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#1 Posted : 10 January 2008 16:21:00(UTC)
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Posted By J Knight
Hi Folks,

Have you seen the story about the baby who was killed when the hot water heater in her parents' house exploded? The heater was around thirty years old at the time.

Now, HSE knew about the potential for this following earlier accidents, according to reports I read yesterday, but failed to act. They did nothing because, as one of their people said 'we sometimes get accused of scaremongering'.

Do I blame HSE? Not entirely no. I blame the meeja for this, and their silly, tawdry elf-and safety bashing culture. What they have to realise, what they have to be told, is that its not about making tightrope walkers wear hard hats; its about saving life.

Which, after all, is more than most journos can aspire to,

John
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#2 Posted : 10 January 2008 16:49:00(UTC)
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Posted By GeoffB4
How on earth can you blame the media for the horrific death of a child through scalding?

More to the point who is going to prosecute the HSE for their inaction in this case?
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#3 Posted : 10 January 2008 16:56:00(UTC)
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Posted By J Knight
I can blame the media (at least in large part) because they have created a climate which evidently makes it impossible for HSE to play its proper role for fear of political repercussions. HSE did nothing because they are 'accused of scaremongering'. These accusations lead indirectly to HSE's powerlessness in the face of budget cutting and constant regulatory review. Its what happened to OSHA in the USA, now its happening here.

The meeja gets a laugh out of elf and safety stories, but in doing so they are creating a moral climate where HSE, and people like me, find it difficult to do our jobs.

We can blame HSE, they should have had the moral courage to act and take the flack, but we also need to be clear that HSE didn't act because of a climate created by the meeja,

John
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#4 Posted : 10 January 2008 21:30:00(UTC)
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Posted By db
I don't know too much about the causes etc. of this but is one incident enough to suggest a major problem with all of these thermostats? Or is there more to it?
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#5 Posted : 10 January 2008 21:52:00(UTC)
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Posted By Sarah Sahc
A similar incident happened in Cornwall some months earlier it seems - and the elder lady died of severe burns. If this incident has happened in 2 properties (at least) then there is cause for concern for all properties built around this time with this system - The enforcement agencies therefore have a responsibility to make all potential comparable property owners/tenants or system users aware of the risk.

Overall the media plays a very damning role when it comes to H&S and it is responsible for the negative culture of attitude - media is the prominent information provider and our attitudes are shaped by what we perceive is happening or is being reported - I have never seen the headline which says that 'Health & Safety Saves Lives!'. The HSE in my opinion is understaffed and ill-financed contributing further to the lack of understanding of the importance of H&S to everyone.
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#6 Posted : 11 January 2008 08:56:00(UTC)
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Posted By Brigham
The HSE knew of this problem because a similar system had exploded. They took no real action apart from sending round a memo.
Now if this is roughly true and you put the boot on the other foot, how do you think the HSE would react to a similar sort of scenario in the workplace if you, as the safety manager said to them "well I knew it happened elsewhere and it could happen here but I only mentioned it in the passing to my boss but didn't think it that important?"
Of course the HSE are to blame for not raising this issue and to say that they didn't want to scaremonger beggars belief. I'd like to see you using that one in court as the HSE prosecute you! There again, you could always blame the press for over-reacting to "elf & safety"
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#7 Posted : 11 January 2008 09:18:00(UTC)
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Posted By GeoffB4
Exactly Brigham. To blame the press for the inaction of the HSE is a ridiculous concept.

So back to my question, who is going to take action against the HSE?

If the CPS aren't willing to, then should some safety related body push for them to be prosecuted?
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#8 Posted : 11 January 2008 09:27:00(UTC)
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Posted By db
Hang on though, are they to blame per se? Isn't the council getting off scot free when they say that "nobody told us to check thermostats that were 30 years old and anyway we didnt have ladders" and probably couildnt use them because HSE have banned ladders no doubt.

Come on. Proper routine maintenance is required. These types of problems have warning signs a long time before a catastrophic incident like this - warm weater in the cold taps, noises in the system etc. - which the council has admitted was the system used to highlight problems. The tragedy is that this family had just moved into the house and may not have been aware of them.

Is HSE at fault for not producing a safety alert? Yes. Are they to blame for this incident? Definitely not. It is the council's duty to ensure maintenance is carried out.

