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.
On the 17th of May 2023 I commenced investigations into the deaths of Champagauri and Dipak Bhatt. The investigations concluded on the 15th of November 2024 after inquests held over the 6th, 7th and 8th of November 2024. The inquests had the following short narrative conclusions: (a) Following a fire caused by an electrical fault in the tumble dryer, Champagauri Bhatt died from the resulting inhalation injury. (b) Following a fire caused by an electrical fault in the tumble dryer, Dipak Bhatt died from the resulting inhalation injury.
Circumstances of the death
On the evening of 29th of March 2023 a fire caused by an electrical fault in the tumble dryer at ████████ ████████ Edgeware caused Champagauri and Dipak Bhatt to die from inhalation injuries. There was a 10% chance the EMI filter caused the fire and a 90% chance the condensate pump caused the fire.
Coroner’s concerns
During the inquest a London Fire Brigade witness made suggestions for more effective data sharing and use and It was apparent future deaths may occur unless action is taken.
(1) That ingress of moisture into condensate pumps may result in tracking faults causing resistive heating and fire. (2) That changes in information management would result in better analysis of, and learning from, white goods fires. (3) Manufacturers to give the Office of Product Safety Standards (OPSS) as the regulator and London Fire Brigade (LFB) to support their fire prevention work data on parts replaced on warranty for condensate pumps and RFI filters. (4) Working group CPL / 61 look at standards of manufacture of mains and sub mains operated condensate pumps and RFI filters, to improve standards. (5) Manufacturers to share data on decisions and rationale behind recall / replacement of condensate pumps and RFI filters Office of Product Safety Standards (OPSS) as the regulator and London Fire Brigade to support their fire prevention work. (6) Companies investigating fires to notify Trading Standards and the Office of Product Safety Standards (OPSS) of the outcome of those investigations. (7) Manufacturers to be required to use the OPSS risk assessment methodology, PRISM, when conducting risk assessments to account for persons in a property and their actions, i.e. sleeping whilst a product is taking advantage of lower electricity rates. (8) Identification plates on appliances that will not be destroyed by fire akin to those on vehicles.
Concerns and recipient responses
Select any concern, action or position to view the source wording.
Report evidence summary
Concerns raised8
Inadequate information management for analysis and learning from white goods fires
Failure to provide fire-durable identification plates on appliances
Inadequate manufacturing standards for mains- and sub-mains-operated condensate pumps and RFI filters
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.16
Action
Continue monitoring fire-incident trends and collaborating with fire services and manufacturers to explore practical data-driven appliance-safety measures.
Stated byAMDEAStated in progressThe respondent said that this action was in progress when they made their response on 9 December 2024.
Action
Discuss PRISM in member panels, host training with OPSS, and continue recommending it as a complementary risk-assessment tool.
Stated byAMDEAStated in progressThe respondent said that this action was in progress when they made their response on 9 December 2024.
Action
Promote best practices on recalls, servicing and parts replacement through AMDEA panels and shared PAS7100:2022 learning.
Stated byAMDEAStated completedThe respondent said that this action was complete when they made their response on 9 December 2024.
Action
Operate and annually refine a comprehensive system collating appliance-safety data to analyse incidents and disseminate safety information.
Stated byAMDEAStated completedThe respondent said that this action was complete when they made their response on 9 December 2024.
Action
Participate in and support CPL/61 work reviewing and establishing safety standards for appliances and componentry.
Stated byAMDEAStated in progressThe respondent said that this action was in progress when they made their response on 9 December 2024.
Action
Track Prevention of Future Deaths Reports and share them with NFCC members to identify and promote opportunities for improvement.
Stated byNational Fire Chiefs CouncilStated completedThe respondent said that this action was complete when they made their response on 9 December 2024.
Action
Monitor products in the field for safety incidents and feed identified issues into risk assessments through an established process.
Stated byHotpoint UK Appliances LimitedStated completedThe respondent said that this action was complete when they made their response on 9 December 2024.
Action
Participate in BSI, European and international standards-development activities addressing appliance safety and emerging risks.
Stated byHotpoint UK Appliances LimitedStated in progressThe respondent said that this action was in progress when they made their response on 9 December 2024.
Action
Participate actively in the CPL/61 working group considering indelible appliance identification markings.
Stated byHotpoint UK Appliances LimitedStated in progressThe respondent said that this action was in progress when they made their response on 9 December 2024.
Action
Continue supporting the LFB/AMDEA digital-identification initiative for fire-damaged white goods.
Stated byHotpoint UK Appliances LimitedStated in progressThe respondent said that this action was in progress when they made their response on 9 December 2024.
Action
Continue engaging with regulators and other stakeholders to identify and learn lessons with wider implications for the safety of similar products.
Stated byOffice for Product Safety and StandardsStated in progressThe respondent said that this action was in progress when they made their response on 9 December 2024.
Action
Operate and promote the Product-related Fire Notification process, supported by published guidance, to collect product-fire information from fire and rescue services.
Stated byOffice for Product Safety and StandardsStated completedThe respondent said that this action was complete when they made their response on 9 December 2024.
Action
Work with BSI to update and improve relevant product standards where necessary to raise safety levels.
Stated byOffice for Product Safety and StandardsStated plannedThe respondent said that this action was planned when they made their response on 9 December 2024.
Action
Arrange testing against the Standard of a test purchase of the affected tumble-dryer model.
Stated byNorth Yorkshire CouncilStated plannedThe respondent said that this action was planned when they made their response on 9 December 2024.
