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Research & Briefings
Investigation of Work-Related Deaths

Work-related deaths can be the result of either a regulatory offence or an offence of manslaughter.

Since April 1998, a Protocol of Liaison on Work Related Deaths has set out the way in which the police and the Health and Safety Executive should handle investigations involving work-related deaths. It also deals with the co-ordination of prosecutions by the Health and Safety Executive and the Crown Prosecution Service

To download the protocol click here

The CCA has a number of concerns about the protocol.

The protocol sets up a National Liaison Committee and a number of Local Liaison Committees to oversee its operation.

See what does the HSE says about Manslaughter

Which Deaths Come Within the Protocol
The Protocol only applies to 'land-based deaths". It does not apply to deaths at sea in British waters or deaths on board British ships. This is because the Maritime and Coastguard Agency - which is responsible for the investigation of these deaths - is not a signatory to the Protocol.

The Centre has written to the National Liaison Committee about this anomaly

Although Local Authorities are not signatories to this protocol, they have agreed to comply with the protocol. As a result all deaths that should be reported to the Health and Safety Executive or Local Authorities should be investigated in compliance with the protocol.

Initial Assessment by the Police
The protocol requires that:

1.1 A Police detective of supervisory rank should attend the scene of a work-related death, or where there is a strong likelihood of death resulting from an incident arising out of or in connection with work, and should:

(a) "make an initial assessment about whether the circumstances might justify a charge of manslaughter … in which case the Police will commence their investigation."
…..

2.1 As a general guide, the police will investigate where there is evidence or a suspicion of deliberate intent or gross negligence or recklessness on the part of an individual or company rather than human error or carelessness.

This 'initial assessment' is usually undertaken with the assistance by an inspector from the HSE or Local Authority.


HSE investigation
Where, the initial assessment indicates that there will be no formal manslaughter investigation by the police, the case is handed over to the HSE or Local Authority for it to continue with its investigation.

The protocol then goes on to state:

2.6 Where, during the HSE investigation, evidence indicates an offence of manslaughter may have been committed, the HSE will refer the matter to the Police without delay …"

HSE "Operational Guidance"

'Operational Guidance' provided by the HSE to its inspector states that:
14 In most cases it is unlikely that a manslaughter investigation will commence based solely on an initial assessment of the facts surrounding a fatality. However, further evidence will more likely come to light during the HSE investigation indicating the crime of manslaughter by an individual, or a director and the company. Inspectors should continue to clarify during their investigation whether the circumstances of a fatal accident meet the legal tests for manslaughter and refer to the police any evidence pointing to an offence of manslaughter and/or corporate manslaughter. The police will decide whether the evidence warrants further enquiries and investigation." [Emphasis Added]
15 A failure to comply with statutory duties under the Health and Safety at Work Act 1974 leading to a death may make those responsible prima facie liable for manslaughter if they failed to avert an obvious and serious risk to human life

CCA Concerns about the Protocol
It is the CCA's view that the Protocol is an important advance from the previous arrangements. However, there are a number of concerns about the protocol.

These have been summarised in a note that the CCA sent on 26 July 2000, to Neil Masters of the Crown Prosecution Service who is a member of the National Liaison Committee which is currently undertaking a review of the Protocol.

In its consultation document on reform to the law of manslaughter the Home office proposed that the police would no longer be involved in the investigation of work-related deaths. In the Centre's view this would be a step-backwards.

To see the Centre's response to this particular proposal and how the Centre considers investigation should be organised, click here

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National and Local Liasion Committees
Section 10.1 of the Protocol states that:
"The police, CPS and HSE shall form a national liaison committee which should meet at least once a years to review the operation of the protocol and consider the need for changes in arrangements"
So far the National Committee has published two annual reports.

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Annual Report 1999/2000
This records the following items of note:
  • The Local Government Association has agreed to become a signatory of the protocol when a new protocol is published

  • The Committee refused to extend the protocol arrangements to cover serious injuries as well as deaths, as it concluded that there was "generally little prospect of securing convictions against employers under Offences against the person legislation in respect of failures to manage health and safety …."
Annual report 2000/2001

To download this report click here.

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Excerpt from a report by the Health and Safety Executive: "Health and Safety Offences and Penalities (October 2001)


Manslaughter
2.26 As well as enforcing health and safety law, HSE also plays an important part in England and Wales in supporting police investigations into possible work-related manslaughter offences. The police are responsible for manslaughter investigations. HSE contributes its expertise in questions of health and safety management. HSE inspectors also pass to the police any evidence which they may find in the course of their health and safety investigation which may point to a possible manslaughter offence.
2.27 Arrangements for liaison between the police, the Crown Prosecution Service (CPS) and HSE are set out in a joint protocol on responding to work-related deaths. The Protocol was published in April 1998 by the CPS, HSE and the Association of Chief Police Officers (ACPO). The three authorities have set up a joint National Liaison Committee to monitor the working of the Protocol.
2.28 During 2000/2001, the police referred 26 cases of work-related death, insectors where HSE is the health and safety enforcing authority, to the CPS to consider possible manslaughter charges. The CPS have so far started prosecutions for manslaughter in 6 of these cases. Since April 1992, a total of 162 possible manslaughter cases have been referred to the CPS. CPS have brought prosecutions for manslaughter in 45 cases, 10 of which have resulted in convictions.
2.29 The Protocol will need to be reviewed in the light of experience. In particular the review will need to take account of Government decisions which are expected to follow the Home Office consultation on proposed changes to the law on involuntary manslaughter, especially the proposed new offence of corporate killing. The joint National Liaison Committee is considering the timing and form of the review and how to involve others in the process, including organisations concerned with supporting victims' families
2.30 The Local Government Association and British Transport Police plan to become signatories to the Protocol following the review.
2.31 HSC responded to the Home Office consultation paper on reforming the law on involuntary manslaughter (published in May 2000). HSC gave full support to introducing a new offence of corporate killing and hoped the Government would legislate as soon as possible. The main benefit of the new offence would be as a powerful deterrent, to help prevent needless injuries and deaths while at the same time punishing the grossly negligent. HSC also said that a corporate killing offence should apply to both private and public sectors and be the same in Scotland as well as in England and Wales, to which the consultation paper related.

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To download whole of this report
click here.

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Page last updated on February 26, 2003