It cannot be compared to the scenario above;
"how do you think the HSE would react to a similar sort of scenario in the workplace if you, as the safety manager said to them "well I knew it happened elsewhere and it could happen here but I only mentioned it in the passing to my boss but didn't think it that important?"

That's the whole point - HSE is not in control. They were wrong but what will you prosecute them under? Section 3? How can you prove that even if they did tell the council that they would have taken the decision to change all thermostats? Have all council's done this since the day the accident happened? I don't think so.
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#9 Posted : 11 January 2008 09:44:00(UTC)
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Posted By Brigham
"How can you prove that even if they did tell the council that they would have taken the decision to change all thermostats? Have all council's done this since the day the accident happened? I don't think so."

What a load of cobblers, get real! If we all took that attitude no-one would do anything anymore!

If the HSE had raised this as a serious issue with the local authorities through "HELA" meetings, don't you think action might have been taken? They had a duty and they failed in that duty. Had they fully informed the local authorities and they then did nothing, then they would be to blame. There is no excuse for not escalating this problem to the correct level of importance.
And why can't it be compared to the scenario I gave earlier? Please explain.
The press are not to blame, it's the people in responsible positions who are too scared to do their job properly for fear of being abused by the press. This is not an excuse in my mind! Heat and kitchen springs to mind...
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#10 Posted : 11 January 2008 09:47:00(UTC)
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Posted By J Knight
Brigham,

It was HSE themselves who said they didn't want to raise the issue for fear of being accused of scaremongering. And you can't compare the HSE's public face with their approach in private as a regulator. If your firm, or mine, was to be caught bang to rights in a flagrant breach, they would go for us essentially in private. This aspect of their work, the life-saving bit, is, as has been pointed about above, something the press never ever talks about. So we have a social climate where H&S is publicly ridiculed. The public arena is the political arena. There is a concerted and sustained attack on HSE from right wing commentators like Richard Littlejohn and Jeremy Clarkson, and the fruits of this attack are beginning to show. HSE is becoming wary about discharging its public duty. Wake up and smell the coffee.

Of course they should have acted, and some of the blame is theirs, but I for one can't ignore what's happening in a wider political arena,

John
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#11 Posted : 11 January 2008 09:51:00(UTC)
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Posted By Lilian McCartney
I don't know enough about this case to comment but there are ways to get info out there wihtout casuing alarm and ensuring that some sort of checks are carried out.

Several years ago there was a accident involving a grid in a swimming pool. The LA involved passed the info round and (certainly where I worked) we checked our grids to see if they were of the same type - just in case the what if's happend in our pools.
I can't recall any over the top media or HSE involvement in the info passing.
Surely with all the professional bodies and IT systems we can communicate urgent info?

Lilian
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#12 Posted : 11 January 2008 10:25:00(UTC)
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Posted By db
Brigham
Please keep your insults to yourself. This forum is for opinions and I did not suggest your opinion was cbblrs just because it was different to mine.

I didn't blame the media at all. My point is the duty to carry out maintenance is with the council and not HSE. I can tell you for a fact that not every council has gone out and changed every single thermostat in every single property as a result of this incident.

The council in question had a reactive policy - would that have changed if there was a safety alert? Possibly. Would they have changed every single thermostat? Probably not, or it would have taken time if they did plan to - they would still have relied upon the householder to tell them about problems. Would routine maintenance on this one paricular house have resulted in the problem being fixed? Who knows? That would depend on the time between maintenance checks and whether it shows signs of failing for some time before a catastrophic event.

Either way, HSE is not culpable for the incident. Was there a failing on the part of HSE? Yes there probably was but was there any evidence from one incident that there was a problem in every single thermostat? No-one, other than those close to the investigation can say for sure. HSE comes across many incidents -do you put out an alert for all of them? As a result of one accident in .. how many homes are there in the country.. how long have thermostats been used?

This is taking the press quite nicely off the council - lets blame the media, lets blame the government. Who had the duty for maintenance in the house?
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#13 Posted : 11 January 2008 10:27:00(UTC)
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Posted By Brigham
"HSE is becoming wary about discharging its public duty. Wake up and smell the coffee."

That comment you made is no excuse. As I said in my last post, heat, kitchen! And as for your comment about the HSE going for us in private, you're having a laugh. Does naming and shaming mean anything to you? Does Corporate Manslaughter etc. spring to mind when companies can be forced to declare prosecutions in public.
Oh, I love the smell of coffee...
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#14 Posted : 11 January 2008 10:31:00(UTC)
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Posted By Brigham
DB
I wasn't insulting you, I have no need to.

