Lucia Ciccioli
PFD Report
Partially Responded
Ref: 2018-0148
1 of 4 responded · Over 2 years old
Response Status
Responses
1 of 4
56-Day Deadline
2 Sep 2018
Over 2 years old — no identified published response
About PFD responses
Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.
Source: Courts and Tribunals Judiciary
Coroner's Concerns
has has" The Plan) they
1) There is an inadequate cycle lane leading up to the traffic lights leading up to the traffic lights at the junction with LATCHMERE ROAD and ELSPETH ROAD (the cycle lane is coloured pink on the Reconstruction Plan):
2) There is inadequate protection generally for cyclists riding towards the junction with LATCHMERE ROAD and ELSPETH ROAD particularly for those cyclists that wish to go straight over the said junction towards LAVENDER HILL or for those cyclists that wish to turn right at that junction into LATCHMERE ROAD:
3) There is a box in the middle of the said junction (situated between position 3 and 4 on Reconstruction Plan) which causes concerns to when they are either proceeding straight on or turning right from the junction as they are prevented from legally stopping in the said yellow box:
4) There is no cycle lane provision in LAVENDER HILL immediately past the said junction:
5) The narrow aspect of LAVENDER HILL immediately past the said junction places cyclists in a vulnerable position when they arrive in LAVENDER HILL from the said junction:
6) dip in the road in LAVENDER HILL (between position 4 and position 5 on the Reconstruction Plan) is dangerous and is in need of urgent repair.
1) There is an inadequate cycle lane leading up to the traffic lights leading up to the traffic lights at the junction with LATCHMERE ROAD and ELSPETH ROAD (the cycle lane is coloured pink on the Reconstruction Plan):
2) There is inadequate protection generally for cyclists riding towards the junction with LATCHMERE ROAD and ELSPETH ROAD particularly for those cyclists that wish to go straight over the said junction towards LAVENDER HILL or for those cyclists that wish to turn right at that junction into LATCHMERE ROAD:
3) There is a box in the middle of the said junction (situated between position 3 and 4 on Reconstruction Plan) which causes concerns to when they are either proceeding straight on or turning right from the junction as they are prevented from legally stopping in the said yellow box:
4) There is no cycle lane provision in LAVENDER HILL immediately past the said junction:
5) The narrow aspect of LAVENDER HILL immediately past the said junction places cyclists in a vulnerable position when they arrive in LAVENDER HILL from the said junction:
6) dip in the road in LAVENDER HILL (between position 4 and position 5 on the Reconstruction Plan) is dangerous and is in need of urgent repair.
Responses
Response received
View full response
Dear May M1,
Both the GLA roads and the GLA side roads are also known as red routes due to them being marked with either single or double red lines_ The London Borough of Wandsworth (LBW) and TfL as traffic and highway authorities for the roads at the junction of Lavender Hill and Elspeth Latchmere Road will work together to reduce road danger through this junction. Both authorities are seeking to reduce collisions across London. In the Mayors Transport Strategy (March 2018) , TfL has committed to a 'Vision Zero' policy, which aims to eliminate all deaths and serious injuries from road collisions on London's streets by 2041_ On receipt of your report; officers from LBW and TfL met at the junction of the A3036 (Lavender Hill) with the A3220 (Elspeth Road Latchmere Road) to discuss the six matters of concern that you raised. Of these six matters, point (3) relates to a road for which TfL is both the highway authority and traffic authority, with the remaining points relating to roads for which LBW is the highway authority: Both TfL and LBW have and will continue to work collaboratively in relation to the concerns you have made. We set out below TfL's responses to your concerns_ Matters of Concern 1and 2 (LBW is highway authority & TfL_is_the_traffic authority)
1) There is an inadequate lane up to the traffic lights leading up to the traffic lights at the junction with LATCHMERE ROAD and ELSPETH ROAD (the cycle lane is coloured pink on the Reconstruction Plan}
