The HSE imposed a Crown Censure on The National Offender Management Service (NOMS) after Daniel Rooney committed suicide at HMP Bullingdon in Oxfordshire whilst awaiting sentence in September 2006. Crown Censure is an administrative procedure whereby Crown employers, who are immune from prosecution, can be brought to sanction by the HSE for breach of an Act which would have led to a prosecution but for the Crown Immunity. At around 7.45 pm Mr Rooney was found by a prison office with a noose around his neck trying to tie the end around a light fitting. He was moved to what was considered to be a safer cell at 8 pm. Mr Rooney was subsequently checked by staff three times in the following 40 minutes. However, he was found at 8.45 pm hanging from a ligature made from bedding tied to the shower rail support bracket. A subsequent investigation found that there were several points within the safer cell where ligatures could be tied. However, during investigations carried out by the Prisons and Probation Ombudsman and the Coroner, the history of the installation of the shower rail in the safer cell could not be determined. NOMS accepted the Crown Censure which found that on the date of Mr Rooney’s death, NOMS did not comply with section 3(1) HSWA 1974 and Regulation 5(1) Management of Health and Safety at Work Regulations 1999.