Thanks
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#15 Posted : 11 January 2008 10:45:00(UTC)
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Posted By Pete Longworth
I'm with db on this one. How many instances of boiler explosions due to faulty thermostats of this type do we know of. 2 have been mentioned oh here. Are there any more? Certainly know one on here knows the answer to that question. How do we know if the fault is an intrinsic design fault with the thermostat or just one or two faulty thermostats out of possibly millions around the country. Yet without a shred of evidence we are assuming that the HSE are completely derelict and calling for them to be prosecuted and no doubt the culprits publicly flogged. (I suspect there are some on here that have other axes to grind with the HSE).
The truth is that proper maintenance procedures should be able to highlight and eliminate these problems and who is responsible for those? I think if looking for dereliction of duty then look no further than the local authority
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#16 Posted : 11 January 2008 10:55:00(UTC)
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Posted By Stupendous Man
Responsibility for this sad incident lies fimly at the door of the local authority. Relying on a reactive maintenance regime is simply not god enough.

Was the HSE wrong not to put out an altert following the previous incident? I'm not so sure - can you imagine how much paperwork would be flying around if the HSE reported all issues of this nature based on one occurrence?

We say that the HSE should have done something with the benefit of hindsight - which is very easy to do.
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#17 Posted : 11 January 2008 11:04:00(UTC)
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Posted By Pete Longworth
Every time there is a serious accident in someone's home due to a faulty appliance the HSE have to investigate and send out a general safety alert. Yeh right. It's just not going to happen. You can imagine the headlines then. "HSE ties up the whole country in needless investigations!!!!."
Cost cutting or inefficiency at the local authority is to blame here.
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#18 Posted : 11 January 2008 12:12:00(UTC)
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Posted By Chris Ivan
with regards to the media, its an unpleasant irony that last year record numbers of journalists were killed across the world in the line of their reporting duties (c250 i believe), so you would think that they might change their attitudes!

anyway, my tuppence worth thrown in.
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#19 Posted : 11 January 2008 12:46:00(UTC)
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Posted By alex mccreadie


Folks lets not forget a baby was scalded to death here.
The Deputy Prime Ministers Office was given a report from the HSE on the Cornwall Incident. (No Action taken.)
The family of the baby are now looking into a private prosecution against who, has not been released.
As a Father and Grandfather Lets hope someone pays but please do not fall out over it.

Ta Alex
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#20 Posted : 11 January 2008 13:17:00(UTC)
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Posted By holmezy

I've read, with interest, the points and comments made on this thread and have decided to jump in with my tuppence worth.

Firstly, the boiler didnt explode. The hot water in this case was generated via an immersion heater in a calorifier, (or hot water cylinder). The thermostat on the immersion heater developed a fault which caused the water in the calorifier to keep boiling which then produced steam, initially and then a volume of 100+ degrees water to be forced up the expansion pipe and into the cold water header tank. As the hot water is expelled, it is replaced by water from the header tank. There may even be ingress of fresh cold water to the system via the ball valve to replace the water lost in steam. This cycle then continues, due to the thermostat being continually "on" until the boiling water and potetially superheated steam in the header tank expands so much that the overflow on the header tank cannot remove the water quicker than it is being introduced to the system and hence the tank will then overflow, and depending on the design (plastic) age and condition of the tank, may cause the tank to distort or "melt". The end result is boiling water escaping from the header tank and soaking the ceiling below and eventually breaking through.
Secondly, this has happened many times before, not only in council homes but private homes. (I know from my previous life as a plumber) and usually the water drips through the bathroom ceiling during the night and harms no one. As it was at night and in the bathroom, no one got hurt.

Unfortunately, on this occasion, and a previous occasion involving a young woman, the water tank was positioned over a bedroom. The baby was, (I think) in a cot and as such couldn't escape, although I would think that a sudden deluge of boiling water would render infant either in shock or death, both of which would be rapid.

