Sean Duignan
16 Jan 2023 · Coroner Sean Cummings · Bedfordshire and Luton
The coroner's concerns
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. 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”