Evidence
Date of report: 19/09/2024
Ref: 2024-0505
Deceased name: Robin van Caliskan
Coroners name: Andrew Cox
Coroners Area: Cornwall and the Isles of Scilly
Category: Child Death (from 2015)
This report is being sent to: Atlantic Reach Limited
REGULATION 28 REPORT TO PREVENT FUTURE DEATHS | |
---|---|
THIS REPORT IS BEING SENT TO:
1. [REDACTED], Managing Director, Atlantic Reach Limited |
|
1 | CORONER
I am Andrew Cox, the Senior Coroner for the coroner area of Cornwall and the Isles of Scilly. |
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. |
3 | INVESTIGATION and INQUEST
On 18/9/24, I concluded the inquest into the death of Robin van Caliskan. A jury found the cause of death as 1a) Drowning. |
4 | CIRCUMSTANCES OF THE DEATH
On 31/7/23, Robin, who was aged five, came with his family to Atlantic Reach holiday park in Whitecross, near Newquay for a short holiday. The main pool was described as busy and was close to the stipulated maximum capacity. As it was the main holiday season, the pool users included a number of children. |
5 | CORONER’S CONCERNS
During the course of these inquests, the evidence has 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. 1) A risk assessment conducted by the company that took account of existing Health & Safety Guidance concluded that it was not reasonably practicable to use lifeguards except on the relatively few occasions when large inflatables were permitted in the pool. |
6 | ACTION SHOULD BE TAKEN
In my opinion action should be taken to prevent future deaths and I believe you [AND/OR your organisation] have the power to take such action. I was told the company will be reviewing its risk assessment in this regard over the coming weeks in light of the evidence that came out at inquest to consider whether there are any further steps that it may be appropriate to take. |
7 | YOUR RESPONSE
You are under a duty to respond to this report within 56 days of the date of this report, namely by 15 November 2024. I, the coroner, may extend the period. |
8 | COPIES and PUBLICATION
I have sent a copy of my report to the Chief Coroner and to the following Interested Persons: [REDACTED] |
9 | [DATE] 18/9/24 [SIGNED BY CORONER] |
The post Robin van Caliskan: Prevention of Future Deaths Report appeared first on Courts and Tribunals Judiciary.
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