Recurance · prevention of future deaths reports
Pre-inquest brief
The earlier warning
Maria Nekrasova · 20 Feb 2015 · Paul Matthews, London (Inner South)
“There is nothing to prevent pedestrians crossing the carriageway of the bridge (such as a central fence) and neither is there any protection for pedestrians who have reached”
judiciary.uk/prevention-of-future-death-reports/maria-nekrasova
What was promised
Stated action 1 · response to Maria Nekrasova (20 Feb 2015) · stated timescale: August 2015
“TfL will be carrying out a detailed investigation of the lighting levels and the distribution of light over the bridge by August 2015”
judiciary.uk/…/2015-0141-Response-by-Transport-for-London.pdf
Stated action 2 · response to Ozan Allen (1 Apr 2019) · stated timescale: none stated
“We are proposing to re-introduce pedestrian guard railing on north-west corner of the junction to direct pedestrians to use the formal crossings provided.”
judiciary.uk/…/2019-0197-Response-by-Transport-for-London.pdf
What recurred
- 1 Apr 2019 · Ozan Allen · Sarah Bourke · Closely related · confidence 0.80 (moderate)
- 17 Feb 2020 · Liam Seager · Mary Hassell · Closely related · confidence 0.80 (moderate)
The clearest link, quoted from both reports:
Earlier · Maria Nekrasova · 20 Feb 2015
“There is nothing to prevent pedestrians crossing the carriageway of the bridge (such as a central fence) and neither is there any protection for pedestrians who have reached”
Later · Liam Seager · 17 Feb 2020
“I heard at inquest that there is no pedestrian crossing on the A12 near the location of the collision.”
What happened next
No evidence found either way · stated action 1
“3.5 Luminaire Installation ............................................................................................... 8 3.6 R equirements for Maintenance ................................................................................ 9 3.7 G lare ...................................................................................................................... 11”
S1066 A6 Lighting of London Underground Assets · foi.tfl.gov.uk/FOI-2589-2425/S1066.pdf
“Over two weeks, [name redacted] and Wes [name redacted] from Atelier Ten photographed every bridge and the surrounding banksides using Luminance IQ, a specialist software that converts photos into calibrate false colou”
Luminance Survey - Light Levels · illuminatedriver.london/…/illuminated-rivers-pioneering-luminan…
No evidence found does not mean the action did not happen.