Road (Highways Safety) related deaths

PFD Category
Reports: 503 Areas: 68 Earliest: Aug 2013 Latest: 6 Apr 2026

82% response rate (above 63% average). 27% of classified responses show concrete action taken. Reports rose 56% from 32 (2023) to 50 (2024).

PFD Reports
346 results
Aaron Edwards
All Responded
2022-0302 27 Sep 2022 South Wales Central
Merthyr Tydfil County Borough Council
Concerns summary (AI summary) A dangerous road junction with poor visibility, exacerbated by school traffic, requires safety improvements to prevent further deaths from high-speed driving.
Action Planned (AI summary) Merthyr Tydfil Council disputes the coroner's concern about visibility at the junction. However, they state that planned road layout changes as part of the Welsh Governments A465 dualling project will remove the bridge/parapet obstruction, and the Gurnos Ring Road will become 20mph in September 2023.
Louise Bailey
All Responded
2022-0200 Inner South London
Metropolitan Police Service, The Colleg…
Concerns summary (AI summary) Police drivers lack critical information and training regarding closer units, preventing them from completing full risk assessments before responding to emergency calls.
Disputed (AI summary) The National Police Chiefs' Council and College of Policing acknowledge concerns regarding risk assessment and radio communication but clarify that 'Roadcraft' is a driver training reference, not official policy. They assert that officers and dispatchers are responsible for dynamic risk assessment. The Metropolitan Police Service is amending the Airwave manual to clarify procedures around self-assignment to incidents. They are also procuring a replacement Command and Control System designed to assign vehicles based on distance and skill set.
Nargis Begum
All Responded
2025-0287 16 Sep 2022 South Yorkshire East
Highways England
Concerns summary (AI summary) The public lacks crucial understanding and awareness regarding their responsibility to report motorway incidents, despite existing SMART motorway campaigns, leaving stationary vehicles a significant hazard.
Noted (AI summary) National Highways expresses sympathy and highlights existing measures to improve safety, including public awareness campaigns and the Smart Motorway Safety Evidence Stocktake and Action Plan. They urge road users to inform themselves about emergency procedures and who to contact.
Jennifer Dyer
All Responded
2022-0168 East Sussex
East Sussex County Council
Concerns summary (AI summary) East Sussex's pothole categorisation system is flawed, as a "low risk" pothole led to a fatality, indicating the need for a significant review of risk assessment criteria.
Action Taken (AI summary) East Sussex County Council has introduced an enhanced risk-based approach for highway safety inspections, allowing inspectors to re-categorise potholes based on location and road usage, not just size. A separate review of the specific case and further research into cycleway maintenance are underway.
Albert Manley
All Responded
2022-0161 Wiltshire and Swindon
Highways and Transport and Wiltshire Co…
Concerns On the 7 June 2021 I accepted the transfer of an investigation into the death of Albert Thomas Stafford Manley who was known to his family as "Jim". I went on to open Jim's Inquest on the 14 June...
Action Planned (AI summary) Wiltshire Council will add 'SLOW' road markings to the Council’s road marking programme of works for the coming months. However, a review concluded that existing road sign arrangements are adequate, and no further amendments are proposed for signs.
Jennifer Wong
All Responded
2023-0010Deceased 2 Sep 2022 Oxfordshire
Department for Transport Oxfordshire County Council
Concerns summary (AI summary) A poorly designed nearside cycle lane creates confusion and places cyclists in conflict with right-turning vehicles, exacerbated by the lane being narrower than recommended standards.
Action Planned (AI summary) Oxfordshire County Council has already undertaken a detailed review of the Plain Roundabout and The Parkway junction with amendments planned to be implemented in November 2022, and has reviewed key junctions deemed a potential risk to vulnerable road users with input from cycle safety groups. The Department for Transport will write to the Construction Plant-hire Association (CPA) to raise the issue of compliance with regulations and encourage its members to consider additional devices or technology to help improve mobile crane driver vision.
Jennifer Davies
All Responded
2023-0098Deceased 30 Aug 2022 West Sussex
Department for Transport
Concerns summary (AI summary) Delivery van drivers, exempt from Working Time Regulations, can work excessively long hours without mandatory breaks, posing a significant risk to public safety, particularly pedestrians in populated areas.
Action Planned (AI summary) The Department for Transport will coordinate with the DVSA and ask them to investigate the case if provided with details of the driver's employer, to assess whether the delivery company adhered to working time and health and safety legislation regarding adequate rest.
