Kyle Goater

PFD Report All Responded Ref: 2024-0057
Date of Report 5 February 2024
Coroner Angela Brocklehurst
Response Deadline est. 1 April 2024
All 1 response received · Deadline: 1 Apr 2024
Response Status
Responses 1 of 1
56-Day Deadline 1 Apr 2024
All responses received
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
As the deceased was travelling in his motor vehicle approaching the brow of the hill on Moor Road controlled by a speed limit of 50mph, no sign was in place to provide a warning as to a layby situated at the bottom of a dip the road which was unforeseen by the deceased. At the bottom of the dip a vehicle was indicating to turn right into the layby, which the deceased travelling in the same traffic lane was not able to avoid, an inevitable collision occurred and as a result of such collision the deceased lost his life. Had the layby been situated elsewhere or signposted well in advance of the crest of the hill it is likely that sufficient warning to an oncoming vehicle would have been provided in time to enable awareness of an oncoming vehicle and a reduction in speed from 50 mph.
Responses
Bradford Council
15 Nov 2024
Bradford Council has already installed bollards to prevent access to the informal layby and removed associated road markings. They have ordered a "Hidden Dip" warning sign for installation and will commence consultation on reducing the speed limit to 40mph. AI summary
View full response
Dear Ms Brocklehurst

RE: Regulation 28 Report, Kyle James Goater, Moor Road Ilkley.

Thank you for your Regulation 28 Report concerning the death of Kyle James Goater on Moor Road, Ilkley.

Please accept my apologies for the delay in providing this response. Unfortunately this is resulting from time incurred identifying land ownership, job vacancies and changes in personnel.

First of all, the Council would like to offer condolences to the family and friends of Mr Goater.

I am able to inform you of the action taken to date by City of Bradford Metropolitan District Council in its capacity as Local Highway Authority.

The land bordering the carriageway is privately owned, therefore not part of the adopted highway network maintainable at public expense or under the control of the Council in any capacity. The informal ‘layby’ which has been created and within which the broken-down vehicle was parked is wholly within this private land. The layby was not created by the Council.

Following careful consideration of the circumstances of this collision, the Council has installed a series of bollards on the edge of the carriageway (highway extent) to prevent access to the informal layby so that it can no longer be used by drivers. In addition, the intermittent white line associated with an access which spanned the informal layby has been removed by extending the edge of carriageway road marking across it, thus forming a continuous line and representative of a continuous section of highway. Furthermore, a Hidden Dip warning sign informing drivers of the prevailing hazard has been ordered and will be installed at the very earliest opportunity.

The sign has been arranged to be installed in November and the lining will form part of the area programme, the dates of which have yet to be confirmed. However, the presence of the bollards delivers the necessary safety benefit in preventing use of the lay-by, with the lining being a supplementary measure.

Finally, following an experimental reduction in the speed limit on Moor Road from 60mph to 30mph, a review has been undertaken on its impact on driver behaviour, road safety, and traffic flow. The review highlighted several issues, most notably the potential occurrence of injudicious overtaking by frustrated drivers who find 30mph to be excessively slow for the road conditions.

Consultation on the proposed speed limit is to commence this month (October 2024) with formal advertising in November followed by the sealing of the order in December, subject to no objections. Should there be objections, these will be dealt with through the Council’s usual governance procedure. This could delay implementation by 4 – 8 weeks, if the objections are not upheld.

It is our assessment that a speed limit of 40mph would achieve a more appropriate balance between ensuring safety and maintaining a reasonable flow of traffic. A 40mph limit aligns more closely with driver expectations for this type of road and is likely to attain greater compliance and in turn, reduced driver frustration and the potential for dangerous overtaking manoeuvres. It should also result in a smoother traffic flow and restore an appropriate level of travel efficiency yet maintaining safety standards significantly higher than those observed under the original 60mph National Speed Limit.

It is considered that these measures will collectively act to prevent such an incident from occurring at this location in the future as well as achieving wider route safety improvements.

I trust this work is seen as appropriate and a satisfactory level of intervention.
Report Sections
Investigation and Inquest
On 23 July 2021 I commenced an investigation into the death of Kyle James GOATER aged 25. The investigation concluded at the end of the inquest on 19 September 2023. The conclusion of the inquest was that: Upon the 20th July 2021, Kyle James Goater was travelling along Moor Road away from Ilkley, when his motor vehicle in good working order, approached a rising crest in the road which reduced his visibility of the road ahead. The road continued into a dip where a parked vehicle stood in a layby adjacent to the carriageway, on the offside. Unbeknown to Mr Goater an RAC van was stationary within the lane travelled by him indicating to turn right into the layby. Upon reaching the crest of the road Mr Goater became aware of the stationary RAC van, and braked to avoid a collision, which could not be avoided. As a result a of the collision between Mr Goater's car and the RAC van, a third vehicle travelling in the opposite direction became involved in the collision. Following the collision Mr Goater remained initially unable to free himself from his car, having suffered chest injuries which impacted upon his ability to breathe freely. The Ambulance Service was called to attend the scene, and whilst awaiting the arrival of a resource allocated to the incident, Mr Goater suffered a Cardiac Arrest: CPR was initially administered by the Police personnel prior to the attendance of the Ambulance crew , and then continued by a Paramedic, which failed to revive Mr Goater; with his death being certified at 18:58 hours at the collision scene that day.
Circumstances of the Death
Kyle is a 25yr old young man who resides alone in Keighley. On Tuesday the 20th of July, Kyle has been the driver of a MGZS Motor Vehicle travelling from Ilkley towards Menston. As he has crested the brow of a hill he has collided with two separate vehicles. Kyle's vehicle sustained substantial damage. Police Officers from Bradford Road's Policing have attended the report of this collision. Initially Kyle was talking and mobilising at the scene of the incident. Kyle then began to complain of chest pain. His breathing then became shallow and he went into arrest. CPR was commenced by officers on scene. CPR continued until paramedics arrived on scene, they then took over. The paramedics continued CPR, until life was pronounced extinct at 18:58hrs.
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.