Skip to content
recurance

Richard Sanders

5 Jan 2022 · Coroner Katy Skerrett · Gloucestershire

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. immersion pulmonary oedema risk

    “Whether there is sufficient awareness of the risks & affects of immersion pulmonary oedema by those engaged &/ or participating in the activity of diving”
  2. 2. lack of fitness to dive medical certificate requirement

    “Whether sufficient consideration has been given to the requirement for a "fitness to Gloucestershire Coroner's Court, Corinium Avenue, Barnwood, Gloucester, GL4 3DJ dive" medical certificate as a prerequisite to participation in diving activities.”
  3. 3. inefficient diver removal methods

    “Whether more efficient methods and/ techniques of diver removal from the water could be employed at the diving centre”

Linked reports

Raised again laterKevin Lapwood30 Apr 2026 · 4 years 4 months later
Identical hazardConfidence 0.92 · high

This report

“Whether there is sufficient awareness of the risks & affects of immersion pulmonary oedema by those engaged &/ or participating in the activity of diving.”

Later report

“I am concerned about the level of training and awareness around the risks of immersion pulmonary oedema('IPO') for divers with high blood pressure.”
Original on judiciary.uk ↗
Full chain: Insufficient awareness of immersion pulmonary oedema risk for high bloodpressure

Responses

2022-0003-Response-from-British-Diving-Safety-Group_Published.pdf ↗· British Diving Safety Group

Stated action

“The BDSG has created, and is continuing to compile a pack for use at an incident to help preserve evidence: BDSG Serious Accident Guide for Divers v1.”

2022-0003-Response-from-St-Richards-Hospital_Published-1.pdf ↗· British Diving Safety Group

Stated action

“We will continue with these and similar activities in future.”
  • 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.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error