Prevention of Future Deaths reports · 2022
Regulation 28 report to prevent future deaths, reference 2022-0161, written 30 May 2022. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 30 May 2022 |
|---|---|
| Reference | 2022-0161 |
| Deceased | Albert Manley |
| Coroner | David Ridley |
| Coroner area | Wiltshire and Swindon |
| Category | Road (Highways Safety) related deaths |
| Source | judiciary.uk record · original PDF |
| Responses published | 1 |
Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.
HM Senior Coroner for Wiltshire and Swindon REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: By e-mail:- Acting Director Highways and Transport Wiltshire Council County Hall Trowbridge BA14 BJN 1 CORONER I am David Ridley, Senior Coroner for Wiltshire and Swindon 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. http://www.Ieg i slatio n .gov.u k/u kpga/2009/25/schedule/5/ paragraph /7 http://www.legislation.gov.uk/uksi/2013/1629/parU7 /made 3 INVESTIGATION and INQUEST On the 7 June 2021 I accepted the transfer of an investigation into the death of Albert Thomas Stafford Manley who was known to his family as "Jim". I went on to open Jim's Inquest on the 14 June 2021 and concluded both his and his late wife's Inquest on the basis that their deaths arose out of the same incident on the 19 May 2022. I found that Jim's medical cause of death was as follows:- 1 a) Multiple Traumatic Injuries. As regards how, when and where Jim came by his death I recorded as follows:- Albert, known to his family as "Jim", died at Southampton General Hospital, Tremona Road, Southampton, Hampshire on Monday 31 May 2021 from multiple traumatic injuries. Jim's injuries were sustained when his Ford Mondeo collided on the opposite/northbound side of the highway with the front offside of an oncoming Land Rover Discovery on the morning of Sunday 30 May 2021 whilst both vehicles were travelling in opposite directions on the 83081 near To/lard Royal in Wiltshire at a bend and junction with a minor road leading to To/lard Green (OS Ref ST917 183). It is unclear as to why Jim's car crossed the centre of the highway and collided with the front of Land Rover Discovery as to whether he intended to exit the junction and head towards To/lard Green or misinterpreted the layout of the road at the junction. As a conclusion I recorded Road Traffic Collision. Wiltshire & Swindon Coroner's Office, 26 Endless Street, Salisbury, Wiltshire, SPI IDP
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.
Directors Office
Highways & Transport
County Hall
Bythesea Road
Wiltshire
BA14 8JN
14th July 2022
Mr David Ridley
Senior Coroner for Wiltshire & Swindon
Wiltshire & Swindon Coroner’s Office
26 Endless Steet
Salsibury
Wiltshire
SP1 1DP
Sent by email to:
Dear Mr Ridley
Your case reference: 6449996
Re: Albert Thomas Stafford MANLEY deceased
Regulation 28 Report to Prevent Future Deaths
Thank you for your letter dated the 30th May 2022 in relation to the above. I note your request that
consideration be given to the recommendations provided in your report, which are based upon the
observations recorded by Wiltshire Police.
As you have identified in your report, subsequent to the collision that took place on the 30th May 2021 a
number of alterations to the road signs and road markings have taken place.
Following your suggestion that consideration be given to the introduction of further road markings and
review of the current signing arrangements, I can advise the site has been visited by experienced road
safety professionals with these comments in mind.
Whilst the observations regarding the traffic signs are appreciated, the review has concluded that the
existing sign arrangements are representative of the road layout and offer motorists the correct information
of the hazards they should expect when negotiating this section of road. Therefore, no further amendments
to the road signs are proposed.
With regards to your other observation that the existing signing could be supplemented using road
markings depicting the characters ‘SLOW’, this is something that is considered to be appropriate and would
be beneficial in assisting motorist to negotiate this section of road. I confirm that this work will be added to
the Council’s road marking programme of works for the coming months.
I note the recommendations within the Police report regarding the removal of the hedgerow and your
observations on the matter. The hedgerow is outside of the highway boundary and is the responsibility of
the landowner, and at present it is not proposed to suggest the removal of the hedgerow for the reasons
you mention, but we will continue to monitor the situation and enter discussion with the landowner if
deemed necessary in the future.
I hope the above comments are helpful, but if you require any further information, please do not hesitate to
let me know.
Yours sincerely
Interim Director Highways & Transport
Email:
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