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recurance

Richard Hedges

19 Dec 2023 · Coroner Alan Blunsdon · North West Kent

The coroner's concerns

  1. 1. concrete steps with worn surfaces lacking non-slip coating and edge highlighting

    “The short external staircase where Mr [name redacted] fell is constructed of concrete steps which are showing signs of wear/weathering. The steps are not coated with a non slip surface and the edges of the steps do not have highlighting to increase awareness.”
  2. 2. insufficient handrail length

    “The handrail for use with the steps appears too short at each end and reduces the available support to users of the steps”
  3. 3. poor lighting

    “The current lighting of the area of the external staircase is poor”

Responses

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

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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Richard Hedges · Recurance