Prevention of Future Deaths reports · 2014
Regulation 28 report to prevent future deaths, reference 2014-0116, written 13 Jan 2014. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 13 Jan 2014 |
|---|---|
| Reference | 2014-0116 |
| Deceased | Mustafa Cicek |
| Coroner | Alan Craze |
| Coroner area | East Sussex |
| Category | Road (Highways Safety) related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | 1 |
Text recovered by OCR from a scanned PDF. OCR is imperfect: check anything you rely on against the source PDF. Reproduced verbatim, including the scan's own layout.
REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1) REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT !S BEING SENT TO: 1. The Highway Agency 2. The Secretary of State for Transport 3. The Chief 4. 5 6 1 CORONER | am Alan Romilly Craze, senior coroner, for the coroner area of East Sussex. 2 CORONER’S LEGAL POWERS | 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. 3 INVESTIGATION and INQUEST On 24 October 2012 | commenced an investigation into the death of Mustafa Cicek, aged 36 at the time of the incident. The investigation concluded at the end of the inquest on 15 May 2013. The conclusion of the inquest was multipte injuries following a road traffic accident. 4 CIRCUMSTANCES OF THE DEATH The road traffic collision occurred at approximately 03.55 on Sunday 21 October 2012. Mr Cicek was driving a Ford Fiesta motor car north-bound on the A21 when the vehicle left the carriageway to the nearside on a right-hand bend where it struck a fixed structure in a private garden of the property i 5 CORONER’S CONCERNS During the course of the inquest the evidence revealed matters giving rise to concern. In my opinion there is a risk that future deaths will occur unless action is taken. In the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows: (1) The bend at this particular location is a collision black spot as there have been several road traffic collisions at the location of Mr Cicek’s collision. (2) The apparatus along the carriageway, particularly two of the chevron signs, could be improved. There are three chevron signs but only one nas a yellow background. If the two chevron signs without a yellow background could have a yellow background added it would further enhance their presence on this bend. (3) A Eucalyptus sapling has been planted on Highways Agency land between the front fence at MM and the edge of the carriageway. This will mature into a potential hazard and consideration should be given to its removal. (4) Consideration should be given to painting “SLOW?” in the carriageway on the approach to the bend. ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe your organisation has the power to take such action. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 03 March 2014. |, the coroner, may extend the period. 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. COPIES and PUBLICATION | have sent a copy of my report to the Chief Coroner and to the following Interested Persons; ! have also sent the report to oO may find It useful or of interest. | am also under a duty to send the Chief Coroner 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, the coroner, at the time of your response, about the release or the publication of your response by the Chief Coroner. 13 January 2014 Alan Romilly Craze
1 response published against this report on judiciary.uk. A response is a body's written reply to the coroner's concerns; publication is at the discretion of the Chief Coroner's office, so an absent response does not mean nobody replied.
' ,.. HIGHWAYS ~ : AGENCY Federated House London Road . Darking RH4 1 SZ 28 February 2014 Mr Alan R Craze (Solicitor) H. M. Coroner for East Sussex 28/29 Grand Parade St Leonards on Sea East Sussex TN37 6DR Dear Mr Craze Re: MUSTAFA CICEK (DECEASED) Thank you for your letter of 13 January 2014 and enclosures concerning the above fatality. The purpose of this letter is to address the matters of concern that you raised wiih regard to the bend at Woodman's Green on the A21. In line with your request the Highways Agency agrees that more safety improvement can be made at this bend and we are in the process of implementing the improvements recorded in your report and we are also considering the provision of additional safety measures. We have completed:- • The provision of 'SLOW ' road markings on the carriageway (there are now two 'SLOW' markings north bound and one 'SLOW' marking south bound); • Upon inspection we also found that the eucalyptus tree has already been removed. We are also advanced with preparations to complete:- • Improvement to the (;hevmns on the bend. We are planning to inc;ease the number of chevrons to 3 in both directions. This is the maximum we can erect at this location because of the private entrances on this corner. We are also ensuring that all the chevrons are on yellow backgrounds to help them stand out. The signs are ordered and we are awaiting returns from statutory checks we have to make to ensure the safe digging of new foundations. If all goes well we hope to complete the new chevrons in March. ll\>'HSTOR rn PBO!'LI! Department for Transport Following a further site inspection and assessment we have identified additional road safety improvements that we are currently considering through our design process these are: • The provIsIon of new reflective road studs to both north and south bound approaches to the bend including extending them around the bend itself. This will improve night time safety in particular. • An additional warning sign (red triangular) on the south bound approach warning of possible queues ahead (this is something the Parish Council have suggested following non-injury collisions). • We will also consider whether advisory maximum speed plates are appropriate or permissible under the bend warning signs but this may be difficult if we are also to retain the plate telling drivers of the distance ahead of the bend. It is also relevant to mention that we are developing the possibility of introducing average speed cameras on the A21. The aim is to improve speed limit compliance and improve driver behaviour. The A21 is within an Area of Outstanding Natural Beauty and it is our duty to take account of the specific provisions applicable in such areas and we work closely with the relevant authorities when we are considering improvement works. Yours sincerely Asset Manager for East Sussex trunk roads NDD South East Asset Development
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