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SAS selection deaths: Coroner's rulings under way SAS selection deaths: Coroner's rulings under way
(35 minutes later)
A coroner investigating the deaths of three army reservists who were on an SAS selection exercise has begun delivering her findings. Staff running an SAS selection exercise on the day three reservists died were inadequately prepared and briefed, a coroner has said.
L/Cpl Craig Roberts, died from the effects of heat exhaustion during the Brecon Beacons march on one of 2013's hottest days. L/Cpl Craig Roberts died of multiple organ failure as a result of hyperthermia during the Brecon Beacons march on one of 2013's hottest days.
L/Cpl Edward Maher and Cpl James Dunsby also collapsed and later died from hyperthermia. L/Cpl Edward Maher and Cpl James Dunsby also collapsed and later died from the effects of over heating.
Coroner Louise Hunt said: "I'm not here to apportion blame". Coroner Louise Hunt said the hike's risk assessments were inadequate.
The hearing in Solihull, West Midlands, has heard Cpl Dunsby would have been suffering signs of heat illness when he passed the penultimate check point but staff missed it. The hearing in Solihull, West Midlands, has heard Cpl Dunsby, of Bath, would have been suffering signs of heat illness when he passed the penultimate check point but staff missed it.
It has also heard the test was the second time L/Cpl Roberts and L/Cpl Maher had attempted SAS selection. Ms Hunt said: "Those running this march were fundamentally under-briefed. They did not fully understand the risk of heat illness, and the emergency plan was inadequate.
The inquest into their deaths sat for four weeks before adjourning for Ms Hunt to consider her conclusions. "I consider the briefing to those running the march to be inadequate as it failed to include weather conditions, the risk of heat injury and the reporting of reasons for medical withdrawals should they occur.
"It also failed to include plans to evacuate any casualties," she said.
Ms Hunt said the medical plan for the march was not good enough, water supplies were insufficient and the risk assessment did not identify the correct hospital for treatment.
There should have been closer liaison with emergency services to avoid multiple 999 calls and signal problems meant calls were cut off, leading to delays in getting to casualties, she said.
Ms Hunt added the reservists were not adequately conditioned for the march, unlike regular soldiers, but all three were fit.
The test was the second time L/Cpl Roberts, from north Wales, and L/Cpl Maher, of Winchester, had attempted SAS selection.
The inquest into the three reservists' deaths sat for four weeks before adjourning for Ms Hunt to consider her conclusions.
The closing submissions at the hearing raised the issue of whether the coroner could consider a verdict of unlawful killing.The closing submissions at the hearing raised the issue of whether the coroner could consider a verdict of unlawful killing.
Other issues of consideration include whether there was a gross failure on the part of the Ministry of Defence in ensuring that the exercise was carried out safely. Other issues of consideration include whether there was a gross failure on the part of the Ministry of Defence in ensuring the exercise was carried out safely.