PFD report

John Neil SHENTON · Prevention of Future Deaths report

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Issued 2 Aug 2023•Shropshire, Telford and Wrekin

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.

View original report
Concerns
3

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
13

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 raised3

  1. Insufficient protection for vulnerable escalator users when the lift is unavailable
  2. Failure to complete required actions
  3. Failure to maintain awareness of required reports, recommendations and actions
Responses linked to these concerns

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

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.6

  1. Action

    Investigate the feasibility and likely safety benefit of retrofitting an audible escalator warning system.

    Stated by The Range Home Leisure GardenStated in progressThe respondent said that this action was in progress when they made their response on 4 August 2023.
  2. Action

    Install customer signage directing people to seek assistance if the lift or escalator breaks down.

    Stated by The Range Home Leisure GardenStated plannedThe respondent said that this action was planned when they made their response on 4 August 2023.
  3. Action

    Review and update the escalator and passenger-lift risk assessment.

    Stated by The Range Home Leisure GardenStated completedThe respondent said that this action was complete when they made their response on 4 August 2023.

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 protection for vulnerable escalator users when the lift is unavailable

Wider context from the report

“(1) At the inquest you not aware of the report and the recommendations/action required as set out in paragraphs 5.1 to 5.8. (2) Those actions remain outstanding and should be addressed. (3) Essentially whilst the descending escalator was fit safe for a non-vulnerable person more should be done to protect a vulnerable person, particularly if they have to use the escalator when the lift is not in operation. ”

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 complete required actions

Wider context from the report

“(1) At the inquest you not aware of the report and the recommendations/action required as set out in paragraphs 5.1 to 5.8. (2) Those actions remain outstanding and should be addressed. (3) Essentially whilst the descending escalator was fit safe for a non-vulnerable person more should be done to protect a vulnerable person, particularly if they have to use the escalator when the lift is not in operation. ”

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 maintain awareness of required reports, recommendations and actions

Wider context from the report

“(1) At the inquest you not aware of the report and the recommendations/action required as set out in paragraphs 5.1 to 5.8. (2) Those actions remain outstanding and should be addressed. (3) Essentially whilst the descending escalator was fit safe for a non-vulnerable person more should be done to protect a vulnerable person, particularly if they have to use the escalator when the lift is not in operation. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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

Investigate the feasibility and likely safety benefit of retrofitting an audible escalator warning system.

Verbatim wording from the response

“1.6 Recommendation that audible warning be considered to prompt users to embark disembark the escalator.”

Source location

Response from The Range
Page 2 · response
Published 4 August 2023

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

Install customer signage directing people to seek assistance if the lift or escalator breaks down.

Verbatim wording from the response

“Appropriate customer information signage will be located at the lift and the escalator in the event of a breakdown, advising customers to seek assistance if they require assistance to move between the floors. Where possible the access route may include the opening of a fire escape staircase provided that there is no risk to the customer’s safety.”

Source location

Response from The Range
Page 1 · response
Published 4 August 2023

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

Review and update the escalator and passenger-lift risk assessment.

Verbatim wording from the response

“1.1 Assess site specific risk posed to vulnerable people and others using the escalator to travel to and from the first floor if the passenger lift is not available. This assessment should extend to customers wanting to move large or heavy items between floors.”

Source location

Response from The Range
Page 1 · response
Published 4 August 2023

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

Trial high-visibility paint on escalator tread nosings and evaluate its effectiveness, longevity, and associated escalator risk.

Verbatim wording from the response

“1.8 Recommendation for the addition of high visibility paint to the nosings of the escalator moving treads which could make the edge more visible; this demarcation could encourage users to stand correctly on the step.”

Source location

Response from The Range
Page 2 · response
Published 4 August 2023

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

Position staff at escalators in new or newly fitted stores to guide and assist unfamiliar customers.

Verbatim wording from the response

“When opening new stores or if an existing store is fitted with an escalator, members of staff will be located at the escalators for an initial period to offer guidance and assistance to customers unaccustomed to escalators.”

Source location

Response from The Range
Page 1 · response
Published 4 August 2023

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

Notify CDS of the requirement to record post-installation escalator illumination readings.

Verbatim wording from the response

“1.3 The illumination readings that are taken by The Range/CDS after an escalator is installed but prior to its use are recorded to demonstrate compliance to BS EN115-1:2017”

Source location

Response from The Range
Page 2 · response
Published 4 August 2023

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.7

  1. 1

    Incorporate blocked CCTV coverage at the escalator top into the risk assessment.

