Investigation and inquest
On the 4th January 2018 I commenced an Investigation into the death of Daniel James O’Mahony. The investigation concluded at the end of the inquest 22nd August 2018. The conclusion of the inquest was Suicide.
Medical cause of death:
1a) Multiple Traumatic Injuries
Circumstances of the death
On the 18th December 2017 the driver of the 11:15hrs Manchester to London Euston service was on the approach to Hemel Hempstead Railway Station, where he was not due to stop. Ahead he saw Daniel O’Mahony approximately half way down the platform. As the train neared Mr O’Mahony jumped from the platform onto the track and sat down facing the train. Mr O’Mahony was struck by the train. Police and paramedics attended and his death was confirmed at 13:20 hours.
Coroner’s concerns
(1) Samaritan Signage has not been reviewed and updated around the station.
(2) Anti-trespass measures have not been installed at the end of platforms, to prevent ready access from the end of the platform to the railway lines.
(3) Cross hatching yellow paint is not present on the fast line platforms 1 and 2. To clearly demark the area.
(4) Anti-trespass Signage has not been replaced at the end of platforms to be more visible.
(5)There are gaps in the mid-section between platform 2s and 3.
(6)There are no gates at the access point to platform 2 and 3 at the top of the stairs, to prevent any unauthorised access to platform 2.