The Jackloc Company LimitedIncludes reports addressed to a minister or senior office-holder acting for this organisation.

Private and voluntary organisations · Private limited company

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First report 10 Dec 2021•Latest report 10 Dec 2021

Reports, concerns and published responses

Reports over time

Reports naming this recipient by issue year.

* 2026 is projected from reports observed to 7 Sep 2026.

Reports
1

Naming this recipient

Published responses
100%

Found for named reports

Concerns addressed
2

Across all linked responses

Stated actions
2

Described in responses

Concerns and recipient responses

Statements from The Jackloc Company Limited linked to the concerns in each report. Select any concern, action or position to view the source wording.

  1. Addressed to: ████████ Managing Director The Jackloc Company Limited.

    Newcastle upon Tyne

    AI-generated summary

    Edward Cockburn · 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

    Edward Cockburn died after falling from an upper-storey window in a sluice room at Sunderland Royal Hospital on 15 March 2020, suffering injuries from which he later died. The report identified failures in enhanced-care assessments and observations, an unsecured sluice-room door, a failed window restrictor fixing, and significantly substandard staffing. It also raised concerns about staff training and the communication of updated window-restrictor fitting guidance.

    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 The Jackloc Company Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Lack of a procedure to record and audit SafeCare training delivery and efficacy

    Wider context from the report

    “Staff appeared to be unaware of the Trusts Standard Operating Procedure in relation to Enhanced Care/Observation. Training at that time had not been given to relevant members of staff in connection with the SafeCare system. Whilst training and information had been cascaded there was no procedure in place in relation to any training that could record and thereafter audit the efficacy of that system with particular regard to when the training was delivered and by whom and to whom it was delivered. ”
    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 The Jackloc Company Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to provide SafeCare system training to relevant staff

    Wider context from the report

    “Staff appeared to be unaware of the Trusts Standard Operating Procedure in relation to Enhanced Care/Observation. Training at that time had not been given to relevant members of staff in connection with the SafeCare system. Whilst training and information had been cascaded there was no procedure in place in relation to any training that could record and thereafter audit the efficacy of that system with particular regard to when the training was delivered and by whom and to whom it was delivered. ”
    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 The Jackloc Company Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to ensure staff awareness of the Standard Operating Procedure for Enhanced Care/Observation

    Wider context from the report

    “Staff appeared to be unaware of the Trusts Standard Operating Procedure in relation to Enhanced Care/Observation. Training at that time had not been given to relevant members of staff in connection with the SafeCare system. Whilst training and information had been cascaded there was no procedure in place in relation to any training that could record and thereafter audit the efficacy of that system with particular regard to when the training was delivered and by whom and to whom it was delivered. ”
    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 The Jackloc Company Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Unsafe positioning of window restrictor fixings on pivot-window sills

    Wider context from the report

    “The fixing was attached to the sill of the window in accordance with fitting instructions issued by Jacklok and dated July 2017. Subsequent to the installation a data sheet was issued indicating that the fixing should be attached to the window frame only. This change in data/guidance was not highlighted to South Tyneside and Sunderland NHs Trust and presumably other hospital trusts. The position of the fixing on the sill enabled the restrictor to be more readily defeated bearing in mind this was a pivot window Jacklok have been requested to take action as follows (a) To ensure that the guidance is changed clarify the necessity to attach the fixing to the frame and proximity to the points of pivot (b) To ensure that this is effectively communicated to and highlighted with all NHS Trusts and other relevant users using the Jackloc window restrictor system The relevant Department guidance is Health Building Note 00-10Part D Windows and Associated Hardware ”
    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 The Jackloc Company Limited; that does not assign responsibility.

    PFD Monitor interpretation

    Failure to communicate changes in window restrictor fixing guidance to hospital trusts

    Wider context from the report

    “The fixing was attached to the sill of the window in accordance with fitting instructions issued by Jacklok and dated July 2017. Subsequent to the installation a data sheet was issued indicating that the fixing should be attached to the window frame only. This change in data/guidance was not highlighted to South Tyneside and Sunderland NHs Trust and presumably other hospital trusts. The position of the fixing on the sill enabled the restrictor to be more readily defeated bearing in mind this was a pivot window Jacklok have been requested to take action as follows (a) To ensure that the guidance is changed clarify the necessity to attach the fixing to the frame and proximity to the points of pivot (b) To ensure that this is effectively communicated to and highlighted with all NHS Trusts and other relevant users using the Jackloc window restrictor system The relevant Department guidance is Health Building Note 00-10Part D Windows and Associated Hardware ”
    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Review the fitting instructions and confirm they remain suitable and fit for purpose.

    Verbatim wording from the response

    “Please be assured that in view of your Report the Company and I have very carefully reviewed the fitting instructions and we are satisfied that they are suitable and fit for purpose. We consider that it would be wrong to change them to remove the reference to the window sill because the part A locking body can be fixed to the sill and to do so will be no less safe than securing it to the window frame, always provided that the following direction from the fitting instructions is heeded –”

    Source location

    2021-0415-Response-from-Jackloc-Company-Ltd_Published
    Page 3 · response
    Published 16 December 2021

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Amend the data sheet so it expressly permits fitting Part A to either the window frame or sill, and issue the amended version going forward.

    Verbatim wording from the response

    “What the Company has resolved to do is to amend the data sheet to make it align it and ensure it is consistent with the fitting instructions and from this point onwards all the data sheets we supply will expressly allow for fitting Part A to either the frame or the sill (copy attached). This will avoid any confusion for those who have and may refer to both the fitting instructions and the data sheets.”

    Source location

    2021-0415-Response-from-Jackloc-Company-Ltd_Published
    Page 3 · response
    Published 16 December 2021

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Existing fitting instructions are considered suitable, so they will not be altered and Trusts and users will not be separately contacted.

    Verbatim wording from the response

    “I wish to make it very clear that the Company and I understand fully the reasons that led you to conclude that a Regulation 28 Report should be required, and we intend you no disrespect in saying that, given everything set out above, we do not propose to alter the fitting instructions and, because the instructions are and remain suitable and fit for purpose it is not considered necessary nor appropriate for us to communicate with Trusts and other users in accordance with paragraph 6 of your Report.”

    Source location

    2021-0415-Response-from-Jackloc-Company-Ltd_Published
    Page 3 · response
    Published 16 December 2021

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Fitting Part A to the sill is no less safe than fitting it to the window frame when correctly installed and secure.

    Verbatim wording from the response

    “This does not mean that the restrictor is any less effective if, in accordance with the fitting instructions Part A is fixed to the window sill – always provided that whatever it is fixed to, it is correctly fitted and secure.”

    Source location

    2021-0415-Response-from-Jackloc-Company-Ltd_Published
    Page 3 · response
    Published 16 December 2021

    Open published response
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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