Yuksel Ismail
All Responded
2022-0263 25 Aug 2022 Bedfordshire and Luton
Bedford Hospitals NHS Foundation Trust
Concerns summary (AI summary) Bedford Hospitals NHS Trust failed to implement recommendations for mental health patient transfers, with an inadequate new policy and staff confusion regarding powers to detain 'at-risk' patients lacking mental capacity.
Action Taken (AI summary) The Trust updated its Transfer Policy in collaboration with ELFT, adding a section on patient transfers for those at risk of absconding. The Emergency Department and Safeguarding Team reviewed MCA and restraint training, updating it for junior doctors, and implemented monthly shared learning forums.
Brandon Pryde and David Faulkner
All Responded
2022-0250 12 Aug 2022 Manchester South
Greater Manchester Police and Roads and…
Concerns summary (AI summary) A police pursuit protocol failed to provide effective Command and Control when pursuits crossed force boundaries, due to confusion, unclear communication, and misperceptions of authority. This created a significant safety risk, despite not directly contributing to these deaths.
Noted (AI summary) GMP is creating a training schedule to deliver an Initial Pursuit course (IPP) to traffic officers over the next 6-9 months, a 4-day tactical phase commanders' course in the final stages of design, and training for Team 3 dispatch operators, which is planned to take place within the next 6-9 months. No content in response. Cheshire Constabulary, as lead force of the NWMPG, will deliver a training package regarding command protocols for cross-border pursuits and will monitor GMP's training package to disseminate best practices. Cheshire Police (on behalf of the NWMPG) and GMP have revised the managing pursuits protocol and produced a clearer document which removes the previous ambiguity on the issue of Command and Control. Cheshire Constabulary, as lead force of the NWMPG, will deliver a training package regarding command protocols for cross-border pursuits and will monitor GMP's training package to disseminate best practices. Cheshire Police (on behalf of the NWMPG) and GMP have revised the managing pursuits protocol and produced a clearer document which removes the previous ambiguity on the issue of Command and Control.
Stanley Hardy
All Responded
2022-0237 2 Aug 2022 Newcastle and North Tyneside
Department for Transport
Concerns summary (AI summary) A coach driver avoided emergency braking, despite seeing a pedestrian, due to training prioritising passenger welfare. Emergency braking procedures are not a required part of bus and coach driver training.
Action Planned (AI summary) While the Department for Transport believes there is already an adequate framework, the DVSA will review all learning materials where emergency braking skills are covered at the next opportunity and consider whether these sections could benefit from additional or stronger information.
Charles Wheatley
All Responded
2022-0304 29 Jul 2022 County Durham and Darlington
Department for Transport
Concerns summary (AI summary) The current system illogically allows individuals to purchase and keep a car without possessing a driving license, raising concerns about road safety.
Noted (AI summary) The Department for Transport explains that there is no legal requirement to hold a driving licence to register a vehicle, or to become the keeper of an already registered vehicle, and outlines circumstances where this might occur.
Ethan Wright
All Responded
2022-0226 25 Jul 2022 Suffolk
Suffolk Highways
Concerns summary (AI summary) A public bridleway's junction with a main road has severely restricted visibility and lacks measures to slow down cyclists or pedestrians. This design creates a high collision risk, particularly for children.
Action Planned (AI summary) The council plans to install an illuminated 'STOP' sign, paint a white stop line, paint 'STOP' on the tarmac, and paint the existing concrete bollards with yellow and black paint. Installation is planned within 15 weeks.
Michael Shuttleworth
All Responded
2022-0224 22 Jul 2022 West Yorkshire Eastern
Mercedes-Benz UPS
Concerns summary (AI summary) A van's design created a large blind spot masking pedestrians, compounded by a lack of audible impact sensors and insufficient driver training and appraisal.
Noted (AI summary) Mercedes-Benz clarifies its role as a supplier of a 'cowl' chassis and states that the modifications to the vehicle were the responsibility of Firma Sommer, who converted it into a complete vehicle. The driver was dismissed, and UPS details its driver training and assessment procedures, including a 'Space and Visibility' program. The company refutes that it provides no feedback.
Paul Morris and Alison Morris
All Responded
2022-0295 8 Jun 2022 Herefordshire
Herefordshire Council and Balfour Beatt…
Concerns summary (AI summary) The A44 footpath crossing has limited visibility for both pedestrians and motorists, exacerbated by foliage, inadequate safety barriers, poor crossing design, traffic speed, and insufficient signage.
