Overview
- Senior coroner Graeme Irvine sent a Prevention of Future Deaths report to Mayor Sadiq Khan and Transport Secretary Heidi Alexander, triggering a 56-day deadline for formal replies.
- Brian Mitchell, 72, fell onto the Jubilee line tracks at Stratford on Boxing Day 2023 and was run over by four trains after the first impact went unnoticed.
- The report says recommended technology to detect people on tracks has not been installed at Stratford and there is no clear evidence of data-led safety improvements.
- Jubilee line trains use Automatic Train Operation, with operators expected to override if hazards are seen, yet multiple operators failed to spot Mr Mitchell on the tracks at terminus Platform 13.
- TfL said it assisted the inquest, will answer the coroner’s report, and is taking steps intended to prevent similar incidents.