Prevention of Future Deaths reports · 2020
Regulation 28 report to prevent future deaths, reference 2020-0009, written 22 Jan 2020. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 22 Jan 2020 |
|---|---|
| Reference | 2020-0009 |
| Deceased | Gary Sloan |
| Coroner | Derek Winter |
| Coroner area | Sunderland |
| 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.
Derek Winter DL Senior Coroner for the City of Sunderland REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: Mr Peter McIntyre Executive Director of City Development Sunderland City Council CORONER I am Derek Winter DL, Senior Coroner for the City of Sunderland 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. http://www. legislation. gov.uk/ukpga/2009/25/schedule/5/paragraph/7 http://www. legislation. gov.uk/uksi/2013/1629/part/7/made INVESTIGATION and INQUEST Gary Ronald Sloan was born on 15" September 1980 and died on 16" August 2019, aged 38 years. The cause of his death was Multiple Injuries. I opened and adjourned an Inquest into his death as part of my Investigation on 20" August 2019. The Inquest was heard on 17" January 2020 when I gave a conclusion of Road Traffic Collision and further recorded that: - “Gary Ronald Sloan died at the scene of a road traffic collision on the A690 Eastbound Houghton Cut Houghton Le Spring having lost control of his vehicle.’ CIRCUMSTANCES OF THE DEATH Gary Ronald Sloan was driving his motor vehicle on the Eastbound A690 dual carriageway, when it aquaplaned on surface water, span and left the road going down the embankment and then collided with a tree. Speed and an underinflated tyre were factors in the fatal road traffic collision. CORONER’S CONCERNS Following the Police Road Traffic Collision Report, I heard evidence that there were 15 slight injury, 4 serious injury and 2 fatal (including this incident) road traffic collisions on the A690 between the junction with High Lane to the East and A182 to the West between 31* October 2014 and 31 October 2019. Civic Centre, Burdon Road, Sunderland, SR2 7DN Tel 0191 5617843 | Fax 01915537803 | DX 60729 Sunderland www.sunderlandcoroner.co.uk Although this section of the A690 does not automatically qualify for the installation of a safety road restriction system, as this was the second fatal road traffic collision at the exact location and the same tree, the decision may need to be reviewed together with a reassessment of the drainage and clearance of surface water schedule. | ACTION 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. YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 18" March 2020. 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. COPIES and PUBLICATION Ihave sent a copy of my report to the Chief Coroner and to the following Interested Persons: - e Family e Chief Constable Winton Keenen, Northumbria Police 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. Dated this 22" day of January 2020 Senior Coroner for the City of Sunderland
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.
o@ Sunderland City Council . » City Development Directorate Mr Derek Winter DL Civic Centre Her Majesty's Senior Coroner for the City of Sunderland Sunderland Office of the HM Coroner SR2 7DN Civic Centre, Burdon Road Tel: 0191 520 5555 Sunderland Web: www.sunderland.gov.uk SR2 7DN Date: 11 March 2020 Our ref: Your ref: This matter is being dealt with by: HN Asset and Network Manager, Infrastructure, Planning and Transportation, City Development Directorate, Sunderland City Council, Jack Crawford House, Commercial Road, Sunderland, SR2 8QR. Tel 5611298 Dear Mr Winter REGULATION 28 REPORT TO PREVENT FUTURE DEATHS-Gary Ronald Sloan ! refer to your report detailing the circumstances and your recommendations following the road traffic collision which tragically took the life of Mr Sloan. My deepest condolences rest with Mr Sloan’s family and friends. Whilst acknowledging your concerns | would say that the A690 is one of the city’s primary routes carrying nearly 33000 vehicles per day, the vast majority of which travel without incident or harm. In terms of the stretch of road in question, the council takes its responsibilities for road safety seriously and as such in 2016 a road safety scheme was completed at the High Lane-A690 Junction which has since resulted in a reduction in accidents. In addition, the council has recently introduced an order which bans U turns along this length of the A690 to reduce the risk of unnecessary vehicle conflict, plans of which are attached for your records. | note your acceptance that this section of road would be considered low risk when determining the installation of a Vehicle Restraint System, however | can state that the council will look to include a scheme in its 2020-2021 capital programme which will mitigate the risk of serious injury to drivers at this location. In answering your drainage concerns | would say that the frequency of gully cleaning was appropriate and would also confirm that the side entry gully, nearby to the incident, will be replaced with a top entry gully in the spring. For your records | have enclosed a plan showing the location of the proposed gully. | will of course advise you when all these works have been completed. | trust that the council's proposals as set out address your concerns, however should you require any further clarifications please don’t hesitate to contact me again. Yours sincerely wi Executive Director of City Development Encs: 1. Prohibition of U Turns Pian 2. New Gully Replacement Plan
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