Bartosz Kusiak
PFD Report
All Responded
Ref: 2020-0139
All 1 response received
· Deadline: 4 Sep 2020
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56-Day Deadline
4 Sep 2020
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Source: Courts and Tribunals Judiciary
Coroner’s Concerns
The MATTERS OF CONCERNS are as follows: The evidence established that the collision between Mr Kusiak and a motor vehicle occurred on an unlit dual carriageway subject to the national speed limit that runs alongside a housing estate and an industrial estate in Belmont. It is foreseeable that pedestrians will attempt to cross the road. The evidence established that at the point in the road where the impact occurred, a pedestrian was visible to a car being driven appropriately with headlights on and well within the prescribed speed limit only at a distance of 29 metres. The emergency stopping distance for such a car is between 75 and 87 metres. There is no footpath alongside the A690 along the stretch where the accident occurred. The circumstances of this incident were discussed with police at a Durham County Council Traffic Management meeting on 14th February 2020 when recommendations were made to improve the safety of the road where the incident occurred.
Responses
Response received
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Dear Mr Longstaff
Regulation 28 – Mr Bartosz Cezary Kusiak (Inquest 31st January 2020)
Thank you for your letter and Regulation 28 report dated 10th July 2020. This was a tragic accident and the Council wishes to express its sincere condolences to the family and friends of Mr Kusiak.
The council is aware of the concerns expressed about this section of the A690 and have reviewed safety issues on a number of occasions, most recently in the form of an independent consultant’s report. The council remain of the view that there are no fundamental issues with this section of road which need to be addressed; however, a number of minor beneficial improvements have been identified and implemented as a result of a previous accident. These are listed in the Table 1 below.
In accordance with Regulation 28 the council has considered whether any highway improvements can be made to the A690 between Gilesgate Roundabout and Junction 62 of the A1(M).
Site Investigation Following Fatal Accident Report
The Council has an Accident Investigation and Prevention Team and one of its roles is to investigate every fatal road traffic accident, on the council’s highway network, in conjunction with Durham Constabulary’s Traffic Management Unit. Please find attached a copy of the Accident Report (M_T_S04_20 (002)). These reports are undertaken to identify any defects or improvements to the highway street furniture and infrastructure.
The report made the following observations / recommendations.
Table 1
No. Observation / Recommendation Action 1 With reference to Fatal Road Accident Report M/T/S09/19, following a similar incident on the south-westbound carriageway, the Police requested an assessment of this section of road to determine whether the provision of street lighting should be considered, particularly in the vicinity of the pedestrian crossing point. This request was subsequently passed to Durham County Council’s Street Lighting Section for their deliberation. It is recommended that the outcome of these deliberations be presented for review at the earliest convenience. This matter has been discussed with both Traffic Assets Team, Street Lighting Team and Strategic Highways Team in relation to the provision of street lighting and footways. As a result of these discussion it has been agreed that an independent road safety assessment will be commissioned at the earliest possibility. The results of which will be reviewed and discussed further with our partners, Durham Constabulary. 2 In addition to the request outlined in Item 1, the Police have also asked if a similar assessment process can be undertaken in consideration of footway provision adjacent to this section of the A690. This matter has been discussed with both Traffic Assets Team, Street Lighting Team and Strategic Highways Team in relation to the provision of street lighting and footways. As a result of these discussion it has been agreed that an independent road safety assessment will be commissioned at the earliest possibility. The results of which will be reviewed and discussed further with our partners, Durham Constabulary.
Any deteriorating road markings and missing/damaged road stud inserts should be recovered as part of the Council’s ongoing maintenance programme at the earliest convenience. Information contained within this report regarding the condition of road markings and missing /damaged road studs has been raised with the Traffic Assets team. Although not a contributory factor and still retaining some residual life, they will arrange for the renewal of road markings to be considered as part of future routine maintenance.
Independent Road Safety Assessment Report
1. As identified in the above actions an independent road safety assessment has been carried out to assess the appropriateness of introducing street lighting along the A690 and a pedestrian route review. Please find attached a copy of the independent consultant’s report A690 Safety Review (60343839_AEC_L1_RP_ZZ_00-005)
The report includes the following key actions and recommendations.
Table 2
No. Action Recommendation 1 Appropriateness of introducing street lighting on the A690 between Gilesgate and A1(M) Junction 62. A Cost / Benefit Analysis (C/BA)of a street lighting scheme between Gilesgate and the C13 Belmont Link Road junction, with costs estimated at £1.65 million discounted to 2010 prices, resulted in a Benefit Cost Ratio (BCR) of 1.01. This means the investment would be cost neutral with no positive return on the investment, particularly as the lighting appraisal undertaken in accordance Department of Transport Document TA 501 (Road Lighting Appraisal) does not include non- lighting costs that would be required, for example provision of a footway and associated fencing along the length of the A690.
