Kamrul Hassan RUBEL · Prevention of Future Deaths report

On 21/08/2015 I commenced an investigation into the death of Kamrul Hassan RUBEL (DOB 30/12/91) aged 23. The investigation concluded at the end of the inquest 14th December 2015. The conclusion of the inquest was that the deceased as a result of an accident.

The deceased was running on a treadmill at Small Heath Wellbeing Centre on 10/8/15. The treadmill as manufactured by Technogym and the model was Run 700. At approximately 13:00 he was seen to fall off the back of the treadmill hitting his head on the floor. He was taken to Birmingham Heartlands Hospital and later transferred to Queen Elizabeth Hospital Birmingham. He continued to have raised intracranial pressure as a result of the head injury. He required surgery on 15/8/15 but died despite all treatment.

The cause of death was TRAUMATIC BRAIN INJURY.

(1) During the inquest I heard evidence that during initial gym induction users are advised, in accordance with the manufacturer's instruction, that they attach a cord which acts as an emergency stop if anything untoward should occur. At the time in question the deceased did not attach the cord and evidence confirmed it was not normal practice for the gym to enforce use of the emergency cord. It is impossible to say whether this would have made any difference to the deceased but steps should be taken to ensure that appropriate advice and warnings are given to all users regarding the correct use of the emergency cord.