Action
Hold a further CPL/61 meeting to consider how the relevant standards could address the fire’s cause.
Stated byBSI Group The Netherlands B.V.Stated plannedThe respondent said that this action was planned when they made their response on 9 December 2024.
Action
Convene CPL/61 to discuss the Prevention of Future Deaths report and requested standards review.
Stated byBSI Group The Netherlands B.V.Stated completedThe respondent said that this action was complete when they made their response on 9 December 2024.
Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.15
Position
Members’ existing risk assessment systems effectively cover the relevant safety factors, so PRISM need not be mandated as a replacement.
Stated byAMDEAExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
The low number of unidentifiable appliance fire cases does not justify widespread implementation of fire-resistant identification plates.
Stated byAMDEANo action considered necessaryThe respondent said that no further action was needed.
Position
Receiving manufacturer information on recalled or warranty-replaced condensate pumps and FRI filters is outside the organisation’s remit.
Stated byNational Fire Chiefs CouncilOutside remitThe respondent said that this matter was outside its role or authority.
Position
Authorities should use existing investigatory powers to require manufacturers to disclose sensitive product-safety information.
Stated byHotpoint UK Appliances LimitedRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
No evidence was found that water ingress into condensate pumps creates safety issues in its products, although a wider industry risk remains possible.
Stated byHotpoint UK Appliances LimitedDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
Any industry-wide change to appliance identification requires implementation through updated standards or regulation rather than unilateral manufacturer action.
Stated byHotpoint UK Appliances LimitedRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
PRISM is not intended for manufacturers' pre-market product-design risk assessments, although some elements may be useful.
Stated byHotpoint UK Appliances LimitedDisputes the concernThe respondent disagreed with part of the concern or the basis for it.
Position
Manufacturers already must conduct and document pre-market risk assessments, including risks arising from predictable human behaviour.
Stated byOffice for Product Safety and StandardsExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Businesses remain responsible for fully identifying and mitigating risks in their specific products and fulfilling regulatory safety obligations.
Stated byOffice for Product Safety and StandardsRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
Position
Existing regulations already require manufacturers to notify regulators and give regulators powers to obtain information and require corrective action.
Stated byOffice for Product Safety and StandardsExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Existing product-related fire notification arrangements enable OPSS to identify potentially unsafe products and take necessary action.
Stated byOffice for Product Safety and StandardsExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
Existing regulations already require electrical equipment to carry identification details and manufacturer contact information.
Stated byOffice for Product Safety and StandardsExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Position
A recall and component improvements are considered unnecessary based on the absence of other complaints and satisfactory test outcomes.
Stated byNorth Yorkshire CouncilNo action considered necessaryThe respondent said that no further action was needed.
Position
A specific response to changes in information management cannot be provided without further detail about which aspects need to change.
Stated byHome OfficeUnable to actThe respondent said that a constraint prevented them from taking the relevant action.
Position
OPSS should address the report’s wider recommendations because they require a national approach.
Stated byChartered Trading Standards InstituteRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
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.9
1
Share product-safety insights through national and international standards-development committees.
Stated byAMDEAStated in progressThe respondent said that this action was in progress when they made their response on 9 December 2024.
2
Operate the Register My Appliance campaign and website to support appliance traceability, safety communications and recall information.
Stated byAMDEAStated completedThe respondent said that this action was complete when they made their response on 9 December 2024.
3
Provide a product-identification service, including appliance-photo guidance and routes for disseminating unidentifiable cases to members.
Stated byAMDEAStated completedThe respondent said that this action was complete when they made their response on 9 December 2024.
4
Hold monthly meetings with LFB and OPSS and biannual Safety Liaison Panel meetings with members and relevant safety bodies.
Stated byAMDEAStated completedThe respondent said that this action was complete when they made their response on 9 December 2024.
5
Add condensate-pump moisture-ingress risks as a discussion topic at Safety Liaison Panel meetings.
Stated byAMDEAStated plannedThe respondent said that this action was planned when they made their response on 9 December 2024.
6
Obtain independent accredited-facility checking and approval of product safety test results.
Stated byHotpoint UK Appliances LimitedStated completedThe respondent said that this action was complete when they made their response on 9 December 2024.
7
Engage regularly with LFB, OPSS, NGOs and industry stakeholders to explore changes to systems and processes that improve consumer safety.
Stated byHotpoint UK Appliances LimitedStated in progressThe respondent said that this action was in progress when they made their response on 9 December 2024.
8
Conduct additional product safety testing, including fault simulation and Failure Mode and Effect Analysis.
Stated byHotpoint UK Appliances LimitedStated completedThe respondent said that this action was complete when they made their response on 9 December 2024.
9
Continue promoting electrical product safety and robust processes for informing consumers about risks and dangers.
Stated byChartered Trading Standards InstituteStated in progressThe respondent said that this action was in progress when they made their response on 9 December 2024.
Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.3
1
North Yorkshire County Council is responsible for leading the investigation, with OPSS providing necessary support.
Stated byOffice for Product Safety and StandardsRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
2
Hotpoint and North Yorkshire Trading Standards should investigate the product and initiate a recall if necessary.
Stated byChartered Trading Standards InstituteRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
3
CPL/61 cannot decide how to amend relevant standards without more specific fire-investigation, expert-report and appliance information.
Stated byBSI Group The Netherlands B.V.Unable to actThe respondent said that a constraint prevented them from taking the relevant action.