2) There is inadequate protection generally for cyclists riding towards the junction with LATCHMERE ROAD and ELSPETH ROAD particularly for those cyclists that wish to go straight over the said junction towards LAVENDER HILL or for those cyclists that wish to turn right at that junction into LATCHMERE ROAD TfL recognises that dedicated left-turn lanes potentially increase road danger for cyclists proceeding straight ahead. We also acknowledge that the existing cycle feeder lane into the advance line is less than the minimum width recommended in the current version of the London Cycling Design Standards. However; the lane was compliant with the relevant standards that were in place when it was first implemented. Working with LBW; TfL will investigate, including traffic modelling, whether the dedicated 'left-turn' lane can be removed at this location, reducing the number of traffic lanes from three to two: This would enable the footway on the south side of the eastern arm of Lavender Hill to be widened, and the remaining two traffic lanes to operate as a near-side 'ahead and left-turn' lane, and an off-side dedicated 'right-turn' lane. The provision of an improved cycle feeder lane will also be considered as part of the revised design, with consideration of the constraints on the western arm (see also response to points 4 and 5, below). cycle leading stop cycle
Matters_of_Concern 3 (TfL_isboth _the_highway authority and traffic authority)
3) There is a yellow box in the middle of the said junction (situated between position 3 and 4 on The Reconstruction Plan) which causes concerns t0 cyclists when are either proceeding Straight on or turning right from the junction aS are prevented from legally stopping in the said yellow box: A yellow box has been provided at the junction to help prevent obstructions_ AlI vehicles, including pedal cycles, may only enter a yellow box When the exit is clear Our observations have indicated that junction does potentially experience exit blocking from adjacent junctions. Without the yellow box facility, vehicles would remain in the centre of the junction at the end of each traffic light green stage. Vehicles entering the junction during the next traffic light green stage would then need to navigate around those vehicles already in the junction This increases road danger; as inter-visibility between vehicles is reduced. For this reason, we consider that the yellow box should be retained_ Matters of Concern_4and 5_(LBW is_highway authority and TfL_is the_traffic authority)
4) There is no cycle lane provision in LAVENDER HILL immediately past the said junction
5) The narrow aspect of LAVENDER HILL immediately past the said junction places cyclists in a vulnerable position when they arrive in LAVENDER HILL from the said junction There is no existing cycle lane on the exit side of the western arm of Lavender Hill, because there is insufficient carriageway space given the need to accommodate general traffic progressing from the two existing straight-ahead lanes on the eastern arm of Lavender Hill: Providing a lane in this scenario could give cyclists a false sense of security as wider vehicles would need to enter the cycle Iane to avoid a collision with an adjacent vehicle_ However; if the proposal to change the layout on the eastern arm is feasible (as set out under our response to concerns 1 and 2 above), this would enable a cycle lane to be provided on the western arm, parallel to a single general traffic lane. We note that there is an existing loading bay adjacent to local businesses on the exit side of the western arm of Lavender Hill which is dedicated to loading between the hours of 1Oam and 4pm Monday to Saturday but can be occupied by any vehicle outside the hours of 7am to Zpm, Monday to Saturday: Cyclists must navigate around this box when it is occupied, bringing them into further potential conflict with adjacent traffic. Unfortunately; because the footway is narrow adjacent to this loading (excluding the private forecourt) , it prevents the loading being relocated off the carriageway. However, working with LBW, TfL will investigate whether the loading can be relocated to nearby Lavender Gardens or reduce the operating hours s0 that cyclists are less likely to encounter an occupied Any changes to the loading will require consultation with the local community_ they they the cycle bay bay bay bay: bay
Working with the LBW, TfL proposes to complete a revised design of the junction and set next steps by December 2019. Subject to public consultation, any necessary approvals, and available funding; construction could begin in 2020. Matters of Concern 6 (LBW is _highway authority)
6) The dip in the road in LAVENDER HILL (between position 4 and position 5 on the Reconstruction Plan) is dangerous and is in need of urgent repair: We understand that the dip has now been repaired.