Action Planned (AI summary) Balfour Beatty Living Places reports that, following consultation with Herefordshire Council, vegetation will be removed to increase sight lines to 160 meters, bi-annual clearance around the VRS barrier will be carried out, and a Traffic Regulation Order review of the speed limit is underway with a view to reducing it to 50mph, with completion hoped within 9 months. Herefordshire Council will consult on lowering the speed limit to 50mph and will review signing and lining along the bypass, implementing any improvements prior to March 2023, likely to include pedestrian warning signs on each approach to the three existing locations where public rights of way cross the bypass.
Ryan Taylor
All Responded
2022-0418Deceased 25 May 2022 Cornwall and the Isles of Scilly
Cormac and Cornwall Council
Concerns summary (AI summary) Inadequate road drainage at a specific location causes dangerous surface water accumulation during heavy rainfall, leading to aquaplaning incidents that could be prevented by feasible improvements.
Action Taken (AI summary) Cormac and Cornwall Council report that they have completed significant drainage improvements in the area of the accident, including installing nearly 500m of combined kerb drainage and increasing the capacity of over 400m of underlying carrier drains.
Sangeerth Girirathan
All Responded
2022-0151 Milton Keynes
Milton Keynes University Hospital NHS F… Secretary of State for Transport
Concerns summary (AI summary) Alarms on ICU monitors were disengaged, preventing staff from being alerted to critical patient deterioration, which resulted in a cardiac arrest.
Noted (AI summary) The Department for Transport outlined existing GB domestic and working time regulations for drivers of light goods vehicles. They stated that if the driver fell asleep due to inadequate rest, existing regulations would apply, and offered to coordinate with DVSA for an investigation if employer details are provided. NHS Milton Keynes University Hospital NHS Foundation Trust has communicated to all Registered Nurses (RNs) and senior staff via matrons and safety huddles, reiterating the importance of active monitor alarms and staff visibility. Senior nursing teams have also provided initial training on transferring data from monitors to modules, which will be added to medical equipment training.
Michael Draper and Rafal Wojdyl
All Responded
2022-0143 13 May 2022 Manchester West
Salford City Council
Concerns summary (AI summary) The report requests a review of the junction of Fairhills Road with Cadishead Way, Irlam, regarding the layout, speed limit, restricted views, and the potential need for traffic signals.
Action Taken (AI summary) Salford City Council's Collision Investigation Team carried out a detailed investigation into the junction following the collision, and have undertaken and are implementing actions relating to the layout, speed limit, restricted view and provision of traffic signals at the junction of Fairhills Road with Cadishead Way.
Zoltan Torok
All Responded
2022-0088 21 Mar 2022 Berkshire
Highways England
Concerns summary (AI summary) Smart motorways with no hard shoulder create risks for broken-down vehicles, compounded by occupant proximity to running lanes and confusion from mixing smart and traditional motorways.
Action Taken (AI summary) National Highways states that the section of motorway was under temporary traffic management and not operating as a smart motorway at the time of the incident, so they do not believe any additional actions are needed, but they have completed the roll-out of stopped vehicle detection on over 200 miles of ALR motorway, installed extra signs, and upgraded enforcement cameras. They also committed to deliver a £390 million programme to install additional emergency areas across operational sections.
Harry Simmons
All Responded
2022-0028 3 Feb 2022 Plymouth, Torbay and South Devon
Plymouth City Council
Concerns summary (AI summary) A dangerous road junction is prone to collisions due to drivers cutting corners, sun glare impairing visibility, and a lack of effective signage or road design to mitigate risks.
Action Planned (AI summary) Plymouth City Council has designed a scheme including a humped zebra crossing, narrowing of a junction, and parking restrictions. They are bidding for funding to construct the scheme later in the current financial year or early in 2022/23, subject to consultation.
James McKeough
All Responded
2021-0414 9 Dec 2021 West Sussex
Department for Transport
Concerns summary (AI summary) The positioning, brightness, and color of rear flashing LED lights on trailers can mask or be misinterpreted as turn indicators, hindering other drivers' ability to discern turning intentions.
Action Planned (AI summary) The Department for Transport will write to the National Police Chiefs’ Council, Driver and Vehicle Standards Agency, Society of Motor Manufacturers and Traders, Agricultural Engineers Association, National Farmers’ Union of England and Wales, and the National Farmers Union of Scotland to provide guidance and raise awareness of requirements for amber warning beacons on agricultural vehicles.
Croydon Tram Incident
All Responded
2021-0337 South London
Bombardier Transportation UK Ltd Light Rail Safety and Standards Board Transport Focus +9 more
Concerns summary (AI summary) The absence of a centrally funded national tram safety passenger group creates a significant systemic oversight for public safety.
