Investigation and inquest
On 9 March 2016 I commenced an Investigation into the death of Susan Elizabeth HAMLETT, aged 66 years. The Investigation concluded at the end of the Inquest on 04 August 2016. The Conclusion of the Inquest was ‘suicide; the medical cause of death was ‘Multiple Severe Traumatic Injuries’.
Circumstances of the death
On the 8th March 2016 the driver of a train travelling at 115 mph saw the deceased walk from behind the bridge pillar and lay down across the tracks looking at the train. The deceased was killed instantly.
Coroner’s concerns
(1) The British Transport investigation revealed that the deceased gained access to the railway line through an access gate at Lower Farm Road, Bromham, Bedfordshire. The gate is of wooden construction and provides little deterrence or hindrance to someone wanting to gain access to the railway. The gate has a wooden fence around it of a similar height.
(2) The investigation identified that the area around the wooded track access gate, at the western side of the bridge, should be removed and replaced with a more significant fence as a matter of urgency. It is understood that this has not been undertaken.