Prevention of Future Deaths reports · 2016

John Watt

Regulation 28 report to prevent future deaths, reference 2016-0124, written 31 Mar 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.

Date of report31 Mar 2016
Reference2016-0124
DeceasedJohn Watt
CoronerSimon Wickens
Coroner areaSurrey
CategoryRoad (Highways Safety) related deaths
Sourcejudiciary.uk record · original PDF
Responses published1

The report

Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.

IN THE SURREY CORONER’S COURT
IN THE MATTER OF:
__________________________________________________________
The Inquests Touching the Death of John Watt
A Regulation 28 Report – Action to Prevent Future Deaths
__________________________________________________________
THIS REPORT IS BEING SENT TO:
 – Surrey Local Highways Services Group
Manager
1 CORONER
Mr Simon Wickens, HM Area Coroner for Surrey
2 CORONER’S LEGAL POWERS
I make this report under paragraph 7(1) of Schedule 5 to The Coroners
and Justice Act 2009.
3 INVESTIGATION and INQUEST
The inquest into the death of Mr Watt was opened on the 8th June 2015
and was resumed and concluded on the 22nd March 2016.
The cause of death was:
1a – Multiple Injuries.
The conclusion was ‘Road Traffic Collision’.
4 CIRCUMSTANCES OF THE DEATH
At shortly after 11am on Wednesday 27th May 2015, Mr John Watt a 91
year old gentlemen, was attempting to cross the A25 Guilford Road at
Abinger Hammer, Surrey in order to reach the shops which were located
on the opposite side of the road. He was hit by a car doing
approximately 30 mph and died of the resulting injuries. The weather at
the time was bright and sunny however the Court heard how this caused
patches of extreme light and extreme shade from overhanging trees
which made it very difficult for the drivers of passing vehicles to see
pedestrians who were crossing the road. The evidence suggests that, as it
was a busy main road Mr Watt may have began to cross when the
opportunity arose after a car had passed him and it was clear on his side
of the road. However, it was likely that that vehicle may also have
1
RT4767
caused visibility problems for both Mr Watt, as a pedestrian, and the
driver of the vehicle that collided with him.
5 CORONER’S CONCERNS
During the course of the inquest the evidence revealed that Abinger
Hammer is a small village frequented by locals and visitors alike. As
there is a stream in close proximity it is also popular with families and
children. The main A25 Guildford road runs through the village.
Although there is a 30 mph speed limit within the village, it is still
perceived to be a fast road.
The MATTER OF CONCERN is:
A Means of Crossing the A25 Guildford Road at Abinger Hammer
Evidence at inquest indicated that there is no safe or controlled means for
a pedestrian to cross the road in the village.
Consideration should be given to providing a safe system of allowing
pedestrians to cross the A25 at Abinger Hammer.
6 ACTION SHOULD BE TAKEN
In my opinion action should be taken to prevent future deaths and I
believe that the person listed in paragraph one above has the power to
take such action.
7 YOUR RESPONSE
You are under a duty to respond to this report within 56 days of its date; I
may extend that period on request.
Your response must contain details of action taken or proposed to be
taken, setting out the timetable for such action. Otherwise you must
explain why no action is proposed.
8 COPIES
I have sent a copy of this report to the following:
1. (son)
2. (daughter)
3. The Chief Coroner
Signed:
2
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Simon Wickens
DATED this 31st March 2016
3
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Responses

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.

Response from Respondent Not Named (PDF)
Regulation 29 Report to Chief Coroner
Response to Action to Prevent Other Deaths Report

A Means of Crossing the A25 Guildford Road,

at Abinger Hammer

Richard Bolton

Surrey County Council

Local Highway Services
Group Manager

1. Introduction

There was a fatal accident on Wednesday 27" May 2015, where Mr John Watt was
attempting to cross the A25 Guildford Road at Abinger Hammer, Surrey in order to reach the
shops which were located on the other side of the road. Mr Watt was hit by a car travelling
at approximately 30mph and sadly died of the resulting injuries.

A Regulation 28 Report on Action to Prevent Other Deaths, following the Inquests touching
the death of Mr Watt, was sent on 31°' March 2016. In that report, the Coroner Mr Simon
Wickens indicated that the Matter of Concern is A Means of Crossing the A25 Guildford
Road at Abinger Hammer. That report requested that consideration should be given to
providing a safe system of allowing pedestrians to cross the A25 at Abinger Hammer.

This report, in accordance with Regulation 29, sets out details and limitations of the action
that has been taken.

2. Details of action that has been taken.

2.1Collision Data Analysis
Accident data at junction of A25 Guildford Road and Felday Road

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Summary of collision analysis

Investment, to reduce the risk of future road casualties, is prioritised by Surrey County
Council by analysing data collected by the Police on the circumstances and locations of road
traffic collisions leading to injuries. A summary of this information is available for the public to
view via www.crashmap.co.uk. The detailed information collected by the Police is used to
identify locations with a history of personal injury collisions (PIC). These locations are most
likely to have the greatest risk of future collisions, unless any common incident patterns can
be identified that could be addressed by safety improvements.

