Investigation and inquest
On 5 October 2021, I commenced an investigation into the death of Aaron Darie James Fretwell, aged 19. The investigation concluded at the end of the Inquest on Friday 1 October. The conclusion of the Inquest was ‘Accidental Death’, with the following medical cause of death:
1a) Hypoxic Cerebral Encephalopathy
1b) Cerebellar Herniation
2) Lung Contusion
Circumstances of the death
On 2 February 2021, Aaron Darie James Fretwell was working on the family farm. In the course of replacing a worn ring on an agricultural trailer, he raised the trailer body and disconnected the hydraulic services. Whilst working under the trailer body, it descended, tapping him against the chassis, causing him to sustain crush injuries from which he died on 3 February 2021.
Coroner’s concerns
1. No propping device was fitted to the trailer, which is understood to have been manufactured by Bailey Trailers Ltd in about 2002.
2. No warning signs were affixed to the trailer directing that the trailer body should be propped before anyone worked underneath it.
3. Trailers manufactured by 2002 should have complied with BS EN 1853: 1999 and/or the supply of machinery (Safety) Regulations 1992 which required a mechanical support to be installed to facilitate maintenance work to be carried out safely.
4. Evidence taken at the Inquest indicated that many types of agricultural trailers were in use without such propping devices or warning signs, which gives rise to concern that comparable accidents could occur in the future.