footed during use, that they were not secured at the top save to the extent that they were supported by the blockwork and/or by recently laid coping stones of a facing wall above the door opening of the garage and that they may have been used by the Deceased, with whom you had been working, in a manner which involved him assuming an awkward position in order to carry out your work. The concern therefore arises that you may use or those with whom you may work may use ladders in circumstances or in a manner which present a risk to you, to them and/or to others. ”
    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

    Unsafe ladder setup in work circumstances

    Wider context from the report

    “(1) That ladders may be used in the course of your work (a) in circumstances in which their use may present a risk to life and/or (b) in a manner in which their use may present a risk to life. The Court received evidence to the effect that the ladders in use at the time of the fatal accident on 14ᵗʰ August 2018 were used on a surface which may have been slippery, that they were not footed during use, that they were not secured at the top save to the extent that they were supported by the blockwork and/or by recently laid coping stones of a facing wall above the door opening of the garage and that they may have been used by the Deceased, with whom you had been working, in a manner which involved him assuming an awkward position in order to carry out your work. The concern therefore arises that you may use or those with whom you may work may use ladders in circumstances or in a manner which present a risk to you, to them and/or to others. ”
    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