A study has been made of the PICs occurring over the last 5 years to date (1.1.11 to
29.2.16) over the length of the A25 Guildford Road, Abinger Hammer, extending from 100m
west of Hackhurst Lane to 100m east of the Kingfisher Farm Shop entrance, a distance of
approximately 400 metres. A total of 8 PICs have been recorded, including the accident in
question, and the nature of the other 7 collisions is described below.

e in 2011 a car turning right out of Felday Road was struck by a westbound car,
resulting in a slight injury to one of the drivers.

e |n 2012 there were 2 recorded PICs within the study length. In June an eastbound
motorcyclist lost control on the left-hand bend before Hackhurst Lane and collided
with a westbound car, resulting in a slight injury to the motorcyclist. In September
another eastbound motorcyclist lost control directly before Hackhurst Lane and
collided with a stationary vehicle waiting to turn right into Hackhurst Lane, resulting in
a slight injury to the motorcyclist.

e In 2043 there were 2 recorded PICs within the study length. In January another
motorcyclist lost control on the left-hand bend directly before Hackhurst Lane and
collided with a westbound car, resulting in a slight injury to the motorcyclist. In
October, at the junction with Felday Road, two eastbound vehicles shunted a third
stationary vehicle waiting to turn right into Felday Road, resulting in slight injury to
two of the drivers.

e In 2014 there were no recorded PICs within the study length.

e [In 2015 there were 3 recorded PICs within the study length. In April a westbound car
shunted another stationary vehicle waiting to turn right into the car parking area
outside Grasmere Forge, resulting in a slight injury. In July outside the Post Office/
Tea Room opposite Felday Road, a 2 yr old child ran in to the A25 away from the
accompanying adult. The adult followed to protect the child but both were struck by a
westbound van, resulting in serious injuries to both people.

From the police accident reports there appears to be very little pattern to the PICs described
above except directly west of Hackhurst Lane, where 3 eastbound motorcyclists were
involved in loss of control collisions between June 2012 and January 2013. Since then, no
similar incidents have been recorded.

It would appear that the circumstances that led to the fatal accident involving Mr Watt, in the
vicinity of the Kingfisher Farm Shop entrance, did not form part of a pattern of similar
incidents at the same location. The only other pedestrian casualties took place over 100m to
the west and involved an accident, described above, that could have taken place at any
location.

2.2 Summary of Road Safety Working Group Conclusions
(based on the analysis above, local site knowledge and observations).

The details of every fatal collision are discussed at the next available Road Safety Working
Group for that area to review whether the incident is part of a pattern of similar collisions that
may need addressing by either highway or police interventions. This working group involve
Area Highway Engineers, Road Safety Officers and the Police and so provides the
opportunity of using all the available knowledge and expertise. This incident was discussed

at the meeting on 5 May 2016.

There has not been a previous pattern of similar collisions at the location outside the
entrance to Kingfisher Farm Shop where the accident involving Mr Watt occurred. However
it is recognised that there is a pedestrian desire line between the village green and the Post
Office ‘Tea Room. It is unclear whether Mr Watt would have used a pedestrian facility on
the location of the desire line between the Post Office/Tea Room, had one been provided,
because this is over 100m to the west of the point where he was crossing when the fatal

incident occurred.

Due to the lack of a previous history and pattern of similar collisions, the likely cost of
providing pedestrian crossing facilities on this road is unlikely to be justified solely on the
potential for reducing casualties. However, given the pedestrian desire line between the
village green and the Post Office/Tea Room the provision of improved crossing facilities may

’ be justified in terms of improved accessibility and facilities for pedestrians in the village. Any
such proposals will need to be weighed up against the demand for other highway

improvements in Mole Valley.

The proposed feasibility study for improved crossing facilities would consider the extent of
the public highway to assess whether there is sufficient width for the provision of suitably
sized areas for pedestrians to wait to cross. The availability of an electrical power supply
should also be considered (there is no street lighting on this road), as should the position of
the bus stops in relation to the crossing point. Kerb build outs, to narrow the carriageway,
would not be appropriate at this location given the nature and volume of traffic that uses the
A25 through Abinger Hammer. There is insufficient carriageway width to provide a central

pedestrian refuge island.

In the short term it is proposed to investigate the provision of signs to warn drivers that
pedestrians are crossing the A25 in the vicinity of the village green.

