Prevention of Future Deaths reports · 2025
Regulation 28 report to prevent future deaths, reference 2025-0568, written 6 Nov 2025. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 6 Nov 2025 |
|---|---|
| Reference | 2025-0568 |
| Deceased | Samuel Vass |
| Coroner | Guy Davies |
| Coroner area | Cornwall & the Isles of Scilly |
| Category | Road (Highways Safety) related deaths · Alcohol, drug and medication 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.
Information Classification: PUBLIC REGULATION 28: REPORT TO PREVENT FUTURE DEATHS IN THE MATTER OF THE INQUEST TOUCHING THE DEATH OF SAMUEL GEORGE VASS REGULATION 28 REPORT TO PREVENT FUTURE DEATHS THIS REPORT IS BEING SENT TO: Service Director for Environment Cornwall Council 1 CORONER I am Guy Davies, His Majesty’s Assistant Coroner for Cornwall & the Isles of Scilly. 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. [HYPERLINKS] 3 INVESTIGATION and INQUEST On 16 December 2024, I commenced an investigation into the death of 22-year-old Samuel George VASS. The investigation concluded at the end of the inquest on 6 October 2025. The inquest found the medical cause of death as follows 1a Head Injury The inquest answered the four statutory questions - who, when, where and how - as follows … Samuel George VASS died on 14 December 2024 on the A3083 near RNAS Culdrose Helston Cornwall from trauma consistent with injuries sustained after the vehicle that Sammy was driving crossed the carriageway into the opposite lane and collided with an oncoming vehicle. Sammy had a blood alcohol level well over twice the legal limit which will have significantly impaired his driving. It is likely that Sammy lost control of his vehicle on a bend due to driving at excessive speed for the conditions, whilst under the influence of alcohol. 1 Information Classification: PUBLIC The conclusion of the inquest was as follows Road Traffic Collision 4 CIRCUMSTANCES OF THE DEATH Mr Vass was a Royal Navy serviceman based at Royal Navy Air Station (RNAS) at Culdrose in Cornwall. He had planned to attend a social event in Helston on the night of his death. There was clear evidence that he had been drinking alcohol before he drove that night. During the journey from RNAS Culdrose to Helston the car being driven by Mr Vass crossed the carriageway into the path of another vehicle who had just picked up her father opportunity to avoid the subsequent collision. from Helston. had no suffered life changing injuries as a result of the collision, and her father suffered serious injuries. 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. – The concern is the absence of speed enforcement on the stretch of the A3083 road between RNAS Culdrose and Helston. There have been a number of road traffic collisions on this stretch of the A3083. Mr Vass is the fourth person to be killed on this stretch of road in the last six years. In 2022 two serviceman were killed after a road traffic collision in which the cause of the collision was found to be grossly excessive speed by the deceased driver. In Mr Vass’ death, excessive speeding was found to have caused him to lose control of his car and cross the carriageway, contributed to by Mr Vass driving with excess alcohol. On this stretch of road the court heard that there are options for the installation of speed enforcement either by way of an average speed camera system or a fixed camera system. 6 ACTION SHOULD BE TAKEN In my opinion action should be taken to prevent future deaths and I believe you and your organisation 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 12 January 2026. 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. 2 Information Classification: PUBLIC 8 COPIES and PUBLICATION I have sent a copy of my report to the Chief Coroner and to the family of the deceased Mr Vass and to those persons injured in the collision, . 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 6 November 2025 HMC Guy Davies 3
See every Prevention of Future Deaths report matching Road (Highways Safety) related deaths, and how often a new one appears.
What would an alert for this have sent me? Search the full text
Free to try — the preview shows the real matches and how many arrived in the last 12 months. Your first email alert is free.
These reports are published by the Chief Coroner's office at judiciary.uk and are © Crown copyright. The text here is reproduced from the published PDF so it can be searched. If something on this page is wrong, or you are a person named in it and want it reviewed, email drcjar@gmail.com and we will act promptly.