PFD report

Richard Hinchliffe · Prevention of Future Deaths report

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Issued 24 Jun 2016•Inner South London

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
3

Raised in this report

Recipients
1

Named on the report

Responses found
0

Of 1 recipient

Stated actions
0

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

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Report evidence summary

Concerns raised3

  1. Failure to identify prolonged presence on a station platform
    Part of recurring concern: Unreliable supervision of members of the public on station premises
  2. Failure to flag concerning presence on a station platform
    Part of recurring concern: Unreliable supervision of members of the public on station premises
  3. Lack of regular checks of barriers onto rail lines to ensure appropriate security
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

No linked response statements

No respondent-stated action or position is clearly linked to these concerns.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to identify prolonged presence on a station platform

Wider context from the report

“(2) Mr Hinchliffe was seemingly asleep on the platform for approximately one hour before gaining access onto the line. The evidence was that Blackfriars station is staffed 24 hours. It is not clear whether his presence would have been noted and flagged as a possible security/safety concern. ”

Is this part of a recurring concern?

Yes — Unreliable supervision of members of the public on station premises.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to flag concerning presence on a station platform

Wider context from the report

“(2) Mr Hinchliffe was seemingly asleep on the platform for approximately one hour before gaining access onto the line. The evidence was that Blackfriars station is staffed 24 hours. It is not clear whether his presence would have been noted and flagged as a possible security/safety concern. ”

Is this part of a recurring concern?

Yes — Unreliable supervision of members of the public on station premises.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Lack of regular checks of barriers onto rail lines to ensure appropriate security

Wider context from the report

“(1) The evidence at the inquest was that the barrier gate from platform 1 onto the rail lines was clearly marked with warning signs and “witches hat” matting. ████████ evidence was that normal practice is also to secure the barriers with a cable tie to deter unauthorised access but to allow reasonable emergency access when required. However, the evidence suggested that at the time of the PFS visit the gate was tied shut using a shoe lace. This visit was several days after the incident and is not necessarily indicative of the situation on 2 October. However, the evidence at the inquest also suggested that Mr Hinchliffe gained access through the barrier with some ease which might suggest that the barrier was not secured. It is not clear how often the barriers onto the lines are checked to ensure appropriate security is in place. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
0/1

Data last updated 7 September 2026

No official response is included in the current published snapshot.