Both the GLA roads and the GLA side roads are also known as red routes due to them being marked with either single or double red lines_ The London Borough of Wandsworth (LBW) and TfL as traffic and highway authorities for the roads at the junction of Lavender Hill and Elspeth Latchmere Road will work together to reduce road danger through this junction. Both authorities are seeking to reduce collisions across London. In the Mayors Transport Strategy (March 2018) , TfL has committed to a 'Vision Zero' policy, which aims to eliminate all deaths and serious injuries from road collisions on London's streets by 2041_ On receipt of your report; officers from LBW and TfL met at the junction of the A3036 (Lavender Hill) with the A3220 (Elspeth Road Latchmere Road) to discuss the six matters of concern that you raised. Of these six matters, point (3) relates to a road for which TfL is both the highway authority and traffic authority, with the remaining points relating to roads for which LBW is the highway authority: Both TfL and LBW have and will continue to work collaboratively in relation to the concerns you have made. We set out below TfL's responses to your concerns_ Matters of Concern 1and 2 (LBW is highway authority & TfL_is_the_traffic authority)
1) There is an inadequate lane up to the traffic lights leading up to the traffic lights at the junction with LATCHMERE ROAD and ELSPETH ROAD (the cycle lane is coloured pink on the Reconstruction Plan}
2) There is inadequate protection generally for cyclists riding towards the junction with LATCHMERE ROAD and ELSPETH ROAD particularly for those cyclists that wish to go straight over the said junction towards LAVENDER HILL or for those cyclists that wish to turn right at that junction into LATCHMERE ROAD TfL recognises that dedicated left-turn lanes potentially increase road danger for cyclists proceeding straight ahead. We also acknowledge that the existing cycle feeder lane into the advance line is less than the minimum width recommended in the current version of the London Cycling Design Standards. However; the lane was compliant with the relevant standards that were in place when it was first implemented. Working with LBW; TfL will investigate, including traffic modelling, whether the dedicated 'left-turn' lane can be removed at this location, reducing the number of traffic lanes from three to two: This would enable the footway on the south side of the eastern arm of Lavender Hill to be widened, and the remaining two traffic lanes to operate as a near-side 'ahead and left-turn' lane, and an off-side dedicated 'right-turn' lane. The provision of an improved cycle feeder lane will also be considered as part of the revised design, with consideration of the constraints on the western arm (see also response to points 4 and 5, below). cycle leading stop cycle
Matters_of_Concern 3 (TfL_isboth _the_highway authority and traffic authority)
3) There is a yellow box in the middle of the said junction (situated between position 3 and 4 on The Reconstruction Plan) which causes concerns t0 cyclists when are either proceeding Straight on or turning right from the junction aS are prevented from legally stopping in the said yellow box: A yellow box has been provided at the junction to help prevent obstructions_ AlI vehicles, including pedal cycles, may only enter a yellow box When the exit is clear Our observations have indicated that junction does potentially experience exit blocking from adjacent junctions. Without the yellow box facility, vehicles would remain in the centre of the junction at the end of each traffic light green stage. Vehicles entering the junction during the next traffic light green stage would then need to navigate around those vehicles already in the junction This increases road danger; as inter-visibility between vehicles is reduced. For this reason, we consider that the yellow box should be retained_ Matters of Concern_4and 5_(LBW is_highway authority and TfL_is the_traffic authority)
4) There is no cycle lane provision in LAVENDER HILL immediately past the said junction
5) The narrow aspect of LAVENDER HILL immediately past the said junction places cyclists in a vulnerable position when they arrive in LAVENDER HILL from the said junction There is no existing cycle lane on the exit side of the western arm of Lavender Hill, because there is insufficient carriageway space given the need to accommodate general traffic progressing from the two existing straight-ahead lanes on the eastern arm of Lavender Hill: Providing a lane in this scenario could give cyclists a false sense of security as wider vehicles would need to enter the cycle Iane to avoid a collision with an adjacent vehicle_ However; if the proposal to change the layout on the eastern arm is feasible (as set out under our response to concerns 1 and 2 above), this would enable a cycle lane to be provided on the western arm, parallel to a single general traffic lane. We note that there is an existing loading bay adjacent to local businesses on the exit side of the western arm of Lavender Hill which is dedicated to loading between the hours of 1Oam and 4pm Monday to Saturday but can be occupied by any vehicle outside the hours of 7am to Zpm, Monday to Saturday: Cyclists must navigate around this box when it is occupied, bringing them into further potential conflict with adjacent traffic. Unfortunately; because the footway is narrow adjacent to this loading (excluding the private forecourt) , it prevents the loading being relocated off the carriageway. However, working with LBW, TfL will investigate whether the loading can be relocated to nearby Lavender Gardens or reduce the operating hours s0 that cyclists are less likely to encounter an occupied Any changes to the loading will require consultation with the local community_ they they the cycle bay bay bay bay: bay
Working with the LBW, TfL proposes to complete a revised design of the junction and set next steps by December 2019. Subject to public consultation, any necessary approvals, and available funding; construction could begin in 2020. Matters of Concern 6 (LBW is _highway authority)
6) The dip in the road in LAVENDER HILL (between position 4 and position 5 on the Reconstruction Plan) is dangerous and is in need of urgent repair: We understand that the dip has now been repaired.
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you ANDIOR your organisation have the power to take such action in relation to the concerns raised above_ It is for each addressee to respond to the matters relevant to them.
