PFD report

Brian JAMES EASEY · Prevention of Future Deaths report

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Issued 21 Dec 2020•West Sussex

Report record

Published report and response evidence

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.

View original report
Concerns
2

Raised in this report

Recipients
2

Named on the report

Responses found
2

Of 2 recipients

Stated actions
3

Described in responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

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Report evidence summary

Concerns raised2

  1. Potential asbestos-fibre contamination of council records
    Part of recurring concern: Uncontrolled asbestos contamination creating exposure risks
  2. Risk of asbestos exposure from contaminated council records
    Part of recurring concern: Uncontrolled asbestos contamination creating exposure risks
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.3

  1. Action

    Commission and complete asbestos inspections, laboratory testing and air sampling of representative Registrar’s records at all three storage locations.

    Stated by London Borough of LambethStated completedThe respondent said that this action was complete when they made their response on 8 January 2021.
  2. Action

    Sample and analyse dust from strong rooms 4 and 5 for asbestos contamination.

    Stated by West Sussex County CouncilStated completedThe respondent said that this action was complete when they made their response on 8 January 2021.
  3. Action

    Conduct asbestos air monitoring in strong rooms 4 and 5 where the registers are stored.

    Stated by West Sussex County CouncilStated completedThe respondent said that this action was complete when they made their response on 8 January 2021.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.3

  1. Position

    Inspections found no asbestos contamination or associated risk in Registrar’s records, so further asbestos-related action is not proposed.

    Stated by London Borough of LambethDisputes the concernThe respondent disagreed with part of the concern or the basis for it.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Potential asbestos-fibre contamination of council records

Wider context from the report

“(1) In view of Mr Easey’s description of the dust present on the council records in both locations there appears to me a real risk that these records were, and remain, contaminated with asbestos fibres; ”

Is this part of a recurring concern?

Yes — Uncontrolled asbestos contamination creating exposure risks.

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Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Risk of asbestos exposure from contaminated council records

Wider context from the report

“(2) Should there currently be asbestos fibres present on the records this presents a risk of asbestos exposure to all those whose come into contact with the records with an associated risk of developing fatal mesothelioma. ”

Is this part of a recurring concern?

Yes — Uncontrolled asbestos contamination creating exposure risks.

Open source report

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Commission and complete asbestos inspections, laboratory testing and air sampling of representative Registrar’s records at all three storage locations.

Verbatim wording from the response

“16. The Council had commissioned detailed reports from external asbestos specialists in relation to the records held at each of these three locations, some of which will have been stored at 340 and/or 357-363 Brixton Road at some point in the past. The results of those tests are set out below under the heading “outcome of testing”.”

Source location

2020-0293-Response-from-Lambeth-Legal-Services-Redacted
Page 4 · response
Published 8 January 2021

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Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Sample and analyse dust from strong rooms 4 and 5 for asbestos contamination.

Verbatim wording from the response

“contaminated with asbestos fibres. To respond to this concern, arrangements were made for air monitoring for asbestos and dust sampling testing to be undertaken at the location that the records are currently held, that being the County Records Office. The testing was undertaken by Perry Analytical Limited – Analytical and Consultant Chemist. Copies of the reports prepared by Perry Analytical are enclosed.”

Source location

2020-0293-Response-from-West-Sussex-County-Council-Redacted
Page 2 · response
Published 8 January 2021

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Conduct asbestos air monitoring in strong rooms 4 and 5 where the registers are stored.

Verbatim wording from the response

“contaminated with asbestos fibres. To respond to this concern, arrangements were made for air monitoring for asbestos and dust sampling testing to be undertaken at the location that the records are currently held, that being the County Records Office. The testing was undertaken by Perry Analytical Limited – Analytical and Consultant Chemist. Copies of the reports prepared by Perry Analytical are enclosed.”

Source location

2020-0293-Response-from-West-Sussex-County-Council-Redacted
Page 2 · response
Published 8 January 2021

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Inspections found no asbestos contamination or associated risk in Registrar’s records, so further asbestos-related action is not proposed.

Verbatim wording from the response

“2. In summary, we can inform the Coroner that reports produced by Ayerst, an external asbestos specialist, following extensive inspections have confirmed that there is no contamination of the Council’s Registrar files that were once held at 340 Brixton Road (and at other offices used by the Council’s Registrar’s Office in the past). Further details are set out below. In view of these findings the Council does not intend to take any further action.”

Source location

2020-0293-Response-from-Lambeth-Legal-Services-Redacted
Page 1 · response
Published 8 January 2021

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Testing found no asbestos in dust or airborne fibres, so contact with the registers does not present an apparent asbestos exposure risk.

Verbatim wording from the response

“The second concern raised is that should there currently be asbestos fibres present on the records this presents a risk of asbestos exposure to all those who come in to contact with the records with an associated risk of developing fatal mesothelioma. Given that the findings of the air monitoring for asbestos in both strong rooms identified that the airborne concentration was satisfactory and secondly that the dust samples did not identify the presence of any asbestos, it is not apparent that any one that comes in to contact with the registers would have any exposure to asbestos.”

Source location

2020-0293-Response-from-West-Sussex-County-Council-Redacted
Page 2 · response
Published 8 January 2021

Open published response

Source evidence

How this respondent position was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

No further action is required regarding the storage location or registers because monitoring and dust sampling found no asbestos risk.

Verbatim wording from the response

“It therefore follows that there is no requirement for the council to take any further action regarding either the location in which the registers are stored or the registers in question.”

Source location

2020-0293-Response-from-West-Sussex-County-Council-Redacted
Page 2 · response
Published 8 January 2021

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
2/2

Data last updated 7 September 2026