It is an extremely unfortunate accident, with extreme consequencies, but is it the HSE's fault? I don't think so. Should they have warned the council(s) or raised their concerns? possibly. Would or did the councils take any action on checking the thermostats out in the 1000's of properties? Probably not. You can go and check a thermostat every day of the year, but when it fails, it fails. Its a bit like a light bulb, it either works or doesnt. Nowadays, most, if not all thermostats should fail to safety (???), but there must be thousands out in the homes of council tenants and private tenants that "may" fail to danger, ie "on", I know my kettle boiled dry when it failed.
My point after all this, is why do we have to look for someone to blame? By all means establish the cause. We could potentially blame designers, builders, plumbers etc for siting a header tank over a bedroom, we could blame the thermostat manufacturers, where do we stop? The press make a living out of blaming people, surely we should be better than them at least?
So we now all know about the potentially low liklihood that we all may have a potentially rogue thermostat on a potentially rogue immersion heater that may fail to danger with potentially fatal consequencies. As people keep telling us, do the risk assessment! Are we all going to go home a check the thermostat tonight, the position of the header tanker, position of the beds etc. I think not. And if you are going to check it, what and how are you going to check? And how often?

(Steps down of soap box and retires quietly to the corner of the room, fully expecting to be lambasted by someone shortly......)

Thanks for listening though..

Holmezy

Sod the diet, tonight I'm having a pint or two of the most calorie laden ale I can find.
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#21 Posted : 11 January 2008 13:52:00(UTC)
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Posted By Colin Reeves
Holmezy et al.

The problem here was twofold. Firstly a thermostat failed "on". This happens, as others have said, like a light bulb.

The second problem was that the cold water tank in the attic was constructed of a lightweight plastic which deformed and then split with the hot water overflowing into it.

All tanks in attics have overflows, so if this had been a metal tank there would have been no accident. However, the plastic could not stand the heat. This incident was caused, as usual, by more than one factor.

Such plastic tanks in the attic are commonplace, both in private and council dwellings.

The "fault" could be laid at the door of the supplier of "cold" water tanks that cannot take hot water. The fault could be laid at many doors, even architects who designed and specified these houses!

The only advantage of what has happened is that people are now aware of the problem and, hopefully, will look to their own houses (either as individuals or as landlords) and modify as needed.

Certainly I will be looking in the attic this weekend at my cold water tank to see if it is plastic!!

Colin
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#22 Posted : 11 January 2008 14:14:00(UTC)
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Posted By holmezy
Colin,

I think you have just para-phrased my posting?

I take it that you agree?

Holmezy

Pedigree is probably favourite, but Bass stands a fair chance!
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#23 Posted : 11 January 2008 14:59:00(UTC)
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Posted By steve e ashton
I must have missed something... When did HSE get saddled with responsibility for consumer safety or trading standards? What on Earth have HSE got to do with this tragic case / set of circumstances?

The Executive were set up under the H. & S. @ W. etc. Act. Importantly - 'AT WORK'. Once the 'work' has been done safely (installation in a domestic property) - then HSE interest is (or should be) zero. Subsequent maintenance or whatever- is (surely?) nothing to do with them.

Despite what the papers say.

Steve
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#24 Posted : 11 January 2008 16:42:00(UTC)
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Posted By Tony abc jprhdnMurphy
Holmezy

The blame in this case is justified. You gave a thorough account of this tale and I for one feel strongly that the positioning of any vessel which may overflow, particularly as it contained a hazardous substance(boiling water) should not have been over an area where people may sleep. what was wrong with a stairwell?

Once again, poor planning leading to a failure in the system
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#25 Posted : 11 January 2008 18:05:00(UTC)
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Posted By Pete48
How interesting, that a group of people supposedly interested in improving safety and who all too often preach to people that "no blame" is the best way to learn lessons, should spend quite so much time trying to locate blame wherever they think it fits best.

So what was it that is being suggested about how to prevent a recurrence of this tragedy?

And we wonder why people find us difficult to understand and accept.
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#26 Posted : 11 January 2008 20:48:00(UTC)
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Posted By holmezy
Tony ,Pete,

