Prevention of Future Deaths reports · 2016
Regulation 28 report to prevent future deaths, reference 2016-0463, written 22 Dec 2016. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 22 Dec 2016 |
|---|---|
| Reference | 2016-0463 |
| Deceased | Thomas Wallace |
| Coroner | Jonathan Heath |
| Coroner area | North Yorkshire (West) |
| 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.
REGULATION 28: REPORT TO PREVENT FUTURE DEATHS (1) NOTE: This form is to be used after an inquest. REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: 1. North Yorkshire County Council Highways Authority 2. 3. 4. The Chief Coroner 1 CORONER I am Jonathan Heath, assistant coroner for the coroner area of North Yorkshire Western Area. 2 CORONER’S LEGAL POWERS 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. 3 INVESTIGATION and INQUEST On 25th April 2016 an investigation was commenced into the death of Thomas Wallace, aged 47. The investigation concluded at the end of the inquest on 24th November 2016. The conclusion was accidental death and the facts were that at 1400 hours on 23rd April 2016, Thomas Wallace was riding his Motorbike on the A682 at Long Preston towards Gisburn. At this time a car pulled out of an unclassified track leading from Knowles Cottages ages into the path of Mr Wallace’s motorcycle. A collision occurred and Mr Wallace was pronounced life extinct at the scene. 4 CIRCUMSTANCES OF THE DEATH At 1400 hours on 23rd April 2016, Thomas Wallace was riding his motorcycle on the A682 at Long Preston in the direction of Gisburn. which are accessed by a lane from the A682. At this time was driving her car and was stationary at the junction with the A682, having driven down the lane from her cottage. There were no vehicles in sight as she pulled out of the junction intending to turn right. As she was midway across the road, Mr Wallace, on his motorcycle, collided with car. As a result of the collision Mr Wallace suffered serious multiple injuries and died at the scene. 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. The matters of concern raised below although not directly linked to the death are matters which I believe in the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as follows. – (1) The layout of the junction affords an extremely restricted view of traffic on the A682. 1 (2) The solid wall running alongside the A682, contributes to the restricted view of the traffic on the A682. (3) The signage on the A682 regarding the junction with the lane down to Knowles cottages is very limited. (4) There is a staggered junction sign where there appears to be a cross roads. (5) The national speed limit signs placed immediately after the junction are visible in advance of being able to see the junction. 6 ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe you AND/OR your organisations have the power to take such action. 7 YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 16th February 2016. I, 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. 8 COPIES and PUBLICATION I have sent a copy of my report to the Chief Coroner and to the following Interested Persons: I 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. 9 22nd December 2016 Assistant Coroner: Jonathan Heath 2
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