Investigation and inquest
On 13 November 2013, one of my assistant coroners, Richard Brittain, opened an investigation into the death of Richard Laco, aged 31. The investigation concluded at the end of the inquest on 16 October 2015. The jury made a narrative determination, which I attach.
Circumstances of the death
Richard Laco died on the building site at the Francis Crick Institute, when a landing fell on him as it was being tilted into place.
Coroner’s concerns
1. The fitting of the two below ground landings in core D of the development at the Francis Crick Institute utilised a different methodology to the landings already fitted in cores A and F. The shape of the landings was trapezoid rather than rectangular; and they were lowered vertically to ground level and then later raised & tilted to pass the side fins; rather than simply being lowered from the top directly into place.
However, no part of the method statement, risk assessment or lift plan recognised that.
There was no description of the different process; there was no instruction to stop the procedure if positive fixings (i.e. feeding the slings through eye bolts) could not be achieved; and there was no indication that the wide rather than the narrow end of the landing should be tilted down with the tag lines.
The need for such a plan was not identified by CMF in drafting the planning documents, nor by LOR in checking and approving them.
2. Not only was there no appropriate plan in place for the fitting of the two basement landings in core D, at inquest nearly two years after the event, some site witnesses did not appear to see the need for such a plan.
Some witnesses did not appear familiar with basic terminology, despite still holding a pivotal role in planning/approving the plans for such processes, and gave evidence that did not demonstrate clarity of understanding of the processes.