2 Review of pedestrian footway provision along the A690. The predominant movements between trip generators in the area are provided for via existing footway / footpath routes including:
• the A690 footbridge, approximately 250m north- east of Gilesgate roundabout, towards Heaviside Place and the wider residential network parallel to the A690;
• Station Road towards Heaviside Place and the wider residential network; and
• Gilesgate, south-east of Gilesgate roundabout
There are footpaths running along section of the A690 that provide access to the dual carriageway, including immediately east of the A690 footbridge and on the westbound onslip at the C13 Belmont Link Road junction. Given there are designated alternative, street lit routes alongside the A690, if access to the A690 could be pro-actively discouraged and the footbridge access to Heaviside Place promoted then the A690 could be seen as a less attractive route. A proposed scheme with a reported BCR of 26.1 is presented to physically prevent/segregate pedestrians from the A690, including guardrail adjacent to the southern kerbline approaching Gilesgate Roundabout, signing of the A690 footbridge pedestrian route and fencing to segregate pedestrians using the footpath north east of the footbridge.
Based on the above recommendation, the council proposes the following course of action:
• It is not proposed to promote the high speed A690 dual carriageway as a pedestrian route through the introduction of street lighting and footways, acknowledging the council provides a footway / footpath network on parallel street lit, lower speed roads. The independent C/BA concludes the investment in street lighting in isolation would be broadly cost neutral and not deliver a return on the investment. It is also noted the addition of a parallel footway and fencing for segregation on the A690 would invite a higher overall scheme cost.
• The council is committed to reducing the potential for similar accidents to occur. To that end the recommendation in the independent consultant’s report is accepted to introduce interventions to proactively deter access to the A690 dual carriageway and promote existing pedestrian routes. These measures include:
o Proactively signing the Gilesgate area via the footbridge from the northern footway of the A690; o Guardrail and wayfinding signs to discourage pedestrian access to the south- westbound carriageway and south-eastern verge, between Gilesgate Roundabout and Station Lane; o Based on the footpath north-east of the footbridge being retained, foliage clearance to improve access to the footpath and a timber post and rail fence to discourage access to the A690 from this path beyond the footbridge; and o Removal of access to the public footpath on the south-westbound on-slip at the C13 junction.
It is the intention of the council to install the above-mentioned measures by 31 March
2021. This timescale reflects the backlog in the council’s highway works caused by the Covid 19 Lockdown measures and the closure of New Elvet Bridge which has made the A690 a priority route for emergency service vehicles.
I wish to offer my condolences to Mr Kusiak’s family and friends on their loss. I hope the above goes some way towards offering a considered response to your correspondence.
If you would like to discuss response this further, please contact on telephone number or by email at
Regulation 28 – Mr Bartosz Cezary Kusiak (Inquest 31st January 2020)
Thank you for your letter and Regulation 28 report dated 10th July 2020. This was a tragic accident and the Council wishes to express its sincere condolences to the family and friends of Mr Kusiak.
The council is aware of the concerns expressed about this section of the A690 and have reviewed safety issues on a number of occasions, most recently in the form of an independent consultant’s report. The council remain of the view that there are no fundamental issues with this section of road which need to be addressed; however, a number of minor beneficial improvements have been identified and implemented as a result of a previous accident. These are listed in the Table 1 below.
In accordance with Regulation 28 the council has considered whether any highway improvements can be made to the A690 between Gilesgate Roundabout and Junction 62 of the A1(M).
Site Investigation Following Fatal Accident Report
The Council has an Accident Investigation and Prevention Team and one of its roles is to investigate every fatal road traffic accident, on the council’s highway network, in conjunction with Durham Constabulary’s Traffic Management Unit. Please find attached a copy of the Accident Report (M_T_S04_20 (002)). These reports are undertaken to identify any defects or improvements to the highway street furniture and infrastructure.
The report made the following observations / recommendations.
Table 1
No. Observation / Recommendation Action 1 With reference to Fatal Road Accident Report M/T/S09/19, following a similar incident on the south-westbound carriageway, the Police requested an assessment of this section of road to determine whether the provision of street lighting should be considered, particularly in the vicinity of the pedestrian crossing point. This request was subsequently passed to Durham County Council’s Street Lighting Section for their deliberation. It is recommended that the outcome of these deliberations be presented for review at the earliest convenience. This matter has been discussed with both Traffic Assets Team, Street Lighting Team and Strategic Highways Team in relation to the provision of street lighting and footways. As a result of these discussion it has been agreed that an independent road safety assessment will be commissioned at the earliest possibility. The results of which will be reviewed and discussed further with our partners, Durham Constabulary. 2 In addition to the request outlined in Item 1, the Police have also asked if a similar assessment process can be undertaken in consideration of footway provision adjacent to this section of the A690. This matter has been discussed with both Traffic Assets Team, Street Lighting Team and Strategic Highways Team in relation to the provision of street lighting and footways. As a result of these discussion it has been agreed that an independent road safety assessment will be commissioned at the earliest possibility. The results of which will be reviewed and discussed further with our partners, Durham Constabulary.