I still dont accept that blame is justified, even in this case. There must be millions of homes that have a "cold" water header tank over a bedroom, and the chances of the fault occurring and all the other factors being present are "millions to one". If you were to assess any other activity and come up with such a liklehood then it would be low risk. By all means suggest to householders to check the thermstats, but for what? and would they know what they were looking for if it was at fault? Commission "Plumbers R us" to sweep the country and check every household, but at what cost? Would that be reasonably practicable?
As for what we should do to stop it happenning again, well we perhaps need to lobby parliament to get the building regs changed? Enforce building inspectors to check every new build? Its not going to happen!!
As I said in my previous post, as an ex plumber, I know that it happens far moor often than the 2 cases highlighted on this occasion but it still is a low risk. I know its sad, and the parents quite rightly want closure or blame apportioned, I understand that, however its also very sad every time a child steps off the pavement and gets hit by a car (which incidentally happens at a far greater rate than thermostats failing), but we dont call for every road to be barriered off, cars to go at 4mph, front ends of cars to be made of sponge etc etc. Its not reasonably practicable to do, nor is it RP to check or change every thermostat. The HSE were not the only ones to know about the possible fault. Councils knew, householders knew, thermostat suppliers knew, even coroners knew.Its not the remit of the HSE to police private or council tenants. Perhaps no one was to blame, perhaps it was a genuine oversight? Perhaps no one is right and no one is wrong?
Exactly what do you suggest we do to stop it re-occuring? Councils may now take the decision to change every thermosat in every council house, all at a cost, but what about private householders?
Answers on a postcard.

Holmezy

Hic....here goes another one!!
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#27 Posted : 12 January 2008 22:06:00(UTC)
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Posted By Claire Rizos
Just to add a couple of points. These plastic tanks are designed to hold boiling water for 24 hrs before failure, provided that they are fully supported. As the tanks are round and often supported on a couple of planks you can see why it split. If it were to last 24 hrs there would be plenty of warning of something seriously wrong as steam and boiling water would be spitting out of any hot tap opened.

At least you don't have to be a plumber to see whether your water tank is fully supported right up to the edges. So whilst you may struggle to tell if a thermostat incorporates a high temperature cut out, I would urge you to do this at least in your own home.

Secondly, just to point out that there was an MDA Alert circulated following a similar incident last Summer so those of us in healthcare would at least have known of it.

Claire CMIOISH and trainee plumber!
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#28 Posted : 14 January 2008 13:04:00(UTC)
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#29 Posted : 19 January 2008 02:14:00(UTC)
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Posted By Will C
Hi all,

What gets me about all this is the failure of the media to actually report what exactly went wrong and let us, the public know how we can check and prevent this from happening.

So far the BBC has reported 'boiler explosion', 'burst pipes', 'water tank that exploded', 'part of the heating system failed' and 'faulty boiler'. It has taken me ages to find out that it was caused by a plastic header tank for hot water immersion heater melting above the childs bed.

Once I found this out I checked in my attic and low and behold a plastic header tank about 2 feet from being directly over my 2 year old sons bed. It has no side supports so if the water did heat up it would eventually deform and leak through the ceiling below. And there was I thinking 'we don't even have a boiler , it couldn't happen to us'. Lots of people who have small immersion tanks (like us) have their thermostats turned up high in order to be able to have a bath that fills more than a few inches of water. Our thermostat doesnt even have temperatures marked on it just Max and Min markings. (Max seems to be around 90 degrees)

Where do people get the idea that hot water coming through the cold taps would act as a warning? Most peoples cold water comes straight from mains and has nothing to do with the hot water header tank.

Even the HCE warning ( http://www.hse.gov.uk/press/2008/e08001.htm )falls terribly short of explaining what people need to check i.e. location of header tank, whether it is plastic, if so is it adequatly supported, thermostat should NOT be above 65 degrees C (to allow for margin of error), and that a thermostat over 10 years old will be much more inaccurate than when new (setting to 80 degrees could cause the water to boil, with a 20% error margin)

It seems that we may see more of this happening as the systems fitted with plastic tanks are starting to be over 30 years old, most people don't change their thermostats if their water is nice and hot.

The biggest thing the media and HCE need to do is give us the information we need to be able to protect ourselves whilst making sure those not in a position to do so receive the help they need to ensure they are safe.
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#30 Posted : 21 January 2008 09:43:00(UTC)
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Posted By Colin Reeves
Will

"Where do people get the idea that hot water coming through the cold taps would act as a warning? Most peoples cold water comes straight from mains and has nothing to do with the hot water header tank."

This may be the case in more modern houses, but the vast majority of houses were built under older rules where only the kitchen tap was connected to the rising main, with all other cold taps being fed from the header tank in the attic - the same header tank that collects the overflow from the hot water tank.

In this particular case, the cold taps in the house WERE producing hot water. However, cannot blame the parents as it was their first day in the house and they will have had other matters on their mind to wonder why hot water was coming out of the tap.

Colin

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