Recurance · prevention of future deaths reports
Pre-inquest brief
Cable ties compromising fence integrity
The earlier warning
Ashley Matthews · 23 Jul 2015 · David Urpeth, Black Country
“Evidence suggested that some parts of the perimeter fencing were secured with cable ties”
judiciary.uk/prevention-of-future-death-reports/ashley-matthews
What was promised
Stated action 1 · response to Ashley Matthews (23 Jul 2015) · stated timescale: none stated
“There has been an extension to the palisade fencing to prevent access by climbing around the side of the fencing to the over bridge that carries the disused line from which [the deceased] climbed down.”
What recurred
- 28 May 2021 · Christine Gould · Nicholas Moss QC · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Ashley Matthews · 23 Jul 2015
“Evidence suggested that some parts of the perimeter fencing were secured with cable ties”
Later · Christine Gould · 28 May 2021
“In [name redacted]' case, earlier consideration to the fence boundary being a credible route of access may have led to the fence boundary being improved more quickly after her death.”
What happened next
No web check of the stated actions has been published for this chain.