Any deteriorating road markings and missing/damaged road stud inserts should be recovered as part of the Council’s ongoing maintenance programme at the earliest convenience. Information contained within this report regarding the condition of road markings and missing /damaged road studs has been raised with the Traffic Assets team. Although not a contributory factor and still retaining some residual life, they will arrange for the renewal of road markings to be considered as part of future routine maintenance.
Independent Road Safety Assessment Report
1. As identified in the above actions an independent road safety assessment has been carried out to assess the appropriateness of introducing street lighting along the A690 and a pedestrian route review. Please find attached a copy of the independent consultant’s report A690 Safety Review (60343839_AEC_L1_RP_ZZ_00-005)
The report includes the following key actions and recommendations.
Table 2
No. Action Recommendation 1 Appropriateness of introducing street lighting on the A690 between Gilesgate and A1(M) Junction 62. A Cost / Benefit Analysis (C/BA)of a street lighting scheme between Gilesgate and the C13 Belmont Link Road junction, with costs estimated at £1.65 million discounted to 2010 prices, resulted in a Benefit Cost Ratio (BCR) of 1.01. This means the investment would be cost neutral with no positive return on the investment, particularly as the lighting appraisal undertaken in accordance Department of Transport Document TA 501 (Road Lighting Appraisal) does not include non- lighting costs that would be required, for example provision of a footway and associated fencing along the length of the A690.
2 Review of pedestrian footway provision along the A690. The predominant movements between trip generators in the area are provided for via existing footway / footpath routes including:
• the A690 footbridge, approximately 250m north- east of Gilesgate roundabout, towards Heaviside Place and the wider residential network parallel to the A690;
• Station Road towards Heaviside Place and the wider residential network; and
• Gilesgate, south-east of Gilesgate roundabout
There are footpaths running along section of the A690 that provide access to the dual carriageway, including immediately east of the A690 footbridge and on the westbound onslip at the C13 Belmont Link Road junction. Given there are designated alternative, street lit routes alongside the A690, if access to the A690 could be pro-actively discouraged and the footbridge access to Heaviside Place promoted then the A690 could be seen as a less attractive route. A proposed scheme with a reported BCR of 26.1 is presented to physically prevent/segregate pedestrians from the A690, including guardrail adjacent to the southern kerbline approaching Gilesgate Roundabout, signing of the A690 footbridge pedestrian route and fencing to segregate pedestrians using the footpath north east of the footbridge.
Based on the above recommendation, the council proposes the following course of action:
• It is not proposed to promote the high speed A690 dual carriageway as a pedestrian route through the introduction of street lighting and footways, acknowledging the council provides a footway / footpath network on parallel street lit, lower speed roads. The independent C/BA concludes the investment in street lighting in isolation would be broadly cost neutral and not deliver a return on the investment. It is also noted the addition of a parallel footway and fencing for segregation on the A690 would invite a higher overall scheme cost.
• The council is committed to reducing the potential for similar accidents to occur. To that end the recommendation in the independent consultant’s report is accepted to introduce interventions to proactively deter access to the A690 dual carriageway and promote existing pedestrian routes. These measures include:
o Proactively signing the Gilesgate area via the footbridge from the northern footway of the A690; o Guardrail and wayfinding signs to discourage pedestrian access to the south- westbound carriageway and south-eastern verge, between Gilesgate Roundabout and Station Lane; o Based on the footpath north-east of the footbridge being retained, foliage clearance to improve access to the footpath and a timber post and rail fence to discourage access to the A690 from this path beyond the footbridge; and o Removal of access to the public footpath on the south-westbound on-slip at the C13 junction.
It is the intention of the council to install the above-mentioned measures by 31 March
2021. This timescale reflects the backlog in the council’s highway works caused by the Covid 19 Lockdown measures and the closure of New Elvet Bridge which has made the A690 a priority route for emergency service vehicles.
I wish to offer my condolences to Mr Kusiak’s family and friends on their loss. I hope the above goes some way towards offering a considered response to your correspondence.
If you would like to discuss response this further, please contact on telephone number or by email at
Report Sections
Investigation and Inquest
On Thirty-First January 2020 I commenced an investigation into the death of Bartosz Cezary KUSIAK aged 21. The investigation concluded at the end of the inquest on 10th July 2020.The conclusion of the inquest was that Mr Kusiak died in a road traffic collision. The medically certified cause of death was: I a Multiple Injuries Consistent with a Road Traffic Collision I b I c
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.