Sometimes the evidence at an investigation or inquest will show that something could be done to prevent future loss of life. If so, the coroner may announce that she will draw this to the attention of any person or organisation that may have the power to take action. This is sometimes referred to as a ‘PFD Report’.  The power to make such a report is found in the 2009 Act.
Anyone who receives such a report must send the coroner a written response within a prescribed time period. These reports and the responses to then are copied to the interested persons and the Chief Coroner. A summary of the reports is published twice a year by the Ministry of Justice and the reports are published on the Chief Coroner’s website.