Prevention of Future Deaths reports · 2019
Regulation 28 report to prevent future deaths, reference 2019-0339, written 8 Oct 2019. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 8 Oct 2019 |
|---|---|
| Reference | 2019-0339 |
| Deceased | Steffan Evans |
| Coroner | Andrew Haigh |
| Coroner area | Staffordshire (South) |
| 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 THIS REPORT IS BEING SENT TO: aso for Highways and the Built County ighways artment Staffordshire County Council 1 Staffordshire Place Stafford ST16 2LP 1 | CORONER | am Mr Andrew Haigh senior coroner for the coroner area of Staffordshire South 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 17" January 2019 | commenced an investigation into the death of Steffan Gareth EVANS, 28 years. The investigation concluded at the end of the inquest on 25" September 2019. The conclusion of the inquest was accident with the Cause of Death being Multiple Injuries. 4 | CIRCUMSTANCES OF THE DEATH Steffan Evans died at the scene of a road traffic collision on 15!" January 2019 near Burton when a car he was driving collided with another car that had just emerged from a driveway and then crashed into a van that was travelling in the opposite direction. A major causative factor was the speed that Steffan was driving at. The road is the B5017 (between Needwood and Burton). [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. — | am aware that following this collision you did make some enquiries concerning this stretch of road (B5017 between Needwood and Burton). However there does appear to be a genuine continuing concern about the volume and speed of traffic on this road, bearing in mind the various junctions that there are. | would not ask you to repeat work you have already done, but | wonder if there should be a further review of this stretch of road to see if any steps should be taken to improve its safety. ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and | believe you have the power to take such action. na RESPONSE a You are under a duty to respond to this report within 56 days of the date of this report, namely by 14" December 2019. |, 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 A ari), Virgin Media and Clyde & Co | 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. 8" October 2019 Andrew A Haigh HM Senior Coroner Staffordshire (South) Coroner's Office No 1 Staffordshire Place Stafford ST16 2LP Tel No: 01785 276127 Fax No: 01785 276128 www.staffordshire.gov.uk sscor@staffordshire.gov.uk
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.
Staffordshire County Council Mr Andrew A Haigh Senior HM Coroner for Staffordshire South Coroner's Office No 1 Staffordshire Place Stafford ST16 2LP tS, O'% >} Communities and Road Safety Staffordshire County Council 1 Staffordshire Place Tipping Street Stafford ‘eST16:2LEP Telephone: 01785 278160 E- nai 12'" December 2019 Our ref: RR/B5017BurtonRdCallingwood Your ref: Dear Mr Haigh, Re: Steffan Gareth Evans (Deceased) | refer to your Regulation 28 Report regarding the ‘Inquest into the death of Steffan Gareth Evans and your comments concerning the B5017 Burton Road between Needwood and Burton. This letter is in response to your matters of concern recorded in section 5 of your report. Some of the information that will be outlined below, has been included within email exchanges with that | believe you have been copied into. Therefore, | apologise for the duplication, though | feel it is necessary to reiterate the actions undertaken. Following the collision in January, as is the process following all fatal road traffic collisions; the collision history at this location was examined. The search concluded that no personal injury collisions had been recorded within 300m of where the fatal collision took place within the latest three years of complete data that we had available at the time. When the search area was widened, two slight personal injury collisions have been recorded on the stretch of B5017 between Five Ways Island, Needwood and the change of speed limit east of The Acorn Inn. This collision history does not indicate a requirement for speed reducing features. If patterns of treatable collisions are identified, remedial measures proportionate to the accident problem, will be proposed and prioritised against other locations across Staffordshire. As the budget for road safety improvements is finite, it is the sites with the greatest proven need which are treated first, and these will have a cluster of incidents with a discernible trend or pattern in the cause of each. CO the knot unites Staffordshire County Council On the 14! February, a Hazard Report Card was received from [requesting we ‘assess the need for a reduction on the speed limit and the addition of signage to indicate the presence of hidden entrances’. A speed and volume survey to ascertain vehicle speeds was undertaken during the 10th and 19 July and 85!" percentile speeds of 56mph in both directions over a 24-hour period were recorded. These speeds indicate good compliance to the National Speed Limit; however, we received a report highlighting that it was felt that these speeds did not represent a true reflection of vehicle speeds travelling on this section of the B5017. The survey was completed following roadworks on Burton Road that involved temporary traffic lights close to Five Ways Island and it was suspected that drivers had sought alternative routes and traffic had not returned to normal. Following receipt of this local insight, it was agreed that a new speed and volume survey would be undertaken. This second survey was undertaken between the 7 and 15'% November and 85" percentile speeds of 51mph eastbound and 55mph westbound over a 24-hour period were recorded. These speeds again highlight good compliance to the National Speed Limit. Based on this data, speed enforcement activities either by fixed cameras or mobile camera vans would not be initiated as criteria has not been met. There was a slight increase in vehicle volume for the second survey as an average (7-day average) of 6526 vehicle speeds were recorded over a 24-hour period compared to 6153 vehicles for the first survey. Regarding the request for additional signage to indicate the presence of private accesses onto Burton Road, there is no prescribed sign within the Traffic Signs Regulations and General Directions for concealed entrances and therefore this is not an option we can consider. Following the Inquest, | received a letter from [J dated the 18th October where an invitation was made to visit their property. On Friday 22nd November, [NN (Strategic Community Infrastructure Manager) and SEN (Road Safety Manager) met with RE at their property. A request for a speed limit reduction was made, however it was explained that the budget available to the Council for highway improvements is extremely limited and reducing speed limits is usually accompanied by additional robust measures such as lining, signage, carriageway narrowing, gateway features or build outs — in order to help promote good compliance with the lower limit. These additional measures obviously come at a cost which must be justified, and it is right therefore that we firstly target those locations where a demonstrable reduction in the number of people killed or seriously injured on our roads can be achieved, by prioritising locations where there is a cluster of incidents with a discernible trend or pattern within the accident data. the knot unites Staffordshire County Council | acknowledge that reducing the speed limit to 40mph for this section of the B5017 is desired, however, this would be a significant reduction from the existing National Speed Limit, and it would be very difficult to achieve driver compliance. Some drivers may choose to ignore such a change which could lead to an increase in manoeuvres involving risk, for example overtaking or tailgating. Any reduction is therefore unlikely to be successful without additional costly engineering measures as discussed above. In summary, based on the collision data we hold for this location, the site would otherwise not be considered for any traffic calming measures at this time. However, there is a possibility that it will be feasible to include this section of Burton Road as part of another funded scheme in the local area, and we are investigating this possibility. Throughout these investigations, we will endeavour to — informed. | hope the above information is of benefit, however if further clarification or detail is required, | am more than happy to provide further information. Yours sincerely, Assistant Director for Highways and the Built County the knot unites
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