Investigation and inquest
On 24th August 2016 I commenced an investigation into the death of Donald Peter Berry. The jury inquest concluded on the 6th September 2018 and the conclusion of the jury was one of accidental death
The medical cause of death was:
1aBronchopneumonia;
1bRecurrentChest Infections;
1c Immobility due to paralysis
II Epilepsy due to traumatic brain injury caused by electrocution
Circumstances of the death
Donald Berry suffered severe injuries due to being electrocuted whilst working at the Kendal Calling Festival on 22nd July 2010. These injuries resulted in ongoing health complications leading to his death on 23rd August 2016 at St Mark’s Care Centre 28 Delaunays Road, Sale.
Coroner’s concerns
1. The inquest heard that the organisers of the event Kendal Calling had not identified that a clearly visible high voltage power line was running over the site and no steps had been taken to minimise the risk although an Event Safety Plan had been submitted to the licensing authority.
2. the inquest heard that the lack of identification of such a significant risk and need to take steps had been missed despite all the steps required by law to licensing such an event had taken place and an indication that the guidance in the Purple Book had been adhered to by the organisers . None of the authorities involved had noted the issue. Eden District Council (EDC)had now taken steps to do site visits for similar events within their area but this was not replicated nationally and was only done within EDC’s area for large events such as this.