As is common at domestic matches in England, opposing supporters were segregated. Nottingham Forest supporters were allocated the South and East ends with a combined capacity of 29,800. Liverpool supporters were allocated the North and West ends, holding 24,256 fans.
When the gates were opened, thousands of fans entered a narrow tunnel leading to the rear of the terrace into two overcrowded central pens, creating pressure at the front. Hundreds of people were pressed against one another and the fencing by the weight of the crowd behind them. People entering were unaware of the problems at the fence; police or stewards usually stood at the entrance to the tunnel and, when the central pens reached capacity, directed fans to the side pens, but on this occasion, for reasons not fully explained, did not.
For some time, problems at the front of the pen went unnoticed, except by those affected, as attention was absorbed by the match. At 3:06 pm the referee, Ray Lewis, on the advice of the police, stopped the match after fans climbed the fence in an effort to escape the crush and went onto the track. By this time, a small gate in the fence had been forced open and some fans escaped via this route, as others continued to climb over the fencing. The police attempted to stop fans from spilling onto the pitch. Other fans were pulled to safety by fans in the West Stand above the Leppings Lane terrace. The intensity of the crush broke the crush barriers on the terraces. Holes in the perimeter fencing were made by fans desperately attempting to rescue others.
Those trapped were packed so tightly in the pens that many victims died of compressive asphyxia while standing. The crowd in the Leppings Lane Stand overspilled onto the pitch, where many injured and traumatised fans congregated who had climbed to safety. Police, stewards and members of the St John Ambulance service were overwhelmed. Many uninjured fans assisted the injured; several attempted CPR and others tore down advertising hoardings to use as stretchers. Chief Superintendent John Nesbit of South Yorkshire Police later briefed Michael Shersby MP that leaving the rescue to the fans was a deliberate strategy, and is quoted as saying "We let the fans help so that they would not take out their frustration on the police" at a Police Federation conference.
Liverpool fans desperately try to climb the fence onto the safety of the pitch while being stopped by the police.As events unfolded, some police officers were still deployed making a cordon three-quarters of the way down the pitch to prevent Liverpool supporters reaching the opposing supporters. Some fans tried to break through the cordon to ferry injured fans to waiting ambulances but were forcibly turned back. 44 ambulances arrived, but police prevented all but one from entering the stadium.
Only 14 of the 96 fatally injured people arrived at hospital.
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