PFD report

Paul John Welch · Prevention of Future Deaths report

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Issued 15 Jun 2022•Cornwall and Isles of Scilly

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
1

Raised in this report

Recipients
3

Named on the report

Responses found
2

Of 3 recipients

Stated actions
10

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

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

Report evidence summary

Concerns raised1

  1. Failure to undertake advised remedial works to trees aligning Sailors Creek
    Part of recurring concern: Failure to ensure identified safety remedial works are completed
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

    Develop a long-term mooring access solution to move boats away from trees overhanging the creek.

    Stated by Sailors Creek C.I.C.Stated in progressThe respondent said that this action was in progress when they made their response on 20 September 2022.
  2. Action

    Develop and publish an online tree management plan incorporating professional surveys and periodic inspections.

    Stated by Sailors Creek C.I.C.Stated plannedThe respondent said that this action was planned when they made their response on 20 September 2022.
  3. Action

    Obtain the exception notice for felling Ash tree T807.

    Stated by Sailors Creek C.I.C.Stated completedThe respondent said that this action was complete when they made their response on 20 September 2022.

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

  1. Position

    The Council could not determine the tree works application because the supporting information lacked sufficient detail and justification.

    Stated by Cornwall CouncilUnable to actThe respondent said that a constraint prevented them from taking the relevant action.

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 undertake advised remedial works to trees aligning Sailors Creek

Wider context from the report

“As set out above, the remedial works that it has been advised be carried out to the trees aligning Sailors Creek have not been undertaken notwithstanding the obvious risks to individuals present there, as evidenced by the tragic death of Mr Welch. ”

Is this part of a recurring concern?

Yes — Failure to ensure identified safety remedial works are completed.

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

Develop a long-term mooring access solution to move boats away from trees overhanging the creek.

Verbatim wording from the response

“5. It was agreed that Sailors Creek CIC should find a method of positioning moored boats further into the creek away from the area overhung by trees. A temporary system using the mussel frames has been implemented as of 08/08/22. A long term mooring access solution is being developed for implementation in 2023.”

Source location

Response from Sailors Creek CIC
Page 2 · response
Published 20 September 2022

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

Develop and publish an online tree management plan incorporating professional surveys and periodic inspections.

Verbatim wording from the response

“8. It was agreed that Sailors Creek would develop a tree management plan including professional tree surveys and periodic inspection by Sailors Creek CIC. This tree management plan will be available online at sailorscreekcic.org by the end of September 2022.”

Source location

Response from Sailors Creek CIC
Page 2 · response
Published 20 September 2022

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

Obtain the exception notice for felling Ash tree T807.

Verbatim wording from the response

“1. Following confirmation of the TPO area, an exception notice is only required for the felling of the Ash tree T807. SCCIC to progress this without further delay. Submitted by Sailors Creek CIC 08/08/22 and granted 09/08/22. The dead elms outside TPO to be safely removed, all before the end of September 2022.”

Source location

Response from Sailors Creek CIC
Page 2 · response
Published 20 September 2022

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

The Council could not determine the tree works application because the supporting information lacked sufficient detail and justification.

Verbatim wording from the response

“The Council received an application from Sailors Creek CIC for works to various trees subject to Tree Preservation Order at Sailors Creek, Trevisome, Flushing on 14th January 2022. The application reference is PA22/00364. Such applications are required to provide sufficient detail for the Local Planning Authority to be clear on the extent of the works and the justification therein. In this instance, the supporting information provided with the application was not sufficiently detailed for the Local Planning Authority to determine the application. This was raised with the applicant on 9th March 2022 and further justification was requested to support the application. The Council's Tree Officer sought out the applicant's arboriculturist at that time but there was a reluctance to do so and on 23rd March 2022 the applicant asked for the application to be put on hold for the time being.”

Source location

Response from Planning and Housing Cornwall Council
Page 1 · response
Published 20 September 2022

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

The applicant and its appointed arboriculturalist must finalise and submit proportionate, evidence-based tree management proposals, including replanting measures.

Verbatim wording from the response

“4. These proposals, including any replanting measures, once finalised to the satisfaction of the applicant (SC CIC) and their appointed arboriculturalist/arborist, should be submitted to Cornwall Council planning service, care of the Case Officer.”

Source location

Response from Planning and Housing Cornwall Council
Page 1 · response
Published 20 September 2022

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

TreeWise must submit the final tree-work specification in accordance with the client's requirements and the Forestry Officer's guidance.

Verbatim wording from the response

“2. TreeWise to submit final specification in line with the requirements of their client (Sailors Creek CIC) and, where acceptable, in line with the advice and guidance provided by CC Forestry Officer. Treewise to confirm timeframe for this. An updated specification was received from Treewise on Monday 8th August.”

Source location

Response from Planning and Housing Cornwall Council
Page 2 · response
Published 20 September 2022

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.7

  1. 1

    Deliver safety letters to affected boat owners.

    Stated by Sailors Creek C.I.C.Stated completedThe respondent said that this action was complete when they made their response on 20 September 2022.
  2. 2

    Participate in a multi-party beach meeting to coordinate site safety and tree-management measures.

