PFD report

Afolabi Oluwafemi OJERINDE · Prevention of Future Deaths report

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Issued 25 Jun 2024•Manchester City

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
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
4

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised2

  1. Failure to require staff approval before petrol pump access
  2. Failure to restrict petrol pump use to required motor vehicles or authorised containers
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.2

  1. Action

    Work with fire authorities to establish remotely monitored petrol-station CCTV scenarios and identify risk-mitigating improvements.

    Stated by Tesco Stores LimitedStated in progressThe respondent said that this action was in progress when they made their response on 27 June 2024.
  2. Action

    Operate risk-assessed intuitive monitoring systems with supporting controls for unattended petrol-station self-service.

    Stated by Tesco Stores LimitedStated completedThe respondent said that this action was complete when they made their response on 27 June 2024.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.1

  1. Position

    Existing risk-assessed systems and controls for remotely monitored petrol stations were approved as legislatively compliant by the competent Primary Authority.

    Stated by Tesco Stores LimitedExisting arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.

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

Failure to require staff approval before petrol pump access

Wider context from the report

“1. The Deceased was able to use the petrol pump without the required motor vehicle or authorised plastic or metal container; 2. There was no member of staff present at the petrol station to approve or deny the Deceased access to the petrol pump, and his approval was automatic following payment made at the pump. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

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

Failure to restrict petrol pump use to required motor vehicles or authorised containers

Wider context from the report

“1. The Deceased was able to use the petrol pump without the required motor vehicle or authorised plastic or metal container; 2. There was no member of staff present at the petrol station to approve or deny the Deceased access to the petrol pump, and his approval was automatic following payment made at the pump. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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

Work with fire authorities to establish remotely monitored petrol-station CCTV scenarios and identify risk-mitigating improvements.

Verbatim wording from the response

“15. After this incident and before the PFD Report was issued – recognising the seriousness of the tragic events, acknowledging the legitimate interest of GMFRS, and also recognising that broader industry considerations applied and broader industry knowledge and experience would be valuable – TSL had initiated and then commenced discussions with GMFRS and HFRS to set up a collaborative working group with relevant stakeholders both within TSL and externally throughout the industry and with enforcing authorities. Once established, the group will be chaired by Clare Scawthorn, in her independent capacity as Technical Manager for the Petroleum Retailers Association.”

Source location

Response from Tesco
Page 3 · response
Published 27 June 2024

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

Operate risk-assessed intuitive monitoring systems with supporting controls for unattended petrol-station self-service.

Verbatim wording from the response

“4. Hertfordshire Fire & Rescue Service (“HFRS”) are the Fire Primary Authority partner for TSL under the provisions of the Regulatory and Enforcement Sanctions Act 2008 (“RES Act”). On 15 December 2020, HFRS issued Primary Authority Advice pursuant to s.27 RES Act to TSL relating to: “The use of intuitive monitoring systems to allow petrol filling stations to trade without a dedicated person permanently monitoring CCTV for each individual site” (the “PA Advice”).”

Source location

Response from Tesco
Page 2 · response
Published 27 June 2024

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

Existing risk-assessed systems and controls for remotely monitored petrol stations were approved as legislatively compliant by the competent Primary Authority.

Verbatim wording from the response

“4. Hertfordshire Fire & Rescue Service (“HFRS”) are the Fire Primary Authority partner for TSL under the provisions of the Regulatory and Enforcement Sanctions Act 2008 (“RES Act”). On 15 December 2020, HFRS issued Primary Authority Advice pursuant to s.27 RES Act to TSL relating to: “The use of intuitive monitoring systems to allow petrol filling stations to trade without a dedicated person permanently monitoring CCTV for each individual site” (the “PA Advice”).”

Source location

Response from Tesco
Page 2 · response
Published 27 June 2024

Open published response

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.2

  1. 1

    Establish a collaborative stakeholder working group to review scenarios, share knowledge and consider operational or technological safety opportunities.

    Stated by Tesco Stores LimitedStated in progressThe respondent said that this action was in progress when they made their response on 27 June 2024.
  2. 2

    Keep relevant petrol-station processes, systems and Primary Authority Advice under review as the coroner’s investigation continues.

    Stated by Tesco Stores LimitedStated in progressThe respondent said that this action was in progress when they made their response on 27 June 2024.

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

Establish a collaborative stakeholder working group to review scenarios, share knowledge and consider operational or technological safety opportunities.

Verbatim wording from the response

“15. After this incident and before the PFD Report was issued – recognising the seriousness of the tragic events, acknowledging the legitimate interest of GMFRS, and also recognising that broader industry considerations applied and broader industry knowledge and experience would be valuable – TSL had initiated and then commenced discussions with GMFRS and HFRS to set up a collaborative working group with relevant stakeholders both within TSL and externally throughout the industry and with enforcing authorities. Once established, the group will be chaired by Clare Scawthorn, in her independent capacity as Technical Manager for the Petroleum Retailers Association.”

Source location

Response from Tesco
Page 3 · response
Published 27 June 2024

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

Keep relevant petrol-station processes, systems and Primary Authority Advice under review as the coroner’s investigation continues.

Verbatim wording from the response

“14. Further and whilst the systems in place at the Blackley petrol filling station at the time of the incident were subject to, and complied with, TSL’s PA Advice, we would like to assure the Coroner that TSL takes every opportunity to review its processes and systems whenever an incident occurs, including in respect of any Primary Authority Advice as appropriate. It is committed to keep the relevant processes and systems under careful review as the Coroner’s investigation continues (and as the Coroner is aware it appears there is considerable disclosure still to be made in the Coroner’s investigation, such disclosure as has so far been made being limited primarily to medical matters).”

Source location

Response from Tesco
Page 3 · response
Published 27 June 2024

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

Data last updated 7 September 2026