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recurance

John Coles

24 Jul 2023 · Coroner Richard Furniss · West London

The coroner's concerns

  1. 1. background visual interference on uncontrolled taxiway crossing

    “This fatal accident occurred well over 5 years ago. The expert report of [REDACTED] which raised the issue of background visual interference as a possible causative factor, was produced well over 4 years ago. Nonetheless, prior to the inquest, no specific consideration appears to have been given to this phenomenon by HAL (or by the HSE or in the Jacobs report which HAL commissioned). Indeed, in evidence, you seemed reluctant to accept that this might have been a factor (and may therefore be a”
  2. 2. white-coloured vans difficult to see

    “white-coloured vans driven by British Airways employees may be difficult to see”
  3. 3. lack of side profile lights on crossing vehicles

    “may be merit in using side profile lights on vehicles which may need to cross uncontrolled crossings”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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