    Stated by Sailors Creek C.I.C.Stated completedThe respondent said that this action was complete when they made their response on 20 September 2022.
  3. 3

    Adapt the risk assessment and safety briefing for staff and volunteers.

    Stated by Sailors Creek C.I.C.Stated completedThe respondent said that this action was complete when they made their response on 20 September 2022.
  4. 4

    Complete the shoreline mooring chain and remove remaining mooring ropes from trees by the end of 2022.

    Stated by Sailors Creek C.I.C.Stated plannedThe respondent said that this action was planned when they made their response on 20 September 2022.
  5. 5

    Remove the majority of mooring ropes from trees onto the shoreline mooring chain.

    Stated by Sailors Creek C.I.C.Stated completedThe respondent said that this action was complete when they made their response on 20 September 2022.
  6. 6

    Begin replanting and establish a second inland line of trees during winter 2022/23.

    Stated by Sailors Creek C.I.C.Stated plannedThe respondent said that this action was planned when they made their response on 20 September 2022.
  7. 7

    Post and distribute laminated safety notices around Sailors Creek, online, and to tenants and members.

    Stated by Sailors Creek C.I.C.Stated completedThe respondent said that this action was complete when they made their response on 20 September 2022.

Recipient positions A position is what a recipient says about a concern when they do not describe a specific action.2

  1. 1

    The relevant consulted party must schedule and confirm its consultation on the tree application.

    Stated by Cornwall CouncilRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  2. 2

    Sailors Creek CIC must progress the exception notice required for felling the dead Ash tree.

    Stated by Cornwall CouncilRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

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

Deliver safety letters to affected boat owners.

Verbatim wording from the response

“05 July 2022 - Letters hand delivered and attached to the boats of ████████”

Source location

Response from Sailors Creek CIC
Page 1 · response
Published 20 September 2022

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

Participate in a multi-party beach meeting to coordinate site safety and tree-management measures.

Verbatim wording from the response

“01 August 2022 - Site meeting on the beach at Sailors Creek attended by all concerned parties: - ████████ (Trefusis Estate) - ████████ (Trefusis Estate) - ████████ (Cornwall Council Planning) - ████████ (Cornwall Council Forestry) - ████████ (Mylor Parish Council) - ████████ (TreeWise Cornwall) - ████████ (Sailors Creek CIC) - ████████ (Sailors Creek CIC) - ████████ (Sailors Creek CIC) This meeting was extremely positive: productive and consensus driven.”

Source location

Response from Sailors Creek CIC
Page 1 · response
Published 20 September 2022

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

Adapt the risk assessment and safety briefing for staff and volunteers.

Verbatim wording from the response

“02 August 2022 - Sailors Creek CIC risk assessment and safety brief adapted for staff and volunteers.”

Source location

Response from Sailors Creek CIC
Page 1 · response
Published 20 September 2022

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

Complete the shoreline mooring chain and remove remaining mooring ropes from trees by the end of 2022.

Verbatim wording from the response

“9. It was agreed the mooring chain system provides a welcome alternative to tying to the shoreline trees. Sailors Creek CIC to complete the mooring chain along the length of the beach. Remaining mooring ropes to be removed from trees to the mooring chain along the shoreline once it is complete by the end of 2022.”

Source location

Response from Sailors Creek CIC
Page 3 · response
Published 20 September 2022

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

Remove the majority of mooring ropes from trees onto the shoreline mooring chain.

Verbatim wording from the response

“31 July 2022 - Majority of mooring ropes removed from trees to the new mooring chain established along the shoreline.”

Source location

Response from Sailors Creek CIC
Page 1 · response
Published 20 September 2022

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

Begin replanting and establish a second inland line of trees during winter 2022/23.

Verbatim wording from the response

“7. It was agreed that replanting and planning for a second line of trees further inland is an excellent next step with regard to managed retreat/ increased biodiversity/ stabilisation of the bank. Planting to begin Winter 2022/23.”

Source location

Response from Sailors Creek CIC
Page 2 · response
Published 20 September 2022

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

Post and distribute laminated safety notices around Sailors Creek, online, and to tenants and members.

Verbatim wording from the response

“05 July 2022 - Laminated safety notices posted around Sailors Creek and digitally on Sailors Creek CIC website. Emailed to all tenants and members.”

Source location

Response from Sailors Creek CIC
Page 1 · response
Published 20 September 2022

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

The relevant consulted party must schedule and confirm its consultation on the tree application.

Verbatim wording from the response

“3. ████████ have scheduled a meeting to specifically provide their consultation on this application in a timely fashion. ████████ to confirm date. We are currently awaiting a confirmed date from ████████.”

Source location

Response from Planning and Housing Cornwall Council
Page 2 · response
Published 20 September 2022

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

Sailors Creek CIC must progress the exception notice required for felling the dead Ash tree.

Verbatim wording from the response

“1. Following confirmation of the TPO area, an exception notice is only required for the felling of the Ash tree T807. SCCIC to progress this without further delay. An exception notice was submitted on Monday 8th August reference PA22/01398/PREAPP. Given that all parties present accepted that this tree is dead, a positive decision on this application will be issued today which will enable the felling to proceed.”

Source location

Response from Planning and Housing Cornwall Council
Page 2 · response
Published 20 September 2022

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
2/3

Data last updated 7 September 2026