Evidence
Date of report: 06/06/2024
Ref: 2024-0309
Deceased name: Dominic Chapman
Coroner name: David Reid
Coroner Area: Worcestershire
Category: Other related deaths
This report is being sent to: Department for Digital Culture, Media and Sport | Ultra Events Ltd
REGULATION 28 REPORT TO PREVENT FUTURE DEATHS | |
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THIS REPORT IS BEING SENT TO: [REDACTED], Director and sole proprietor, Ultra Events Ltd, Unit 15b Sawley Park, Nottingham Road, Derby, England, DE21 6AS; |
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1 | CORONER I am David Donald William REID, HM Senior Coroner for Worcestershire. |
2 | CORONER’S LEGAL POWERS I make this report under paragraph 7, Schedule 5, of the Coroners and Justice Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013. http://www.legislation.gov.uk/ukpga/2009/25/schedule/5/paragraph/7 |
3 | INVESTIGATION and INQUEST On 28 April 2022 I commenced an investigation and opened an inquest into the death of Dominic Mark Chapman. The investigation concluded at the end of the inquest on 23 May 2024 The conclusion of the inquest was that Mr. Chapman “died as the result of an accident.” |
4 | CIRCUMSTANCES OF THE DEATH In answer to the questions “when, where and how did Mr. Chapman come by his death?”, I recorded as follows: “On 9.4.22 Dominic Chapman sustained a fatal head injury in the course of a charity boxing match organised by Ultra Events Ltd at Tramps nightclub in Worcester. He was taken by ambulance to the Queen Elizabeth Hospital, Birmingham where he succumbed to that injury and died on 11.4.22.” |
5 | CORONER’S CONCERNS During the course of the inquest the evidence revealed matters giving rise to concern. In my opinion there is a risk that future deaths will occur unless action is taken. In the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows. For example, [REDACTED] ( director and sole proprietor of Ultra Events Ltd. ) told the inquest that the intention behind the reworded criteria was that: |
6 | ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe you, as the director and sole proprietor of Ultra Events Ltd., have the power to take such action. |
7 | YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 1 August 2024. I, the coroner, may extend the period. Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed. |
8 | COPIES and PUBLICATION I have sent a copy of my report to the Chief Coroner and to the following: [REDACTED], Mr. Chapman’s parents; Tramps Nightclub, Worcester; Worcestershire Regulatory Services. I am also under a duty to send the Chief Coroner a copy of your response. The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest. You may make representations to me, the coroner, at the time of your response, about the release or the publication of your response by the Chief Coroner. |
9 | 6 June 2024 David REID HM Senior Coroner for Worcestershire |
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