Investigation and inquest
On the 8th January 2014 I opened an investigation into the death of Michael John Harrison , 80 years old. The inquest concluded on the 9th July 2014. The conclusion of the inquest was “Accident”, the medical case of death was 1a Head Injury, and under paragraph 2 Pulmonary Embolus.
Circumstances of the death
Shortly before 10.49 hrs on the 20th December 2013 Michael John Harrison slipped on black ice and fell striking the back of his head on the ground causing a serious injury, in the car park outside the village hall Chapel Lane, Pinner.
London Ambulance service attended and reported that there were patches of black ice in the care park, which made driving, and getting to the patient difficult.
Mr Harrison was taken to hospital, transferred to a specialist hospital where he died on the 2nd January 2014
Coroner’s concerns
That there were insufficient measures to treat the ice that had formed in the car park.