Noted (AI summary) Transport for London has already procured, developed, and installed a bespoke Physical Prevention of Overspeed System (PPOS) on the London Tram network, reducing the risk of overturning by 76%. They are also investigating the feasibility of strengthening tram doors and will incorporate learnings into future fleet specifications. Bombardier Transportation (now Alstom) has completed a door vulnerability assessment, performed design reviews for current and future tram door systems, and engaged with suppliers regarding enhancements. They plan to finalize improvement actions and recommendations for door strengthening for both in-service and new tram fleets by March 2022, and engage with authorities to review UK regulation for light rail doors by April 2022. Tram Operations Ltd is already a member of CIRAS (Confidential Reporting for Safety) for anonymous staff reporting and publicises this to staff. Regarding passenger ejection through doors, they confirm they do not own the trams but welcome discussions with London Trams and would support implementation of strengthening if feasible. Transport Focus clarifies its limited remit and resources to initiate a centrally funded national tram passenger safety group. They state they will engage with operators on passenger safety issues brought to their notice and support any such group initiated by another body. The Department for Transport reports that the Light Rail Safety and Standards Board (LRSSB) has published guidance on driver inattention and speed management, and all tram networks in England now subscribe to the Confidential Incident Reporting & Analysis System (CIRAS). DfT is also consulting on establishing a national tram safety group and supports LRSSB's planned work on automatic braking systems, door strengthening standards, and promoting CIRAS. The Light Rail Safety and Standards Board confirms that all seven UK tramways already subscribe to the Confidential Incident Reporting & Analysis System (CIRAS). LRSSB further plans to produce a tramway-specific guidance note and communication campaign to promote the benefits of such schemes to front-line staff by March 2022. The LRSSB has published new Light Rail Guidance on Driver Inattention (LG3) and Light Rail Standards on Speed Management Systems (LS4), incorporating RAIB recommendations. They have also commissioned a trial of specific technology for driver inattention and speed management, with outcomes expected by January 2022. The Light Rail Safety and Standards Board is engaging with European Standards working groups to inform regulation on tram door security and crashworthiness, and plans to consult with TfL/London Trams to determine remedial actions. LRSSB will then publish a briefing or guidance note for the sector, with timelines to be confirmed.
Heike Mojay-Sinclare
All Responded
2021-0313 17 Sep 2021 Derby and Derbyshire
Department for Transport
Concerns summary (AI summary) Lack of mandatory standards and inspection for river ford depth gauges, combined with poor inter-agency information sharing on previous incidents, creates significant safety risks, especially with increasing severe rainfall.
Noted (AI summary) The Department for Transport clarified that local authorities are responsible for hazard signage and highway maintenance, and that existing guidance is available but not mandatory.
Thomas Pickering
All Responded
2021-0289 20 Aug 2021 Suffolk
National Highways Suffolk Highways
Concerns summary (AI summary) The apparent lack of adequate signage, such as warnings for hidden dips or recent incidents, increases the risk of future road traffic collisions at the site.
Noted (AI summary) Suffolk County Council Highways has assessed the report and agreed to install a pair of hidden dip signs north of the Wallers Farm access, facing southbound traffic and will now proceed to design suitable locations, leading to the erection of new posts and signs in due course. National Highways states that they are not responsible for the A137 and cannot comment, advising the coroner to contact Suffolk County Council instead.
Oscar Seaman
All Responded
2021-0252 21 Jul 2021 Norfolk
Norfolk County Council
Concerns summary (AI summary) High collision rates persist on a road where speeding is ignored, compounded by an unsafe junction lacking stop signs and adequate visibility, necessitating speed cameras and mirrors.
Action Planned (AI summary) Norfolk County Council reduced the speed limit to 50mph in response to this incident and will undertake speed surveys to measure driver compliance, and will undertake a further review to reassess the visibility approaching the A134 from the northeast arm of the junction.
Sarah Lewis
All Responded
2021-0251 20 Jul 2021 County of Dorset
Department for Transport
Concerns summary (AI summary) The absence of mandatory rear cameras on Large Goods Vehicles creates critical blind spots, contributing to collisions with pedestrians during reversing manoeuvres.
Action Planned (AI summary) The DfT is developing a new approval system for vehicles after leaving the EU and plans a call for evidence later this year to gather views on technologies like reversing detection systems, which will inform future legislation on mandatory fitting of these technologies.