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recurance

Sean Duignan

16 Jan 2023 · Coroner Sean Cummings · Bedfordshire and Luton

The coroner's concerns

  1. 1. unfettered access to armoury

    “The fact that the PIN number was common knowledge meant potentially that any one of the officers working at the base had unfettered access to the armoury”
  2. 2. unreliable armoury access system

    “The computerised system controlling the access to the armoury at South Base included a number of different parts including the server, the software, the Chronicle system itself, the card readers etc. The system as a whole repeatedly failed. There was no effective ongoing monitoring of the system”

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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Sean Duignan · Recurance