PFD report

Matthew Luke Fulleylove · Prevention of Future Deaths report

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Issued 30 Apr 2018•West Yorkshire Eastern

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
4

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

Select any concern, action or position to view the source wording.

Concerns raised4

  1. Insufficient working space beside track 12 near metal support legs and operating heavy railed machines
    Part of recurring concern: Unsafe work in proximity to moving heavy vehicles and machinery
  2. Relaxation of the stringent system of work for machinery passing
    Part of recurring concern: Inadequate safety controls for high-risk machinery work
  3. Failure to prevent heavy industrial machines passing each other in a small gap on tracks 11 and 12
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

Insufficient working space beside track 12 near metal support legs and operating heavy railed machines

Wider context from the report

“(1) A Witness at the Inquest expressed concern about the safety of operatives who have only a restricted space in which to work in the vicinity of metal support legs at the side of track 12 in the factory. As heavy railed machines with rotating industrial saws are operating in close proximity concerns were raised as to the risk of fatal injuries being sustained due to the limited space available. ”

Is this part of a recurring concern?

Yes — Unsafe work in proximity to moving heavy vehicles and machinery.

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

Relaxation of the stringent system of work for machinery passing

Wider context from the report

“(2) A Witness told the Inquest that heavy industrial machines of the type involved in this fatality do still pass each other on tracks 11 and 12 despite criticisms voiced by an Expert Engineer in relation to the small gap between them coupled with the fact that some of the remedial safety measures advocated by the Expert Engineer have not been implemented. In fairness, it recognised that a Director of Treanor Pujol Limited did attempt to explain that the incidence of ‘machinery passes’ is now much reduced and some protective measures have been implemented, together with greater levels of suspension and training. Nonetheless, concern remains that any relaxation in the stringent system of work advocated by the Expert Engineer may give rise to a repetition of the circumstances which brought about the fatality on 05/06/2014. ”

Is this part of a recurring concern?

Yes — Inadequate safety controls for high-risk machinery work.

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 prevent heavy industrial machines passing each other in a small gap on tracks 11 and 12

Wider context from the report

“(2) A Witness told the Inquest that heavy industrial machines of the type involved in this fatality do still pass each other on tracks 11 and 12 despite criticisms voiced by an Expert Engineer in relation to the small gap between them coupled with the fact that some of the remedial safety measures advocated by the Expert Engineer have not been implemented. In fairness, it recognised that a Director of Treanor Pujol Limited did attempt to explain that the incidence of ‘machinery passes’ is now much reduced and some protective measures have been implemented, together with greater levels of suspension and training. Nonetheless, concern remains that any relaxation in the stringent system of work advocated by the Expert Engineer may give rise to a repetition of the circumstances which brought about the fatality on 05/06/2014. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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 implement advocated remedial safety measures for machinery passing

Wider context from the report

“(2) A Witness told the Inquest that heavy industrial machines of the type involved in this fatality do still pass each other on tracks 11 and 12 despite criticisms voiced by an Expert Engineer in relation to the small gap between them coupled with the fact that some of the remedial safety measures advocated by the Expert Engineer have not been implemented. In fairness, it recognised that a Director of Treanor Pujol Limited did attempt to explain that the incidence of ‘machinery passes’ is now much reduced and some protective measures have been implemented, together with greater levels of suspension and training. Nonetheless, concern remains that any relaxation in the stringent system of work advocated by the Expert Engineer may give rise to a repetition of the circumstances which brought about the fatality on 05/06/2014. ”

Is this part of a recurring concern?

Yes — Inadequate safety controls for high-risk machinery work.

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

Data last updated 7 September 2026