There is also a solar powered electronic vehicle activated sign that illuminates to drivers to
remind them of the 30 mph speed limit and to “SLOW DOWN’ if they are travelling too fast
on the westbound approach to the pedestrian desire line near the Post Office/Tea Room. It
is thought that the operation of the sign may be sporadic depending on the level of sunlight,
number of activations and battery longevity. Consequently funding will be sought to
undertake an inspection of the sign and to overhaul it if necessary.

The proposed Feasibility Study will determine if this location is suitable for a formal crossing.
However, an initial assessment of this location has indicated that there are many constraints
on this being suitable for a formal crossing. The village is within a Conservation Area and
there is no street lighting (which is required to provide power to any signalised crossing or

3

lighting). There are constraints on available land for a formal crossing and the environmental
impact of such a crossing within the Conservation Area. The Feasibility Study may
determine if alternative measures to encourage pedestrians to cross away from the junction
(nearer to the bus stops) would be appropriate. One such measure may be to extend the low
rustic post and rail fence from Felday Road. This may also discourage parking on the
footway. Also, it may be proposed to provide information to users of the green and stream
area, potentially by contacting websites and/or via the local shop.

General Location Plan of the A25 Guildford Road, at Abinger Hammer

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Location Plan of the A25, Guildford Road, at Abinger Hammer showing the extent of
the Conservation Area and no street lighting.

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Last Updated: 01/08/2013

Traffic speeds on A25

A survey using handheld equipment was undertaken (afternoon) in October 2013, from the
private car park next to Hackhurst Lane. The average measured speeds were 24.5mph in
the eastbound direction and 22.5mph in the westbound direction, with maximum recorded

speeds of 32mph and 31mph respectively.

Parking and obstruction

There is some evidence of vehicles parking in the bus stop and reports of obstructive
parking, particularly in the summer. There are increased, large numbers of visitors in the
summer months. A Bus Stop Clearway Order is in progress (agreed at the meeting of the
Mole Valley Local Committee in December 2015).

Signing

There are yellow-backed terminal signs entering the 30mph section near to the farm shop.
Speed limit repeaters are also in place, along with a number of warning signs (road narrows,
side road ahead).

2.3 Commissioning of a feasibility study for a crossing
(based on some of the findings described above)

A feasibility study is undertaken at the start of any proposed highway improvement scheme
to set out available options. The study assesses the effectiveness and viability of these
options within known constraints such as land availability and funding.

There are different pedestrian crossing facilities that can be installed; these include dropped
kerb preferred crossing point, pedestrian refuge island, and zebra, pelican, puffin, toucan
crossings. The feasibility of installing a new crossing point is determined to the specific
location by an Engineer who takes in to account various factors such as road safety
(including assessing accident patterns and causes), the environment

and maintenance implications.

There is consultation on the feasibility of any proposed new pedestrian crossing, with the
Police, residents, local businesses, Councillors, local bodies such as Parish and Town

Councils, or Residents Associations.

Under the Road Traffic Regulation Act 1984, before establishing, altering, or removing a
crossing a local authority shall:-

(a) consult the chief of police about their proposal to do so;
(b) give public notice of that proposal; and
(c) inform the Secretary of State in writing.

The most appropriate and safe action is determined for the particular situation and location.
A feasibility study is required to determine the right answer, and this may be to do nothing or
to provide an alternative solution. It is proposed to request that funding is allocated from the

Mole Valley Local Committee small safety schemes budget to determine if it is feasible to
safely install a new pedestrian crossing facility of any kind at this location, and the feasibility
study be delivered in this 2016/17 financial year.

If the feasibility study concludes that there is a justifiable need for some work to take place,
and the proposed solution is suitable for the location, then the proposal would be added to
the Integrated Transport Schemes (ITS) List of schemes for possible future funding. The
Mole Valley Forward Programme of schemes for design and construction is made up from
schemes on the ITS List and this programme is presented to the Mole Valley Local
Committee each year for decision. The County Councillors are responsible for deciding
which schemes to prioritise and where to allocate resources. County Councillors will take
into account representations from the public, the advice from the engineers and the
availability of funding. It can take over 18 months before any improvement works are
implemented, even if a scheme is approved and funding available. This is because there are
a number of essential steps that have to be undertaken, including detailed design and safety
audit.

3. Conclusion

There has been some initial investigation of the constraints to a formal pedestrian crossing
at the location of the accident on the A25 Guildford Road, in Abinger Hammer. A Road
Safety Working Group for that area has reviewed whether the incident is part of a pattern of
similar collisions that may need addressing by either highway or police interventions.
Funding for a feasibility study, to determine if a pedestrian crossing facility is possible and
safe in this location, is going to be requested from the Chairman and Vice-Chairman of Mole
Valley Local Committee. The existing Vehicle Activated Sign, east of Felday Road, will be
inspected and reconditioned if necessary. In the short term, it is proposed to investigate the
provision of signs to warn drivers that pedestrians are crossing the A25 in the vicinity of the

village green.

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