    Stated by The Range Home Leisure GardenStated completedThe respondent said that this action was complete when they made their response on 4 August 2023.
  2. 2

    Update the risk assessment to address staff response to escalator problems.

    Stated by The Range Home Leisure GardenStated completedThe respondent said that this action was complete when they made their response on 4 August 2023.
  3. 3

    Remove the obstruction blocking CCTV coverage of the escalator top.

    Stated by The Range Home Leisure GardenStated completedThe respondent said that this action was complete when they made their response on 4 August 2023.
  4. 4

    Create and issue a toolbox talk on responding to escalator problems and using the emergency button.

    Stated by The Range Home Leisure GardenStated completedThe respondent said that this action was complete when they made their response on 4 August 2023.
  5. 5

    Advise the store to check CCTV timestamps regularly and correct them when necessary.

    Stated by The Range Home Leisure GardenStated completedThe respondent said that this action was complete when they made their response on 4 August 2023.
  6. 6

    Amend the risk assessment to address recording of post-installation escalator illumination readings.

    Stated by The Range Home Leisure GardenStated completedThe respondent said that this action was complete when they made their response on 4 August 2023.
  7. 7

    Record daily informal escalator checks within the existing weekly checklist.

    Stated by The Range Home Leisure GardenStated completedThe respondent said that this action was complete when they made their response on 4 August 2023.

Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.1

  1. 1

    There is no evidence that an audible warning would have improved escalator safety or that its absence creates an ongoing concern.

    Stated by The Range Home Leisure GardenDisputes the concernThe respondent disagreed with part of the concern or the basis for it.

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

Incorporate blocked CCTV coverage at the escalator top into the risk assessment.

Verbatim wording from the response

“1.7 Recommendation that obstructions be removed if they block CCTV coverage of the top of the escalator.”

Source location

Response from The Range
Page 2 · response
Published 4 August 2023

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

Update the risk assessment to address staff response to escalator problems.

Verbatim wording from the response

“1.4 Staff are trained in how to react if there is a problem with the escalator, including the appropriate use of the emergency button (following the accident on 27/04/2023).”

Source location

Response from The Range
Page 2 · response
Published 4 August 2023

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

Remove the obstruction blocking CCTV coverage of the escalator top.

Verbatim wording from the response

“1.7 Recommendation that obstructions be removed if they block CCTV coverage of the top of the escalator.”

Source location

Response from The Range
Page 2 · response
Published 4 August 2023

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

Create and issue a toolbox talk on responding to escalator problems and using the emergency button.

Verbatim wording from the response

“1.4 Staff are trained in how to react if there is a problem with the escalator, including the appropriate use of the emergency button (following the accident on 27/04/2023).”

Source location

Response from The Range
Page 2 · response
Published 4 August 2023

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

Advise the store to check CCTV timestamps regularly and correct them when necessary.

Verbatim wording from the response

“1.5 Recommendation that checks put in place to ensure that the time recorded on CCTV footage is accurate.”

Source location

Response from The Range
Page 2 · response
Published 4 August 2023

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 risk assessment to address recording of post-installation escalator illumination readings.

Verbatim wording from the response

“1.3 The illumination readings that are taken by The Range/CDS after an escalator is installed but prior to its use are recorded to demonstrate compliance to BS EN115-1:2017”

Source location

Response from The Range
Page 2 · response
Published 4 August 2023

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

Record daily informal escalator checks within the existing weekly checklist.

Verbatim wording from the response

“1.2 The daily escalator checks and observations should be recorded.”

Source location

Response from The Range
Page 1 · response
Published 4 August 2023

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

There is no evidence that an audible warning would have improved escalator safety or that its absence creates an ongoing concern.

Verbatim wording from the response

“The reasoning for this recommendation is not known. There does not appear to be any evidence that Mr Shenton was unaware that he was about to step onto the escalator and we would respectfully submit that an audible warning would not have improved the safety of the escalator on the day of the incident. We would also therefore respectfully submit that a lack of audible warning should not give rise to an ongoing concern for the Coroner. It is quite common for escalators to operate without an audible warning system in place.”

Source location

Response from The Range
Page 2 · response
Published 4 August 2023

Open published response
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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