FATAL ACCIDENT INQUIRY INTO THE DEATH OF BERNARD GRAHAM UNDER THE FATAL ACCIDENTS AND SUDDEN DEATHS INQUIRY (SCOTLAND) ACT 1976

Edinburgh , 11 October 2010 . The Sheriff, having considered the evidence adduced and submissions thereon at the Inquiry under the Fatal Accidents and Sudden Deaths Inquiry ( Scotland ) Act 1976 (hereinafter "the Act"), Determines:

(a) in terms of section 6(1)(a) of the Act that Bernard Graham (hereinafter "the deceased"), born on 4 May 1958, died between about 11 p.m. on 9 November 2009 and 8.25 a.m. on 10 November 2009 within Cell 8, Glenesk Hall, Her Majesty's Prison Saughton, Edinburgh;

(b) in terms of section 6(1)(b) of the Act that the cause of death was coronary artery thrombosis due to coronary artery atherosclerosis;

(c) in terms of section 6(1)(c) of the Act that there were no reasonable precautions whereby the death might have been avoided;

(d) in terms of section 6(1)(d) of the Act that there were no defects in any system of working which contributed to the death;