Report Sections
Investigation and Inquest
On 26lh January 2018 Russell Caller; HM Assistant Coroner , conducted an Inquest into the death of Lucia CICCIOLI which occurred on Monday 24"h October 2016. Medical Cause of Death
1.(A): Multiple Traumatic injuries How, when and where and in what circumstances the deceased came by her death: The view of the evidence based upon photographs and CCTV and the evidence of the collision investigator was that the collision took place on Monday 24"h October 2016 just to the west of the cross road on LAVENDER HILL, junction with ELSPETH ROAD, leading westbound towards CLAPHAM JUNCTION Train station: Lavender Hill runs EAST to WEST across the road. North of the cross road is LATCHMERE ROAD and south Is ELSPETH ROAD vehicles passing through this junction are controlled by a system of automatic traffic lights (ATS). Pedestrians are provided with crossing on each four mouths of the junction: was clear and the road surface was wet: Friday
The circumstances of the collision are that Miss Lucia Ciccioli was cycling westbound on LAVENDER HILL, heading westbound through the ATS controlled cross road junction with ELSPETH ROAD. Miss Lucia CICCIOLI approached the road from lane one, which is & dedicated left turn lane into ELSPETH ROAD Approximately 20 metres west of the cross road junction the collision occurred. was driving westbound on LAVENDER HILL in a white/blue MAN; articulated lorry registration] He continued straight ahead from Iate two of LAVENDER HILL which is a dedicated lane for going straight ahead only. As Miss Lucia CICCIOLI exited the junction intending to head west (and not turning left into ELSPETH ROAD) she 'been struck by the MAN lorry approximately 20 metres past the junction. Miss Lucia CICCIOLI received fatal injuries as a result of the collision and died at the scene On Mondav 24Ih October 2016 at 08.12hours life was pronounced extinct by Attached to this report is a CCTV Reconstruction Plan "Reconstruction Plan") to assist with the description of the collision given above. Conclusion as to the death: Accidental Death
1.(A): Multiple Traumatic injuries How, when and where and in what circumstances the deceased came by her death: The view of the evidence based upon photographs and CCTV and the evidence of the collision investigator was that the collision took place on Monday 24"h October 2016 just to the west of the cross road on LAVENDER HILL, junction with ELSPETH ROAD, leading westbound towards CLAPHAM JUNCTION Train station: Lavender Hill runs EAST to WEST across the road. North of the cross road is LATCHMERE ROAD and south Is ELSPETH ROAD vehicles passing through this junction are controlled by a system of automatic traffic lights (ATS). Pedestrians are provided with crossing on each four mouths of the junction: was clear and the road surface was wet: Friday
The circumstances of the collision are that Miss Lucia Ciccioli was cycling westbound on LAVENDER HILL, heading westbound through the ATS controlled cross road junction with ELSPETH ROAD. Miss Lucia CICCIOLI approached the road from lane one, which is & dedicated left turn lane into ELSPETH ROAD Approximately 20 metres west of the cross road junction the collision occurred. was driving westbound on LAVENDER HILL in a white/blue MAN; articulated lorry registration] He continued straight ahead from Iate two of LAVENDER HILL which is a dedicated lane for going straight ahead only. As Miss Lucia CICCIOLI exited the junction intending to head west (and not turning left into ELSPETH ROAD) she 'been struck by the MAN lorry approximately 20 metres past the junction. Miss Lucia CICCIOLI received fatal injuries as a result of the collision and died at the scene On Mondav 24Ih October 2016 at 08.12hours life was pronounced extinct by Attached to this report is a CCTV Reconstruction Plan "Reconstruction Plan") to assist with the description of the collision given above. Conclusion as to the death: Accidental Death
Circumstances of the Death
The evidence was that Miss Lucia CICCIOLI moved from lane one ( dedicated to the left turn into ELSPETH Road) into lane two as she crossed the junction (position 3 on the Reconstruction cycling towards LAVENDER HILL where the road appeared to narrow and Lucia CICCIOLI travelled over a dip in the road where it appeared as if a pot hole had not been repaired which caused her to lose her balance and fall and collide with the MAN lorry: During the Inquest it was suggested that the cycle lane see area coloured pink on the Reconstruction Plan) was possibly misplaced and cyclists had difficulty in using the same due to its very close proximity to lane two particularly when large vehicles (in particular lorries) were in lane two. Notwithstanding that cyclists wished to remain in the centre of the road cyclists felt obliged to place themselves in lane one even though that was a dedicated route to the left into ELSPETH ROAD. Moreover, cyclists found it extremely difficult to keep to the middle of the road as crossed the junction due to an apparent "narrowing of the road" and a yellow box junction positioned in the middle of the junction (in which they could not legally stop) Further cause for concern was that there was a pothole positioned between position 4 and position 5 of the Reconstruction Plan which required urgent repair.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.