Paul Coxon

PFD Report All Responded Ref: 2015-0286
Date of Report 20 July 2015
Coroner Karen Dilks
Response Deadline est. 14 September 2015
All 1 response received · Deadline: 14 Sep 2015
Response Status
Responses 1 of 1
56-Day Deadline 14 Sep 2015
All responses received
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Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Coroner's Concerns
revealed matters giving rise to concern: In my In the circumstances it opinion there is a risk that future deaths will occur is my statutory duty to report to you: [BRIEF SUMMARY OF MATTERS OF CONCERNI of safe crossing {BRinadequate signage giving guidance rebedeiarang 01e houcroisdakpeiss (2) Lnackeotiaiuminated signage to assist pedestrians 'complex slip road where driver visibility of 50 mile per hour limit on a (3) Appropriateness hazard significantly impaired as a result is limited and reaction time to any Civic Centre, Barras Bridge Newcastle Upon Tyne, NEI 8QA Lord Mayor's Gallery Tcl vif9Cez77F280 Fax 0191 2612952 and aged path point points speed
Responses
Gateshead Council
31 Jul 2015
Response received
View full response
Dear Ms Dilks Senior Coroners Report into the Death of Paul Coxon acknowledge receipt of your Report which was sent to me with covering letter dated 20 July 2015. You advised therein that the evidence that you had considered revealed matters giving rise acconcerneYou further advised that in your opinion there was a risk that future deaths would occur unless action was taken. In the circumstances you stated that it was your statutory duty to report to me that the matters of concern were as follows Inadequate signage giving guidance to pedestrians of safe crossing points. 2 Lack of illuminated signage to assist pedestrians in the hours of darkness_ 3 Appropriateness of SOmph speed limit on complex slip road where driver visibility is limited and reaction time to any hazard significantly impaired as a result My observations; using the same numerical reference are set down below: An additional sign will be erected at the top of the steps (adjacent to the south east slip) which leads to the 'underpass' This will indicate the presence of a pedestrian route (via steps) and identify the pedestrian destination. Investigative work will be undertaken to confirm that the pedestrian route is appropriately signed on both sides of the bridgehead. This work will be completed within three months from the date of this letter. In respect of the 'underpass' itself the term is actually misleading: It is an open span bridge with 5/6m lighting columns on the access road below to either side providing adequate night time lighting levels. CSE Gateshead Council Civic Centre Regent Street Galeshead NE8 1HH H EnvirTel 01; . Aratog Director Paul Dowling INVESTOR IN PEOPLE Communities and

and guidance for illumination %f road traffic signs is contaned 2 Requirements for Transports 'Traffic Signs, Regulations and General within the Department is not required to be illuminated and Directions' document. Pedestrian signage advice suggesting it may be the document does contain discretionary concern, do not intend to appropriate to do so. Accordingly, whilst note your take action in this regard. are noted; however it is my belief that a SOmph limit 3_ Again, your concerns is entirely appropriate for this section of road: staff met with the Police investigating officer at the site shortly member of my considered that forward visibility was after the accident: The investigating officer pedestrian to step out onto the generally adequate but that the potential for a carriageway did give rise to concern: not mentioned in your report; following the investigation into che Although it was meeting with the police took immediate steps accident and the aforementioned of pedestrians on the to minimise the hazard relating to the presence carriageway: currently in situ along the footway in question terminated at the The guardrail of the bus stop layby at the time of the accident The commencement had been observed for a number of years and there associated bus stop brought back into use in the near future appeared to be no likelihood of it being The, quite extensive; gap in the guardrail therefore no current useful that it could potentially encourage pedestrian activity on purpose and location_ therefore commissioned the the carriageway at an inappropriate within three weeks of the introduction of infill panels. These were in place accident reduced the risk of future occurrence of an believe that my actions significantly accident of this nature_ for response to be distributed as considered appropriate by the Chief am content my Coroner: remaining concerns about the content of this letter would be If you have any queries or happy to discuss further
Action Should Be Taken
In my opinion action should be taken to prevent future deaths and believe you Director Of Transport Strategy have the power to take such action:
Report Sections
Circumstances of the Death
fit and well: On the evening of the 13" December he consumed Paul Coxon was generally onto the A189 Redheugh Bridge : Whilst on the alcohol during a social evening: He walked directly into the of an aCthobound slip road off the A189 he crossed the carriageway oncoming vehicle of potential hazard is limited The speed limit is The road layout is such the driver visibility any hazard becomes visible such that it is significantly impacts upon reaction time once a is signposted but not illuminated. The incident on A safe designated underpass crossing of darkness_ the 13" December occurred during the hours under the influence of alcohol: As a result of the At the time of the incident Mr Coxon was his death. incident he sustained a traumatic brain injury that caused
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Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.