Prevention of Future Deaths reports · 2013
Regulation 28 report to prevent future deaths, reference 2013-0205, written 16 Sep 2013. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 16 Sep 2013 |
|---|---|
| Reference | 2013-0205 |
| Deceased | Rachael Dallison |
| Coroner | Andrew Haigh |
| Coroner area | Staffordshire (South) |
| Category | Road (Highways Safety) related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | none published |
Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.
Private and Confidential Commissioner for Transport and the Connected County Staffordshire County Council 1 Staffordshire Place STAFFORD St16 2LP 06 February 2014 AAH/dd/899-2013 --- Dear Re: Rachael Hannah DALLISON (deceased) I make this report under paragraph 7 Schedule 5 of the Coroners and Justice Act 2009 and regulations 28 and 29 of the Coroners (Investigations) Regulations 2013. On the 14 May 2013 I commenced an investigation into the death of Miss Dallison aged 23 years. The investigation concluded at the end of the inquest on 16 September 2013. The conclusion of the inquest was Accidental death. During the course of the inquest the evidence revealed matters giving rise to concern. In my opinion there is a risk that future deaths may occur unless action is taken. In the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows. – Miss Dallison received fatal injuries in a road traffic collision on the B5013 at Willslock nr Uttoxeter on 11 May 2013. She was driving in a southerly direction and crashed on a bend. I enclose a photograph showing the approach to the bend in the direction that she travelled. I am not aware of other fatalities on this bend but at the inquest I heard that there had been a lot of collisions at the site. I was also told that on this stretch of road, works have been done on other locations but not recently here. It is also apparent when approaching the bend from the other direction there are warning signs (a bend sign and ‘Slow’ in the road) as well as a chevron. From where Miss Dallison was travelling there is a long straight where vehicles may accelerate and a bend and ‘Slow’ signs but no chevron. I should be very grateful if you could carry out a survey of the scene and see if further safety measures should be taken. In my opinion action should be taken to prevent future deaths and I believe you have the power to take such action. You are under a duty to respond to this report within 56 days of the date of this report, namely by 18 November 2013. I may extend the period if requested to do so. Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Otherwise you must explain why no action is proposed. I have sent a copy of my report to the following persons The Chief Coroner Derek Winter HM Coroner for the City of Sunderland Traffic Process Office Direct line Insurance I am also under a duty to send the Chief Coroner and other interested persons a copy of your response. The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest. You may make representations to me at the time of your response about the release or the publication of your response by the Chief Coroner. Yours sincerely Andrew A Haigh HM Senior Coroner Staffordshire (South)
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